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强迫症的管理与治疗:文献综述

Management and Treatment of Obsessive-Compulsive Disorder (OCD): A Literature Review.

作者信息

Elsouri Kawther N, Heiser Samantha E, Cabrera Dominick, Alqurneh Sami, Hawat Jaime, Demory Michelle L

机构信息

Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

Osteopathic Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.

出版信息

Cureus. 2024 May 17;16(5):e60496. doi: 10.7759/cureus.60496. eCollection 2024 May.

Abstract

Obsessive-compulsive disorder (OCD) is a prevalent and debilitating mental health condition. This literature review examines the latest strategies in managing and treating OCD, with an emphasis on psychotherapy, pharmacological interventions, and neurosurgical options. A comprehensive literature search utilizing PubMed, Google Scholar, ClinicalKey, and Embase databases was conducted. Utilizing chosen keywords, the resulting articles were filtered based on inclusion and exclusion criteria. Included articles were used to discuss current research regarding OCD treatment and management. Findings reveal the efficacy and obstacles of treatments such as cognitive-behavioral therapy, selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and evidence-based neurosurgical methods, offering a broad perspective on OCD management. We discuss the limitations of these established treatments and examine the innovative response of neurosurgery in treating patients with OCD. This review highlights the importance of individualized treatment plans and areas for future research.

摘要

强迫症(OCD)是一种常见且使人衰弱的心理健康状况。这篇文献综述探讨了管理和治疗强迫症的最新策略,重点是心理治疗、药物干预和神经外科选择。利用PubMed、谷歌学术、ClinicalKey和Embase数据库进行了全面的文献检索。使用选定的关键词,根据纳入和排除标准对所得文章进行筛选。纳入的文章用于讨论当前关于强迫症治疗和管理的研究。研究结果揭示了认知行为疗法、选择性5-羟色胺再摄取抑制剂(SSRI)、5-羟色胺-去甲肾上腺素再摄取抑制剂(SNRI)等治疗方法的疗效和障碍,以及循证神经外科方法,为强迫症管理提供了广阔的视角。我们讨论了这些既定治疗方法的局限性,并研究了神经外科手术在治疗强迫症患者方面的创新反应。本综述强调了个性化治疗方案的重要性以及未来研究的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c5e/11180522/72dd178428c2/cureus-0016-00000060496-i01.jpg

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