Kardaş Burcu, Kardaş Ömer, Memik Nursu Çakın
Child and Adolescent Psychiatry, Kocaeli University School of Medicine, Umuttepe, İzmit, Kocaeli/Turkey.
Indian J Psychiatry. 2024 Oct;66(10):938-945. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_823_22. Epub 2024 Oct 17.
Obsessive compulsive disorder (OCD) causes impairment in social and academic functionality. Intensive treatment methods such as day treatments are recommended in resistant cases.
The aim of this study is to examine the changes in treatment responses according to gender in children and adolescents with OCD who are followed up in the day clinic and to evaluate the factors that predict treatment.
Adolescents with OCD (n = 50) who were followed up in the day clinic between 2007 and 2021 were included in this study. Scales evaluating symptom severity and treatment responses were administered to the patients at admission and discharge.
The mean age of the adolescents included in the study was 14.24 (SD: 2.1). The mean length of stay in the day clinic was 8.3 (SD: 0.1) weeks. When the factors related to the treatment response were evaluated, a significant correlation was found between the length of stay in the day clinic and improvement.
This study provides evidence for the importance of intensive treatment in adolescents experiencing severe OCD symptoms. Ensuring that intensive treatments such as day clinics become widespread and standardizing these treatments will provide important developments in the treatment of OCD.
强迫症（OCD）会导致社交和学业功能受损。对于难治性病例，建议采用日间治疗等强化治疗方法。
本研究旨在探讨在日间诊所接受随访的强迫症儿童和青少年中，根据性别划分的治疗反应变化，并评估预测治疗效果的因素。
本研究纳入了2007年至2021年间在日间诊所接受随访的50名强迫症青少年。在入院和出院时，对患者进行评估症状严重程度和治疗反应的量表测试。
纳入研究的青少年平均年龄为14.24岁（标准差：2.1）。在日间诊所的平均住院时间为8.3周（标准差：0.1）。在评估与治疗反应相关的因素时，发现日间诊所的住院时间与改善情况之间存在显著相关性。
本研究为强化治疗对患有严重强迫症症状的青少年的重要性提供了证据。确保日间诊所等强化治疗方法得到广泛应用并实现标准化，将为强迫症的治疗带来重要进展。
