儿童强迫症康复的探索：障碍与促进因素的质性分析
Navigating recovery in childhood OCD: a qualitative analysis of barriers and facilitators.
作者信息
Sravanti Lakshmi, Madegowda Rajendra Kiragasur, Velusamy Arul Jayendra Pradeep, Kommu John Vijay Sagar, Girimaji Satish Chandra, Seshadri Shekhar
机构信息
Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, 560029, India.
Specialty Registrar in Child & Adolescent Psychiatry, Oxfordshire CAMHS NDC Pathway Team, Oxford, UK.
出版信息
Child Adolesc Psychiatry Ment Health. 2024 Dec 18;18(1):160. doi: 10.1186/s13034-024-00851-8.
OBJECTIVE
The objective is to examine barriers and facilitators to recovery in children and adolescents with obsessive-compulsive disorder (OCD) using a qualitative approach.
METHODS
Ten semi-structured interviews were conducted, audio-recorded, and analyzed using thematic analysis. Findings were validated through investigator triangulation, peer validation and member check.
RESULTS
Barriers to recovery were internal-lack of awareness; poor motivation to seek treatment; and perceived stigma, or external-poor parental support; parental anxiety; inadequate awareness in schools; social misconceptions about illness; myths about medication; and frustrations in treatment processes. Facilitators were internal-will and determination; self-discipline; keeping calm; sense of purpose, and external-general awareness; parental support; peer support; and good therapeutic engagement.
CONCLUSIONS
To the best of our knowledge, this is the first study to explore barriers and facilitators to recovery in-depth in pediatric OCD. Findings underscore the importance of tailored interventions, robust support networks, and cultural sensitivity for successful recovery outcomes.
目的
采用定性研究方法，探讨强迫症（OCD）儿童和青少年康复过程中的障碍与促进因素。
方法
进行了10次半结构化访谈，进行录音，并采用主题分析法进行分析。研究结果通过研究者三角互证、同行验证和成员核对进行验证。
结果
康复障碍包括内在因素——缺乏认知；寻求治疗的动力不足；以及感知到的耻辱感，或外在因素——父母支持不足；父母焦虑；学校认知不足；社会对疾病的误解；药物治疗的误区；以及治疗过程中的挫折感。促进因素包括内在因素——意志和决心；自律；保持冷静；目标感，以及外在因素——一般认知；父母支持；同伴支持；以及良好的治疗参与度。
结论
据我们所知，这是第一项深入探讨儿科强迫症康复障碍与促进因素的研究。研究结果强调了量身定制的干预措施、强大的支持网络以及文化敏感性对于成功康复结果的重要性。
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