Calamari J E, Faber S D, Hitsman B L, Poppe C J
University of Wisconsin-Whitewater 53190.
J Behav Ther Exp Psychiatry. 1994 Jun;25(2):95-104. doi: 10.1016/0005-7916(94)90001-9.
Obsessive compulsive disorder (OCD) is a prevalent form of psychopathology in the elderly, yet limited evaluation of the disorder in this age group has occurred. We review the literature and describe a case of OCD effectively treated in an 80-year-old man. Case study reports suggest that elderly persons are responsive to selective serotonin uptake inhibitors, although medication selection and dosage may need to be adjusted as a result of the medical conditions sometimes present in the elderly. Elderly persons appear able to benefit from exposure and response prevention, although behavioral intervention has not been frequently used. We describe here the first case report where exposure and response prevention procedures were successfully used and this intervention was not confounded with psychopharmacologic treatment.
强迫症（OCD）是老年人中一种常见的精神病理学形式，但对该年龄组这种疾病的评估有限。我们回顾了文献并描述了一例在一名80岁男性中得到有效治疗的强迫症病例。病例研究报告表明，老年人对选择性5-羟色胺再摄取抑制剂有反应，尽管由于老年人有时存在的医疗状况，可能需要调整药物选择和剂量。老年人似乎能够从暴露与反应阻止疗法中获益，尽管行为干预并不常用。我们在此描述了首例成功使用暴露与反应阻止程序且该干预未与心理药物治疗混淆的病例报告。
