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强迫症。如何使患者摆脱强迫观念和仪式行为。

Obsessive-compulsive disorder. How to free patients from intrusive thoughts and rituals.

作者信息

Pary R, Lippmann S, Tobias C R

机构信息

Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine.

出版信息

Postgrad Med. 1994 Dec;96(8):119-25.

PMID:7991473
Abstract

The antidepressants clomipramine hydrochloride (Anafranil), fluoxetine hydrochloride (Prozac), and sertraline hydrochloride (Zoloft) are the main choices for pharmacologic treatment of obsessive-compulsive disorder. Often, drug doses for obsessive-compulsive disorder are higher than for depression, and improvement occurs more slowly and is often only partial. Behavior therapy involving exposure to feared objects or situations and prevention of ritualistic behavior complements pharmacologic treatment. Referral to a behavioral therapist may be necessary to achieve recovery.

摘要

抗抑郁药盐酸氯米帕明(安拿芬尼)、盐酸氟西汀(百忧解)和盐酸舍曲林(左洛复)是强迫症药物治疗的主要选择。通常,强迫症的药物剂量高于抑郁症,改善出现得更慢,而且往往只是部分改善。涉及接触恐惧对象或情境以及预防仪式行为的行为疗法是药物治疗的补充。可能需要转诊给行为治疗师以实现康复。

相似文献

1
Obsessive-compulsive disorder. How to free patients from intrusive thoughts and rituals.强迫症。如何使患者摆脱强迫观念和仪式行为。
Postgrad Med. 1994 Dec;96(8):119-25.
2
Successful treatment of obsessive-compulsive disorders.强迫症的成功治疗。
Genet Soc Gen Psychol Monogr. 1986 May;112(2):173-99.
3
Obsessive-compulsive disorder.强迫症
Am Fam Physician. 1989 May;39(5):175-82.
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Management of obsessive-compulsive disorder.强迫症的管理
Br J Hosp Med. 1990 Apr;43(4):278-81.
5
Treatment of obsessive compulsive disorder: psychotherapies, drugs, and other somatic treatment.
J Clin Psychiatry. 1990 Aug;51 Suppl:44-50; discussion 55-8.
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Obsessive-compulsive disorder: a treatment review.强迫症:治疗综述。
J Clin Psychiatry. 1988 Feb;49(2):48-55.
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D-cycloserine does not enhance exposure-response prevention therapy in obsessive-compulsive disorder.D-环丝氨酸不能增强强迫症的暴露反应预防疗法。
Int Clin Psychopharmacol. 2007 Jul;22(4):230-7. doi: 10.1097/YIC.0b013e32819f8480.
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[Prospective follow-up over a 12 month period of a cohort of 155 patients with obsessive-compulsive disorder: phase III National DRT-TOC Study].[155例强迫症患者队列的12个月前瞻性随访:国家DRT-TOC研究III期]
Encephale. 2000 Nov-Dec;26(6):73-83.
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A comparison of clomipramine hydrochloride (Anafranil) and behaviour therapy in the treatment of obsessive neurosis.
J Int Med Res. 1977;5 Suppl 5:49-61.
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Obsessive-compulsive disorder.强迫症
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引用本文的文献

1
Obsessive-compulsive disorder and anorexia nervosa in a high school athlete: a case report.高中生运动员中强迫症和神经性厌食症:一例报告。
J Athl Train. 1999 Oct;34(4):375-8.