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1.
Acta sci., Health sci ; 44: e56546, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1367534

ABSTRACT

The aim of the study is to determine the psychological well-being of patients who underwent stem cell transplantation. This cross-sectional study was conducted with 100 patients. Data were collected face-to-face using an introductory information form and the Brief Symptom Inventory.When the results of the patients were examined, the interpersonal sensitivity of the sub-dimensions of the scale was found to be 5.0 ± 4.06, depression 7.60 ± 5.37, and anxiety disorder 7.90 ± 5.34. There was a significant difference between the diagnosistime of the patients and all sub-factors of the scale, except phobic anxiety. It was found that the psychological state of the patients was directly related to the time of first diagnosis. As a result, the importance of following the psychological processof the patients during the treatment process was revealed when planning nursing care.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Patients/psychology , Stem Cell Transplantation/nursing , Emotional Adjustment/ethics , Nursing Care/ethics , Anxiety Disorders/diagnosis , Anxiety Disorders/nursing , Anxiety Disorders/rehabilitation , Paranoid Disorders/diagnosis , Paranoid Disorders/nursing , Paranoid Disorders/therapy , Psychotic Disorders/diagnosis , Psychotic Disorders/nursing , Psychotic Disorders/therapy , Somatoform Disorders/diagnosis , Somatoform Disorders/nursing , Somatoform Disorders/therapy , Bone Marrow , Demography/statistics & numerical data , Cross-Sectional Studies , Depression/diagnosis , Depression/nursing , Hostility , Neoplasms/diagnosis , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/nursing , Obsessive-Compulsive Disorder/therapy
2.
Article in Chinese | WPRIM | ID: wpr-927378

ABSTRACT

Based on the thinking of integrative and holistic acupuncture and moxibustion, FU Wen -bin proposes to treat depression complicated with obsessive-compulsive disorder from perspective of heart and gallbladder. In clinical practice, the treatment pattern of "acupuncture at the top priority, followed by moxibustion, and consolidation at the end" is applied, acupuncture, refined moxibustion, intradermal needle and other therapies are comprehensively adopted, acupoints on the heart meridian, pericardium meridian and gallbladder meridian are selected or back-shu points and front-mu points of the heart, gallbladder and pericardium are matched, and the acupoints on the conception vessel and governor vessel and with the functions of tonifying kidney and regulating qi are added to calm the heart and tranquilize the mind, so as the symptoms of depression and obsessive-compulsive can be effectively relieved.


Subject(s)
Depression/therapy , Gallbladder , Humans , Meridians , Moxibustion , Obsessive-Compulsive Disorder
3.
Rio de Janeiro; s.n; 2022. 135 f p. tab, fig.
Thesis in Portuguese | LILACS | ID: biblio-1399670

ABSTRACT

A proposta desta dissertação foi realizar uma revisão de escopo de 96 artigos científicos que analisaram a relação do quadro psicopatológico do Transtorno Obsessivo-Compulsivo (TOC) no contexto da pandemia de Covid-19, disponíveis em revistas indexadas. Tais publicações utilizadas neste mapeamento foram retiradas das bases de dados PubMed, PsyInfo e da biblioteca virtual Scielo. Elas são referentes ao período entre 2020 até março de 2022. A busca e filtragem deste material foi orientada pela metodologia da revisão de escopo. A análise destes artigos indicou a presença de dois objetivos nas pesquisas indicadas: a discussão da trajetória de evolução dos quadros de TOC e a terapêutica do TOC na pandemia. No capítulo a respeito dos quadros clínicos, a análise dos dados foi organizada a partir dos grupos populacionais estudados pelos autores (adultos, profissionais de saúde, gestantes e puérperas e crianças e adolescentes). A partir da divisão em grupos populacionais, as publicações foram agrupadas tendo em vista suas metodologias para o exame de seu desenvolvimento e achados. No capítulo sobre a terapêutica do TOC na Covid-19, os achados foram organizados por metodologias para seu exame. Os dados destes estudos mostraram que a maior parte dos autores se dedicaram a analisar o público adulto ou não especificaram objetivamente a idade das pessoas que avaliaram. Os profissionais de saúde foram a população menos contemplada por esta temática dentro das populações sobre as quais os artigos versaram. Os artigos sobre grávidas e puérperas buscaram discutir a influência das condições de vida para a saúde mental e o TOC destas pessoas, o que destoa das outras pesquisas nesta revisão de escopo. O impacto da pandemia, a explicação deste impacto para indivíduos com TOC, a influência das informações midiáticas sobre a Covid-19 e do grupo familiar sobre pessoas com TOC foram questões contempladas pelos autores mencionados neste capítulo. Os artigos sobre a terapêutica do transtorno em questão na Covid-19 discutiram as limitações originárias da crise sanitária para o tratamento do TOC, e exemplificaram ferramentas tecnológicas que podem ser utilizadas no tratamento das pessoas em questão. Alguns também buscaram traçar perfil de vulnerabilidade para o TOC na pandemia com a majoritariedade dos resultados apontando para a vulnerabilidade feminina. O tratamento da população composta por crianças e adolescentes com o transtorno foi pouco foi contemplado pelos pesquisadores nesta seção. Os determinantes sociais de saúde relacionadas ao gênero feminino, indicado como mais vulnerável ao TOC nos dois capítulos acima mencionados foram discutidos em uma seção própria. Nesta seção, dados de estudos sobre as condições de vida na pandemia da população feminina no Brasil e na América Latina foram utilizados para ilustrar a vulnerabilidade desta população.


The proposition of this dissertation was to make a scope review of 96 scientific articles that analyzed the relation of the psychopathological board of obssessive compulsive disorder (OCD) in the context of covid-19 pandemics, available in indexed magazines. Such publications utilized in this mapping were taken from the databases PubMed, PsyInfo and from the Scielo virtual library. They refer to the year of 2020 up to March 2022. The research and filtering of this material were oriented by the scope review methodology. The analysis of these articles pointed to the presence of two objectives in the referred researches: the discussion about the evolutionary trajectory of OCD cases and the therapeutics of OCD in the pandemic. In the chapter about the clinical cases, the data analysis was organized by the populational groups studied by the authors (adults, health professionals, pregnant and puerperal women, children and adolescents). By dividing the populational groups, the publications were arranged considering their methodologies for examining the developments and findings. In the chapter about the therapeutics of OCD during Covid-19, the findings were organised by the methodologies for their examination. The data from these studies show that the majority of authors have either dedicated themselves to analyze the adult public or didn´t speciffy objectively the age of the population evaluated. Health professionals were the population less considered by this thematics. The articles about pregnant and puerperal women focused on discussing the influence of the living conditions to mental health and the OCD of these people, wich differs from the other researches in this scope review. The impact of the pandemic, the explanation of this impact to individuals with OCD, the influence of media informations about Covid-19 and the family group about people with OCD were points contemplated by the authors mentioned in this chapter. The articles about the therapeutics of the disorder in question, during Covid-19, argued about the limitations that came from the sanitary crisis for the treatment of OCD, and exemplified technological tools that can be used on the treatment of such people. Some also tried to trace the profile of vulnerability to OCD in the pandemic, with the majority of the results pointing to female vulnerability. The treatment of the population composed by children and adolescents with the disorder was mentioned little by the researches in this section. The social determiners of health related to the female gender, pointed as the most vulnerable to OCD in the two chapters mentioned before, were discussed in a chapter of their own. In this chapter, data from studies about the life conditions, in the pandemic, of the feminine population in Brazil and Latin America were used to illustrate the vulnerability of this population.


Subject(s)
Mental Health , COVID-19 , Obsessive-Compulsive Disorder
5.
Rev. Assoc. Méd. Rio Gd. do Sul ; 65(2): 01022105, Abr. - Jun. 2021.
Article in Portuguese | LILACS | ID: biblio-1367457

ABSTRACT

RESUMO Introdução: O Transtorno Obsessivo-Compulsivo (TOC) tem sido associado ao comprometimento da função cognitiva. No entanto, a relação entre o TOC e o desempenho cognitivo de mulheres jovens no ciclo gravídico-puerperal ainda não está bem esclarecida. Este estudo teve como objetivo investigar a associação entre desempenho cognitivo e a presença de TOC em mulheres jovens no período perinatal e 30 meses após o parto. Método: Foi realizado um estudo de coorte com 435 mulheres, recrutadas em 47 unidades de atenção básica e 3 clínicas obstétricas públicas de uma cidade do sul do Brasil. O TOC foi identificado por meio da Entrevista Neuropsiquiátrica Internacional (MINI PLUS) e o desempenho cognitivo foi examinado por meio da Avaliação Cognitiva de Montreal (MoCA). Um modelo de regressão linear múltipla foi utilizado para verificar a relação entre o TOC e o desempenho cognitivo. Resultados: Nossos resultados mostraram que as mulheres diagnosticadas com TOC apresentaram pior desempenho cognitivo no escore total do MoCA (ß = -0,25 p<0,05) e no domínio da memória de curto prazo (ß = -0,27 p=0,02). Conclusões: O TOC esteve associado aos escores do MoCA aos 30 meses após o parto. A manutenção do TOC por períodos mais longos foi associada a maiores alterações de memória nessas mulheres. Alterações globais aparecem quando o TOC ocorre no momento presente, o que poderá trazer prejuízos na relação díade mãe-bebê. PALAVRAS-CHAVE: Transtorno obsessivo-compulsivo, função cognitiva, perinatal, mulheres, memória


ABSTRACT Introduction: Obsessive-Compulsive Disorder (OCD) has been associated with impaired cognitive function. However, the relationship between OCD and cognitive performance of young women in the pregnancy-puerperal cycle is still not well understood. This study aimed to investigate the association between cognitive performance and the presence of OCD in young women in the perinatal period and 30 months after delivery. Method: A cohort study was carried out with 435 women, recruited from 47 primary care units and 3 public obstetric clinics in a city in southern Brazil. OCD was identified through the International Neuropsychiatric Interview (MINI PLUS) and cognitive performance was examined through the Montreal Cognitive Assessment (MoCA). A multiple linear regression model was used to determine the relationship between OCD and cognitive performance. Results: Our results showed that women diagnosed with OCD had worse cognitive performance in the total MoCA score (ß = -0.25 p<0.05) and in the short-term memory domain (ß = -0.27 p=0.02). Conclusions: OCD was associated with MoCA scores at 30 months after delivery. The maintenance of OCD for longer periods was associated with greater memory changes in these women. Global changes appear when OCD occurs in the present moment, which can harm the mother-infant dyad. Keywords: Obsessive-compulsive disorder, cognitive function, perinatal, women, memory


Subject(s)
Humans , Women , Cognition , Perinatal Care , Memory , Obsessive-Compulsive Disorder
6.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 43(2): 160-167, Mar.-Apr. 2021. tab, graf
Article in English | LILACS | ID: biblio-1285523

ABSTRACT

Objectives: Although the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) includes ancillary symptom dimensions - insight, avoidance, degree of indecisiveness, inflated sense of responsibility, pervasive slowness/disturbance of inertia, and pathological doubting -, we know little about their clinical/scientific utility. We examined these ancillary dimensions in childhood obsessive-compulsive disorder (OCD), and tested their associations with clinical characteristics. Methods: Treatment-seeking children and adolescents (n=173) with a DSM-5 OCD diagnosis were recruited from six centers in India and evaluated with a semi-structured proforma for sociodemographic/clinical details, the Structured Clinical Interview for DSM-5, the CY-BOCS, the Children's Depression Rating Scale, and the Family Interview for Genetic Studies. Regression analysis was used to study the associations between ancillary dimensions (independent variables) and clinical variables (dependent variables). Results: 87.9% of the sample reported at least a mild-moderate severity of ancillary dimensions, which were highly intercorrelated. Multiple ancillary dimensions were correlated with illness severity on the CY-BOCS. On regression analysis, only insight and avoidance retained significance. There were few differential associations between OCD symptom and ancillary dimensions. Conclusion: Ancillary dimensions are more a feature of illness severity than differentially associated with individual symptom dimensions in childhood OCD. Insight and avoidance should be considered for inclusion in the assessment of illness severity in childhood OCD.


Subject(s)
Humans , Child , Adolescent , Avoidance Learning , Obsessive-Compulsive Disorder/diagnosis , Psychometrics , Severity of Illness Index , Surveys and Questionnaires
8.
Rev. cuba. invest. bioméd ; 40(supl.1): e1111, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1289468

ABSTRACT

Introducción: El desayuno suscita un considerable interés científico como posible parámetro relacionado con el estilo de vida. Objetivo: Analizar los niveles de ansiedad según el tipo de desayuno en escolares de Educación Primaria durante el estado de alarma decretado en España a causa de la COVID-19. Métodos: Estudio transversal compuesto por 116 escolares de la Isla de Fuerteventura. Se valoró la ansiedad a través del cuestionario Spence Children Anxiety Scale (SCAS). Los ítems referidos al desayuno fueron extraídos del test de Adhesión a la Dieta Mediterránea KIDMED. Las pruebas estadísticas utilizadas fueron el análisis de varianza simple (one way ANOVA) y la prueba de regresión logística multivariante. Resultados: La ingesta de un cereal se asocia con una menor probabilidad de desarrollar ataques de pánico y agorafobia (OR = 1,14, p < 0,01), fobia social (OR = 0,71, p < 0,05), trastorno obsesivo-compulsivo (OR = 1,22, p < 0,05) e índice ansiedad global (OR = 1,05, p < 0,05). Asimismo, no desayunar bollería habitualmente se asoció con una menor probabilidad de desarrollar un trastorno obsesivo-compulsivo (OR = 1,13; p < 0,05). Conclusiones: Una calidad del desayuno óptima, como consumir cereales saludables y no consumir bollería industrial, se asocia con menores niveles de ansiedad en escolares de Educación Primaria durante el estado de alarma decretado en España a causa de la COVID-19(AU)


Introduction: Breakfast arouses considerable scientific interest as a potential lifestyle parameter. Objective: Analyze the relationship between anxiety levels and breakfast type in schoolchildren. Methods: A cross-sectional study was conducted of 116 schoolchildren from the Isle of Fuerteventura. Anxiety was evaluated with the Spence Children Anxiety Scale (SCAS) questionnaire. Items about breakfast were taken from the KIDMED Test of Adherence to the Mediterranean Diet. Statistical processing was based on one way ANOVA and the multivariate logistic regression test. Results: Intake of a cereal is associated to a lesser probability of developing agoraphobia and panic attacks (OR = 1.14, p < 0.01), social phobia (OR = 0.71, p < 0.05), obsessive-compulsive disorder (OR = 1.22, p < 0.05) and overall anxiety index (OR = 1.05, p < 0.05). On the other hand, not having pastry for breakfast habitually was associated to a lesser probability of developing obsessive-compulsive disorder (OR = 1.13; p < 0.05). Conclusions: Optimum breakfast quality, such as eating healthy cereals and not eating industrial pastries, is associated to lower levels of anxiety in schoolchildren during the state of alarm decreed in Spain due to the COVID-19 pandemic(AU)


Subject(s)
Humans , Child, Preschool , Child , Diet, Mediterranean , Eating , Breakfast , Life Style , Obsessive-Compulsive Disorder , Spain , Cross-Sectional Studies , Education, Primary and Secondary
9.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(4): 547-552, dez 30, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1355215

ABSTRACT

Introdução: o objetivo deste estudo é descrever a ocorrência de sintomas de TAG e TOC em adolescentes, com idade entre 11 e 18 anos, procedentes de escola pública da cidade do Salvador. Metodologia: estudo observacional e transversal, com 674 adolescentes de uma escola pública, que responderam a uma escala para avaliação de sintomas de TAG e TOC, aplicada entre o período de março e dezembro de 2015. Resultados: os escores da RCADS para TAG e TOC foram, em média, superiores aos pontos de corte estabelecidos pela escala, sugerindo aumento da presença desses sintomas na população estudada, com prevalência maior entre as alunas nos ois grupos de sintomas estudados. Conclusão: os dados apontam para a presença de sintomas de ansiedade generalizada e de TOC entre escolares, sugerindo uma maior necessidade de estudos para a compreensão do papel desses sintomas na qualidade de vida dessa população, como também sua importância como fatores de risco para o adoecimento mental. Medidas de prevenção devem direcionar os esforços para estudos metodologicamente mais robustos na área.


Introduction: the aim of this study is to describe the occurrence of symptoms of GAD and OCD in adolescents, aged between 11 to 18 years old, from a public school in the city of Salvador. Methodology: observational and cross-sectional study with 674 adolescents from a public school, who responded to a scale for assessing symptoms of GAD and OCD applied from March to December 2015. Results: the RCADS scores for GAD and OCD were on average higher than the cutoff points established by the scale, suggesting an increased presence of these symptoms in the studied population, with a higher prevalence among girls in the two groups of symptoms studied. Conclusion: data point to the presence of symptoms of generalized anxiety and OCD among schoolchildren, suggesting a greater need for studies to understand the role of these symptoms in the quality of life of this population, as well as their importance as risk factors for mental illness. Prevention measures should direct efforts towards more methodologically robust studies in the area.


Subject(s)
Humans , Male , Female , Child , Adolescent , Anxiety , Adolescent , Patient Health Questionnaire , Obsessive-Compulsive Disorder , Demography , Observational Study , Mental Disorders
10.
An. Fac. Cienc. Méd. (Asunción) ; 53(3): 41-52, 20201201.
Article in Spanish | LILACS | ID: biblio-1177483

ABSTRACT

Existen varios trastornos mentales que se relacionan con el consumo del alcohol y otras drogas, cierto número de personas desarrollan un patrón evolutivo al abuso, sea este persistente o esporádico, produce perturbaciones o limitaciones clínicamente significativas con variadas manifestaciones en el hogar, la escuela y el trabajo. Se determinó la frecuencia y asociación entre trastornos psiquiátricos, patrones de consumo de sustancias y variables sociodemográficas en estudiantes de medicina de la Universidad Nacional de Asunción. El diseño de estudio fue observacional, analítico, corte transversal, La población estuvo constituida por 626 estudiantes de la carrera de medicina del primero al quinto curso, que fueron seleccionados por un muestreo no probabilístico por conveniencia. Se aplicaron 3 cuestionarios que abarcaban tres aspectos: datos sociodemográficos, abuso de drogas y diagnóstico psiquiátrico. Los datos fueron analizados mediante GNU Perfect Statistics Professionally Presented y Epi Info. Se concluyó que el trastorno más frecuente fue el Trastorno por Abuso de drogas, seguido del Trastorno Obsesivo-Compulsivo y el Trastorno Depresivo Mayor. La sustancia más consumida fue el alcohol, seguido del tabaco y la marihuana. Esta última fue la única que se asoció con todas las sustancias. El consumo de alcohol presentó asociación con TOC, Fobia Social y Ansiedad; los consumidores de benzodiacepinas presentaron mayor riesgo de Trastorno Depresivo, Trastorno por Estrés Postraumático, Bulimia, Pánico, Agorafobia, Ansiedad y Trastorno de Somatización. Se recomienda la implementación de políticas de educación preventiva, así como estudios prospectivos para evaluar relaciones de causalidad en las asociaciones encontradas.


There are several mental disorders that are related to the consumption of alcohol and other drugs, a number of people develop an evolutionary pattern of abuse, whether it is persistent or sporadic, it produces clinically significant disturbances or limitations with various manifestations at home, school and the job. The frequency and association between psychiatric disorders, patterns of substance use and socio-demographic variables in medical students of the National University of Asunción was determined. The study design was observational, analytical, cross-sectional. The population consisted of 626 medical students from the first to the fifth year, who were selected by a non-probabilistic convenience sampling. 3 questionnaires were applied that covered three aspects: sociodemographic data, drug abuse and psychiatric diagnosis. The data was analyzed using GNU Perfect Statistics Professionally Presented and Epi Info. It was concluded that the most frequent disorder was Drug Abuse Disorder, followed by Obsessive-Compulsive Disorder and Major Depressive Disorder. The most used substance was alcohol, followed by tobacco and marijuana. The latter was the only one that was associated with all substances. Alcohol consumption was associated with OCD, Social Phobia and Anxiety; Benzodiazepine users had a higher risk of Depressive Disorder, Post-Traumatic Stress Disorder, Bulimia, Panic, Agoraphobia, Anxiety and Somatization Disorder. The implementation of preventive education policies is recommended, as well as prospective studies to evaluate causal relationships in the associations found.


Subject(s)
Anxiety , Stress Disorders, Post-Traumatic , Cannabis , Depressive Disorder, Major , Ethanol , Mental Disorders , Obsessive-Compulsive Disorder , Students , Causality , Prospective Studies , Surveys and Questionnaires , Sampling Studies
11.
Rev. chil. neuro-psiquiatr ; 58(3): 270-278, set. 2020. tab
Article in Spanish | LILACS | ID: biblio-1138581

ABSTRACT

Resumen En el presente reporte se destaca la importancia de explicar y conocer los orígenes del concepto de "Función de lo real" en la perspectiva de Janet. Esto, dadas sus aplicaciones actuales en el estudio del trastorno obsesivo compulsivo, las psicosis, el trastorno por estrés postraumático y los síntomas disociativos. Se define la "Función de lo real" como la aprehensión de la realidad en todas sus formas, por percepción y acción, que modifica todas las demás operaciones psicológicas. Es entonces el resultados de tres operaciones psicológicas principales, que se encuentran dentro de una jerarquía de funciones organizadas y unidas por la tensión psicológica. Como eje teórico central, es la debilidad de dicha tensión lo que provoca un deterioro de estas operaciones y una pérdida de la función de lo real, originando variados síntomas. El deterioro de dichas operaciones y los síntomas derivados son: La acción voluntaria que lleva a conductas compulsivas. La percepción con creencia reflexiva conduce a síntomas obsesivos y la creencia aseverativa a síntomas psicóticos. Personificación y presentificación, relacionada con lo que actualmente denominamos trauma y síntomas disociativos.


In the following report the author remarks the importance of explaining and knowing the origins of the concept of "Function of the real" in Janet's perspective. The importance of shed some light on this concept derives from its current applications in the study of obsessive compulsive disorder, psychosis and post-traumatic stress disorder and dissociative symptoms. The "Function of the real" or "Reality function" is defined as the apprehension of reality in all its forms. It is the result of three main psychological operations, which are within a hierarchy of functions organized and united by a property called "psychological tension". The weakness of this tension causes a deterioration of these operations and a loss of the reality function causing, as a consequence, various symptoms. The affected operations and the derived symptoms are: The voluntary action that leads to compulsive behaviors. Perception with reflective belief, which conduces to obsessive symptoms, assertive belief and psychotic symptoms. Personification and presentification, related to what we now call trauma and dissociative symptoms.


Subject(s)
Humans , Perception , Psychotic Disorders , Stress Disorders, Post-Traumatic , Compulsive Behavior , Dissociative Disorders , Obsessive-Compulsive Disorder
13.
Medicentro (Villa Clara) ; 24(1): 174-184, ene.-mar. 2020.
Article in Spanish | LILACS | ID: biblio-1091083

ABSTRACT

RESUMEN El trastorno obsesivo en el niño y el adolescente, sus peculiaridades, formas de presentación y los rituales de la propia enfermedad interfieren en su diagnóstico temprano. Antes de la intervención médica es necesario explicar con claridad todo lo relacionado con el trastorno, su naturaleza y procederes. El distanciamiento psicológico se indica en los niños pequeños donde se les pide exteriorizar los síntomas nombrándolos como ellos lo deseen. En estudios recientes se ha descrito que la terapia cognitiva conductual resulta ser el tratamiento de elección en niños y adolescentes cuando su nivel cognitivo y emocional así lo permite. En esta investigación se explicaron los modelos implicados en la etiopatogenia que abordan la neurobiología para la comprensión del trastorno. Se brindaron las orientaciones para un mejor tratamiento psicológico y farmacológico de los pacientes, y se precisaron las dosis recomendadas para este grupo en particular.


ABSTRACT Obsessive disorder in children and adolescents, its peculiarities, forms of presentation and rituals of the disease itself interfere with its early diagnosis. Explaining clearly everything related to the disorder, its nature and procedures is necessary before medical intervention. Psychological distancing is indicated in young children where they are asked to externalize the symptoms by naming them as they wish. Recent studies have been described that cognitive- behavioral therapy turns out to be the treatment of choice in children and adolescents when their cognitive and emotional level allows it. In this research, the models involved in the etiopathogenesis that address neurobiology for the understanding of the disorder were explained. Orientations were provided for a better psychological and pharmacological treatment of the patients, and the recommended doses for this particular group were specified.


Subject(s)
Obsessive-Compulsive Disorder
14.
Rev. colomb. psiquiatr ; 49(1): 62-65, ene.-mar. 2020. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1115643

ABSTRACT

ABSTRACT Introduction: Obsessive-compulsive disorder is defined by the presence of obsessions and compulsions that cause marked anxiety or distress and has been associated with a disruption in corticostriato-thalamo-cortical circuitry. After treatment, around 50% of patients continue to experience incapacitating symptoms. Deep-brain stimulation has been shown to be an effective therapeutic alternative to regular treatment. Methods: Case report. Case presentation: A 54-year-old woman with a diagnosis of treatment-resistant obsessive-compulsive disorder was treated with deep-brain stimulation of the anterior limb of the internal capsule. Molecular imaging before and after the procedure was obtained and correlated with clinical features. Conclusions: Deep-brain stimulation may be a therapeutic alternative to regular care in treatment-resistant obsessive-compulsive disorder and can be correlated to functional changes in suspected anatomical structures.


RESUMEN Introducción: El trastorno obsesivo-compulsivo se define por la presencia de obsesiones y compulsiones que ocasionan ansiedad y malestar marcados, y se ha asociado con una alteración en los circuitos cortico-estriado-tálamo-corticales. Tras tratamiento, alrededor de la mitad de los pacientes permanecen con síntomas discapacitantes. La estimulación cerebral profunda ha mostrado ser una alternativa efectiva al tratamiento usual. Métodos: Reporte de caso. Presentación del caso: Una mujer de 54 años con diagnóstico de trastorno obsesivo-compulsivo resistente a tratamiento fue tratada con estimulación cerebral profunda del brazo anterior de la cápsula interna. Se obtuvieron imágenes moleculares antes y después de la intervención y fueron correlacionadas con el cuadro clínico. Conclusiones: La estimulación magnética profunda puede ser una alternativa terapéutica al tratamiento usual en el trastorno obsesivo compulsivo resistente a tratamiento, y puede correlacionarse con cambios funcionales en estructuras anatómicas de sospecha.


Subject(s)
Humans , Female , Middle Aged , Deep Brain Stimulation , Obsessive Behavior , Anxiety , Therapeutics , Aftercare , Neuroimaging , Obsessive-Compulsive Disorder
15.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 42(1): 87-104, Jan.-Feb. 2020. tab
Article in English | LILACS | ID: biblio-1055353

ABSTRACT

Objective: Trichotillomania (TTM) is characterized by the pulling out of one's hair. TTM was classified as an impulse control disorder in DSM-IV, but is now classified in the obsessive-compulsive related disorders section of DSM-5. Classification for TTM remains an open question, especially considering its impact on treatment of the disorder. In this review, we questioned the relation of TTM to tic disorder and obsessive-compulsive disorder (OCD). Method: We reviewed relevant MEDLINE-indexed articles on clinical, neuropsychological, neurobiological, and therapeutic aspects of trichotillomania, OCD, and tic disorders. Results: Our review found a closer relationship between TTM and tic disorder from neurobiological (especially imaging) and therapeutic standpoints. Conclusion: We sought to challenge the DSM-5 classification of TTM and to compare TTM with both OCD and tic disorder. Some discrepancies between TTM and tic disorders notwithstanding, several arguments are in favor of a closer relationship between these two disorders than between TTM and OCD, especially when considering implications for therapy. This consideration is essential for patients.


Subject(s)
Humans , Male , Female , Trichotillomania/classification , Tourette Syndrome/classification , Obsessive-Compulsive Disorder/classification , Trichotillomania/etiology , Trichotillomania/therapy , Neurobiology , Comorbidity , Treatment Outcome , Diagnostic and Statistical Manual of Mental Disorders , Neuropsychology
16.
Arch. Clin. Psychiatry (Impr.) ; 47(1): 1-6, Jan.-Feb. 2020. tab
Article in English | LILACS | ID: biblio-1088742

ABSTRACT

Abstract Background Obsessive-compulsive disorder is a challenging disease in terms of remission rates and treatment approaches. All theoretical approaches are needed for a better understanding. Compared to other theories, it has not been examined sufficiently from the perspective of gestalt theory in the literature. Objective To examine and compare the Gestalt Contact Styles of patients with obsessive-compulsive disorder (OCD) and the Control Group and to examine the relationship between Gestalt Contact Styles and OCD symptoms. Methods 50 OCD patients were compared with the healthy control group. All patients were evaluated with the Yale Brown Obsessive-Compulsive Scale (Y-BOCS), the Padua Inventory (PI), and the Gestalt Contact Styles Scale-Revised Form (GCSS-RF). For the control group, GCSS-RF was applied. Results The scores of the OCD patients for GCSS-RF "Retroflection" and "Deflection" subscales were significantly higher than the Control Group. Statistically significant high scores were found between the subscales of Padua Inventory "contamination obsessions and washing compulsions", "obsessional thoughts", "obsessional impulses" and "checking compulsions" subtypes and Gestalt contact styles in the Patient Group in a symptomatological examined manner. With these findings, in terms of Gestalt Contact Styles, it is seen that the difference between Patient and Control Groups is significantly different. There was no significant relationship between the Yale-Brown total score of the Patient Group and the GCSS-RF subscales. Discussion In conclusion, the findings of the study showed significant differences in terms of Gestalt Contact Styles (Retroflection, Contact, Deflection, Desensitization, Confluence) in Patient and Control Groups and OCD symptoms. These results are important to Gestalt Therapists in terms of shedding light on the therapeutic intervention to be done for an OCD patient and contributing to the literature.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Young Adult , Psychiatric Status Rating Scales , Communication , Gestalt Theory , Obsessive-Compulsive Disorder/psychology , Personality Inventory , Data Interpretation, Statistical , Statistics, Nonparametric , Defense Mechanisms , Obsessive-Compulsive Disorder/therapy
17.
Rev. Bras. Psicoter. (Online) ; 22(1): 71-81, abr.2020.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1223941

ABSTRACT

A neurose obsessiva é uma das estruturas clínicas evidenciadas por Freud em 1894, nas suas primeiras publicações, cujo foco predominante era a histeria. Com a proposta de rastrear as movimentações da construção do conceito de neurose obsessiva do período pré-psicanalítico até 1900, buscamos levantar as características dessa organização psíquica para diferenciá-la do Transtorno Obsessivo Compulsivo (TOC), que se encontra no Manual Diagnóstico e Estatístico de Transtornos Mentais, 5ª edição (DSM-V). Dessa maneira, nos arriscamos a ampliar e a refletir sobre novas possibilidades de intervenção para além da medicalização.(AU)


Obsessive neurosis is one of the clinical structures evidenced by Freud in 1894, in his first publications, whose predominant focus was hysteria. With the proposal to trace the movements of the construction of the concept of obsessive neurosis of the pre-psychoanalytic period until 1900, we sought to bring up the characteristics of this psychic organization in order to differentiate it from the Obsessive Compulsive Disorder (OCD), which is found in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V). In this way, we risk widening and reflecting on new intervention possibilities beyond medicalization.(AU)


La neurosis obsesiva es una de las estructuras clínicas evidenciadas por Freud en 1894, en sus primeras publicaciones, cuyo enfoque predominante era la histeria. Con la propuesta de rastrear los movimientos de la construcción del concepto de neurosis obsesiva del período pre-psicoanalítico hasta 1900, buscamos levantar las características de esa organización psíquica para diferenciarla del Trastorno Obsesivo Compulsivo (TOC), que se encuentra en el Manual Diagnóstico y Estadístico de los Trastornos Mentales, 5ª edición (DSM-V). De esa manera, nos arriesgamos a ampliar y a reflexionar sobre nuevas posibilidades de intervención más allá de la medicalización.(AU)


Subject(s)
Diagnostic and Statistical Manual of Mental Disorders , Neurotic Disorders , Obsessive-Compulsive Disorder , Psychoanalysis
18.
Rev. bras. neurol ; 55(4): 10-12, out.-dez. 2019.
Article in English | LILACS | ID: biblio-1095492

ABSTRACT

For many years, the cerebellum was thought to be only responsible for balance, movement, planning and execution. Nowadays, it is well accepted that most cerebellar connections are involved in non-motor functions. Herein, we provide a case report in which a 27-year-old Brazilian male, diagnosed with Obsessive-Compulsive Disorder (OCD), has demonstrated cerebellar features that could be connected to Spinocerebellar ataxia type 1 (SCA-1), an autosomal dominant polyglutamine neurodegenerative disorder that had been previously ruled out. Since obsessive compulsive symptoms (OCS) are known to correlate with alterations in the cortico-striato-thalamo-cortical circuitry, we propose a possible association between OCS and SCA onset.


Durante muitos anos, o cerebelo foi considerado responsável exclusivamente pelo controle das funções de equilíbrio, movimento, planejamento e execução. Atualmente, já está consagrada a participação das conexões cerebelares em funções não-motoras. Apresentamos um relato de caso de um paciente de 27 anos de idade, diagnosticado com Transtorno Obsessivo-Compulsivo (TOC). O paciente apresentava sintomas cerebelares compatíveis com o diagnóstico de ataxia espinocerebelar tipo 1 (SCA-1), um distúrbio da poliglutamina, autossômico dominante neurodegenerativo, que havia sido previamente descartado. Como os sintomas obsessivos compulsivos (SOC) são conhecidos por correlacionar-se com alterações nos circuitos cortico-estriato-tálamo-cortical, propomos uma possível associação entre o SOC e o início da SCA.


Subject(s)
Humans , Male , Adult , Spinocerebellar Ataxias/complications , Spinocerebellar Ataxias/diagnosis , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/therapy , Genetic Testing , Gait Ataxia , Dysarthria , Ataxin-1/genetics , Neurologic Examination/methods
19.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(6): 494-498, Nov.-Dec. 2019. tab
Article in English | LILACS | ID: biblio-1055329

ABSTRACT

Objective: To examine the psychometric properties of the Chinese version of the Yale-Brown Obsessive Compulsive Scale - Second Edition (Y-BOCS-II). Method: A total of 86 adults with a primary diagnosis of obsessive-compulsive disorder (OCD), ranging in age from 15 to 78 years, participated in the study. Participants were administered the Y-BOCS-II by a trained clinician who also rated overall illness severity on two additional measures. Patients completed the Obsessive Compulsive Inventory-Revised and Depression Anxiety Stress Scale-21. Results: Results indicated high internal consistency and fair 1-week test retest reliability. The Y-BOCS-II scales correlated strongly with clinician-rated obsessive-compulsive severity and modestly with self-reported obsessive-compulsive symptom frequency and distress. The relationship between Y-BOCS-II total score and depressive and anxiety symptoms was strong, which may reflect high rates of comorbid conditions in this sample or the linkage between obsessive-compulsive symptom severity and distress. Factor analysis demonstrated a two-factor structure consisting of obsession and compulsion factors, with interference due to obsessions cross-loading. Conclusions: Overall, these results support the use of the Y-BOCS-II among individuals from China. Future study by an independent group is necessary to replicate these findings, as well as investigate interrater reliability and treatment sensitivity.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Psychiatric Status Rating Scales/standards , Surveys and Questionnaires/standards , Obsessive-Compulsive Disorder/diagnosis , Psychometrics , Severity of Illness Index , China , Reproducibility of Results , Factor Analysis, Statistical , Language , Middle Aged , Obsessive-Compulsive Disorder/psychology
20.
Ágora (Rio J. Online) ; 22(3): 362-371, set.-dez. 2019. graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1043582

ABSTRACT

RESUMO: Este artigo aborda a neurose obsessiva a partir dos fundamentos teórico-clínicos de Freud e Lacan. A clínica psicanalítica nos permite formular questões pertinentes ao estudo desenvolvido, possibilitando, assim, a articulação entre teoria e prática clínica. Este estudo convoca o leitor ao debate sobre os impasses da clínica e a direção do tratamento, e desvela que a clínica da neurose obsessiva muito pode ensinar sobre os fundamentos da psicanálise, sobre o complexo de Édipo, sobre como o sujeito se posiciona diante do desejo e suas estratégias de gozo.


Abstract: This article approaches obsessional neurosis from the theoretical-clinical foundations of Freud and Lacan. The psychoanalytic clinic allows us to formulate pertinent questions to the developed study, thus allowing the articulation between theory and clinical practice. This study summons the reader to the debate about the impasses of the clinic and the direction of the treatment, and reveals that the clinic of obsessional neurosis can teach much about the foundations of psychoanalysis, about the Oedipus complex, about how the subject stands before the desire and their strategies of "jouissance".


Subject(s)
Humans , Male , Female , Psychoanalysis , Obsessive-Compulsive Disorder/psychology , Obsessive-Compulsive Disorder/diagnosis , Oedipus Complex
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