Assuntos
Adulto , Humanos , Masculino , Transtorno Bipolar/terapia , Estimulação Encefálica Profunda/efeitos adversos , Núcleo Accumbens , Transtorno Obsessivo-Compulsivo/terapia , Transtorno de Pânico/etiologia , Transtorno Bipolar/psicologia , Imageamento por Ressonância Magnética , Transtorno Obsessivo-Compulsivo/psicologia , Transtorno de Pânico/diagnósticoRESUMO
Objective: To develop a cognitive-behavioral group therapy protocol and to verify its efficacy to reduce obsessive-compulsive symptoms. Methods: An open clinical trial with 32 obsessive-compulsive patients was performed, in which a cognitive-behavioral group therapy protocol of 12 weekly sessions of two hours, in 5 consecutive groups, was applied. The severity of symptoms was rated with the Yale-Brown Obsessive-Compulsive (Y-BOCS), Hamilton Anxiety (HAM A) and Hamilton Depression (HAM D) scales. The patients were followed up for 3 months after the end of the treatment. Results: There was a significant reduction in the scores of Y-BOCS, HAM A and HAM D scales with the treatment regardless the use of anti-obsessive medications. The rate of improved patients (decrease of > or = 35 percent in Y-BOCS) was 78.1 percent. Two patients (6.25 percent) dropped out from the study. The effect size calculated for the Y-BOCS scale was 1.75. Conclusions: This study suggests that cognitive-behavioral group therapy reduces obsessive-compulsive symptoms. In addition, patients presented good compliance
RESUMO
O número de indicações para a realização de fibrobroncoscopia vêm aumentando em nosso meio. Como as instituições que recebem a maior demanda de indicações para uso deste procedimento são os hospitais universitários, objetivou-se uma avaliação do procedimento e da população submetida ao exame no Hospital de Clínicas de Porto Alegre...