From Treatment Response to Recovery: A Realistic Goal in OCD

被引:22
作者
Burchi, Elisabetta [1 ,2 ]
Hollander, Eric [2 ]
Pallanti, Stefano [2 ,3 ,4 ]
机构
[1] Univ Florence, Dept Sci Salute, Florence, Italy
[2] Albert Einstein Coll Med, Dept Psychiat & Behav Sci, 111 East 210th St, Bronx, NY 10467 USA
[3] Stanford Univ, Med Ctr, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA
[4] Inst Neurosci, Florence, Italy
关键词
recovery; remission; OCD; resistance; early diagnosis; OBSESSIVE-COMPULSIVE DISORDER; GENERALIZED ANXIETY DISORDER; COGNITIVE-BEHAVIOR THERAPY; QUALITY-OF-LIFE; INTERNALIZED STIGMA; FOLLOW-UP; REMISSION; SCHIZOPHRENIA; METAANALYSIS; SCALE;
D O I
10.1093/ijnp/pyy079
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Despite longitudinal studies reporting symptomatic remission rates ranging from 32% to 70%, Obsessive-Compulsive Disorder is considered a persistent and very disabling disorder. However, these studies suggest that recovery can be a realistic goal for a subgroup of the Obsessive-Compulsive Disorder population and that a clear definition of recovery is timely in Obsessive-Compulsive Disorder. The aim of this paper is to discuss the dimensions of and propose an operational definition of recovery in Obsessive-Compulsive Disorder. Considering the impact generated by the definition of recovery for other mental disorders, this article discusses how this concept may shape the future of research and clinical practice in Obsessive-Compulsive Disorder. Ultimately, the hope is that the management of Obsessive-Compulsive Disorder may parallel, and expand upon, some of the current approaches implemented in the care of schizophrenia, so that early diagnosis, stepped-care techniques, and a personalized approach can be used to create recovery-oriented treatment programs and influence policy making for Obsessive-Compulsive Disorder.
引用
收藏
页码:1007 / 1013
页数:7
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