Obsessive-compulsive Disorder: Diagnostic and Treatment Issues

被引：25

作者：

Stein, Dan J. ^{[1
]}

Denys, Damiaan ^{[2
,3
]}

Gloster, Andrew T. ^{[4
]}

Hollander, Eric ^{[5
]}

Leckman, James F. ^{[6
]}

Rauch, Scott L. ^{[7
,8
]}

Phillips, Katharine A. ^{[9
]}

机构：

[1] Univ Cape Town, Dept Psychiat & Mental Hlth, ZA-7925 Cape Town, South Africa

[2] Univ Amsterdam, Acad Med Ctr, Dept Psychiat, NL-1105 AZ Amsterdam, Netherlands

[3] Royal Netherlands Acad Arts & Sci, Inst Neurosci, Amsterdam, Netherlands

[4] Tech Univ Dresden, Dept Psychol, Inst Clin Psychol & Pyschotherapy, Dresden, Germany

[5] Univ Hosp, Albert Einstein Coll Med, Montefiore Med Ctr, Dept Psychiat, Bronx, NY USA

[6] Yale Univ, Ctr Child Study, New Haven, CT 06520 USA

[7] Harvard Univ, Sch Med, Dept Psychiat, Belmont, MA 02178 USA

[8] McLean Hosp, Belmont, MA 02178 USA

[9] Brown Univ, Dept Psychiat & Human Behav, Providence, RI 02912 USA

来源：

PSYCHIATRIC CLINICS OF NORTH AMERICA | 2009年 / 32卷 / 03期

关键词：

Obsessive-compulsive disorder; Obsessive-compulsive spectrum; Diagnosis; Pharmacotherapy; Psychotherapy; Nosology; DSM-V; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; DEEP BRAIN-STIMULATION; GLUCOSE METABOLIC-RATE; SPECTRUM DISORDERS; SYMPTOM DIMENSIONS; ANXIETY DISORDERS; D-CYCLOSERINE; TOURETTES-SYNDROME; EXPOSURE THERAPY;

D O I：

10.1016/j.psc.2009.05.007

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

This article reviews current issues in the diagnosis and treatment of obsessive-compulsive disorder (OCD). The introduction of the selective serotonin reuptake inhibitors and of cognitive-behavioral therapy were significant advances for treating OCD. Nevertheless, there is a need to improve awareness of OCD and its management, and to develop novel approaches to treatment-refractory patients. Although the diagnostic criteria for OCD have remained unchanged for some time, there are several areas where potential modification may be useful. There is a growing evidence base on OCD symptom dimensions and subtyping, and it is timely to consider incorporating some of these emerging data into diagnostic classification systems.

引用

页码：665 / +

页数：22

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