文章类型:指南原文
语言:英文
中文标题:2012 AACAP 美国评估与治疗儿童和青少年强迫性精神障碍的实践参考
英文标题:Practice Parameters for the Assessment and Treatment of Children and Adolescents With Obsessive-compulsive Disorder
制定者:美国儿童和青少年精神病学会(AACAP,American Academy of Child and Adolescent Psychiatry)
制定日期:2012.1.1
摘要:These practice parameters describe the assessment and treatment of obsessive-compulsive disorder based on a detailed literature review and expert consultation. Obsessive compulsive disorder is a disorder of heterogeneous origin characterized by intrusive thoughts or compulsive urges or behaviors that are distressing, time-consuming, or functionally impairing. In children and adolescents, the disorder often is accompanied by a wide range of comorbidity, including mood, anxiety, attention, and learning difficulties, and/or tic disorder. These parameters describe the relevant areas of assessment, especially symptomatology, onset and course, other associated psychopathology, and developmental, family, and medical history (including post-infectious onset or exacerbations). Only two modalities have been systematically assessed and empirically shown to ameliorate core symptoms: cognitive behavioral therapy (primarily exposure/response prevention) and serotonin re-uptake inhibitor medication. Data regarding the indications, efficacy, and implementation of these modalities are reviewed. Because of the frequent co-occurrence of other psychopathology and adaptive difficulties, additional educational, individual and family psychotherapeutic, and pharmacological interventions often are necessary. Treatment planning guidelines are provided. Key Words: children, adolescents, obsessive, compulsive, anxiety, tic, cognitive, behavioral, serotonin, practice parameters, guidelines.
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