Sandro Iêgo scite author profile

OBJECTIVE: This study investigates obsessive-compulsive disorder patients in terms of strategic planning and its association with specific obsessive-compulsive symptom dimensions. METHOD: We evaluated 32 obsessive-compulsive disorder patients. Strategic planning was assessed by the Rey-Osterrieth Complex Figure Test, and the obsessive-compulsive dimensions were assessed by the Dimensional Yale-Brown Obsessive-Compulsive Scale. In the statistical analyses, the level of significance was set at 5%. We employed linear regression, including age, intelligence quotient, number of comorbidities, the Yale-Brown Obsessive-Compulsive Scale score, and the Dimensional Yale-Brown Obsessive-Compulsive Scale. RESULTS: The Dimensional Yale-Brown Obsessive-Compulsive Scale "worst-ever" score correlated significantly with the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test (r = 0.4, p = 0.04) and was the only variable to show a significant association after linear regression (β = 0.55, t = 2.1, p = 0.04). Compulsive hoarding correlated positively with strategic planning (r = 0.44, p = 0.03). None of the remaining symptom dimensions presented any significant correlations with strategic planning. CONCLUSION: We found the severity of obsessive-compulsive symptoms to be associated with strategic planning. In addition, there was a significant positive association between the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test copy score and the hoarding dimension score on the Dimensional Yale-Brown Obsessive-Compulsive Scale. Our results underscore the idea that obsessive-compulsive disorder is a heterogeneous disorder and suggest that the hoarding dimension has a specific neuropsychological profile. Therefore, it is important to assess the peculiarities of each obsessive-compulsive symptom dimension.

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Psicoterapia versus farmacoterapia no tratamento do transtorno obsessivo-compulsivo: uma revisão sistemática

Hemanny

Iêgo

Sena

2012

cmbio

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Introdução: O Transtorno Obsessivo-Compulsivo (TOC) é caracterizado pela presença de obsessões e compulsões e causam prejuízo funcional e sofrimento significativo ao sujeito. Os tratamentos de primeira escolha para o TOC são os inibidores seletivos da recaptação da serotonina (ISRS) e a psicoterapia (comportamental ou cognitivo-comportamental), utilizando, principalmente, Exposição e Prevenção de Respostas (EPR). Objetivo: Revisar sistematicamente os artigos publicados nos últimos 15 anos que comparam a eficácia da psicoterapia versus a farmacoterapia no tratamento do TOC. Metodologia: Os artigos foram buscados nos bancos de dados PubMed/Medline e Web of Science, com os termos obsessive compulsive disorder, pharmacotherapy e cognitive behavior therapy.. Foram selecionados ensaios clínicos que comparassem ambas as terapias no período de janeiro de 1997 a agosto de 2012. Resultados: Foram incluídos 13 artigos. Seis artigos apontaram que a combinação de ambas as terapias é melhor que a monoterapia, para a redução dos sintomas do TOC (n=6); outros afirmaram que o tratamento combinado não difere da monoterapia (n=4). Alguns estudos apontaram que a psicoterapia é mais eficaz que o fármaco (n=3), enquanto outros indicaram que não há diferenças significativas entre as intervenções (n=4). Conclusão: As técnicas psicoterapêuticas mostram-se eficientes por si só, no tratamento do TOC. A técnica mais empregada é a EPR. A combinação entre fármaco e psicoterapia parece ser o tratamento ideal para o sujeito com TOC, pois juntas modificam mais os sintomas, o que parece ter maior duração do que apenas a utilização do fármaco. Abstract Introduction: Obsessive-Compulsive Disorder (OCD) is characterized by the presence of obsessions and compulsions, and cause significant distress and functional impairment to the subject. The treatments of first choice for OCD is the selective serotonin reuptake inhibitors and psychotherapy (behavioral or cognitive-behavioral), using mainly Exposure with Response Prevention (ERP). Objective: To systematically review the articles published in the last 15 years comparing the effectiveness of psychotherapy versus pharmacotherapy in the treatment of OCD. Methods: Articles were searched on the databases PubMed / Medline and Web of Science, with terms obsessive compulsive disorder, pharmacotherapy and cognitive behavior therapy. Were included trials that compared the two therapies in the period of January of 1997 to august of 2012. Results: Were included 13 articles. Six studies showed that the combination of both therapies is better than the monotherapy in the reduction of OC symptoms (n = 6), other, said combined treatment does not differ from monotherapy (n = 4). Some studies have indicated that psychotherapy is more effective than the drug (n = 3), while others indicated that no significant differences between the interventions (n = 4). Conclusion: Psychotherapeutic techniques prove to be effective alone for the treatment of OCD. The most common technique is the ERP. The combination of psychotherapy and drug therapy appears to be ideal for the subject with OCD, because together modify more the symptoms, which seems to be more duration than just the of drug use.

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O Que Residentes De Pediatria Sabem Sobre Os Fatores Psicológicos Na Constipação?

Motta¹,

Iêgo²,

Oliveira³

et al. 2013

Psic., Saúde & Doenças

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Sandro Iêgo

The Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders: recruitment, assessment instruments, methods for the development of multicenter collaborative studies and preliminary results

Nitric Oxide Plasma/Serum Levels In Patients With Schizophrenia: A Systematic Review And Meta-Analysis

Cognitive Dysfunction in Post-Traumatic Obsessive–Compulsive Disorder

Influence of specific obsessive-compulsive symptom dimensions on strategic planning in patients with obsessive-compulsive disorder

Psicoterapia versus farmacoterapia no tratamento do transtorno obsessivo-compulsivo: uma revisão sistemática

O Que Residentes De Pediatria Sabem Sobre Os Fatores Psicológicos Na Constipação?

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