A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder.
@article{Eddy2004AMM,
title={A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder.},
author={Kamryn T. Eddy and Lissa Dutra and Rebekah G. Bradley and Drew Westen},
journal={Clinical psychology review},
year={2004},
volume={24 8},
pages={
1011-30
},
url={https://api.semanticscholar.org/CorpusID:6582600}
}458 Citations
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There is a paucity of longer-term trials, data on symptom remission and functional improvement, and data on treatment effectiveness in wider clinical practice, and it is hoped that improved understanding of the mechanisms underlying OCD will lead to future advances.
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Cognitive and behavioral therapies have shown to be highly effective psychotherapeutic approaches for the treatment of obsessive-compulsive disorder, and exposure and response prevention associated with cognitive therapy may result in significant benefits to patients with predominant obsessive thoughts.
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Risperidone and aripiprazole can be considered as the agents of first choice and should be preferred to the others antipsychotic in SRI-resistant-OCD and olanzapine may be a valid alternative to ris peridone.
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Several evidence-based effective strategies are available to clinicians in case of treatment-resistant OCD and a treatment algorithm for those patients who fail to respond to a first SRI trial is built.
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