By Eric Hollander, Dan J. Stein
Integrates sleek technology and drugs with substitute and self-help remedies. Updates present wisdom on obsessive-compulsive affliction (OCD)-offering useful recommendation for particular and applicable sufferer care. Obsessive-Compulsive issues ·covers spectrum health problems, together with somatoform, dissociative, consuming, schizo-obsessive, neurological, and impulse-control stipulations ·defines and assesses OCD with DSM-IV and different tools ·discusses causative components of OCD ·examines and proposes more suitable obviously happening veterinary animal versions ·details new pharmacological and combination/augmentation remedies and serotonin-reuptake inhibitors ·provides a mind-brain interplay paradigm in response to metabolic alterations caused by cognitive behavioral self-treatment ·charts the expansion of nonpharmacological and behavioral in addition to substitute remedies, comparable to workforce and family members help options and yoga meditation ·and extra.
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Extra resources for Obsessive-Compulsive Disorders : Diagnosis, Etiology, Treatment (Medical Psychiatry, 6)
The assessment of OCD is helped by the availability of valid and reliable clinician-and self-rated measures of OCD. Data from several studies suggest that the Y-BOCS is a reliable and valid clinician-rated scale. The Y-BOCS and the NIMH-GOCS seem suitable for monitoring changes in OCD symptoms and outcome in drug trials. Neither confuses trait with state, and final scores on both scales are not influenced directly by the type or number of obsessions and compulsions present. , hoarding alone). In spite of these shortcomings, they can still be used as a quick and inexpensive diagnostic tool.
Using the same diagnostic interview as in the ECA Survey, they found that the lifetime prevalence rate of OCD varied little between countries, with only Taiwan having a low incidence of both OCD and other psychiatric illnesses. Criticism has been leveled at these studies, because the Diagnostic Interview Schedule (DIS) used to assess symptoms was designed for administration by lay interviewers rather than psychiatrists. Since studies using psychiatrists as interviewers have found lower rates of OCD, a more likely figure may be between 1 and 2% (1,9,10).
Although this instrument has shown good test-retest reliability and internal consistency, it may not be sufficiently robust to act as a measure of change in symptoms (86). Page 13 Self-Rated Scale for Obsessive-Compulsive Disorder The Self-Rated Scale for Obsessive-Compulsive Disorder is a 35-item questionnaire developed to measure the severity of OCD (87). This scale evaluates distressing thoughts, rituals, perfectionism, and fear of contamination as separate dimensions. A cross-validation study found high internal consistency and significant correlations between this scale and two clinician-rated measures of OCD.