دانلود مقاله ISI انگلیسی شماره 76855
عنوان فارسی مقاله

پیش بینی نتیجه برای بیماران وسواس اجباری شدید در درمان مسکونی فشرده

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
76855 2006 9 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Outcome predictors for severe obsessive–compulsive patients in intensive residential treatment
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Journal of Psychiatric Research, Volume 40, Issue 6, September 2006, Pages 511–519

کلمات کلیدی
اختلال وسواس اجباری؛ نتیجه؛ رفتار؛ پیشگو؛ جنسیت؛ شدت
پیش نمایش مقاله
پیش نمایش مقاله پیش بینی نتیجه برای بیماران وسواس اجباری شدید در درمان مسکونی فشرده

چکیده انگلیسی

Intensive residential treatment (IRT) is an effective management approach for those with severe obsessive–compulsive disorder (OCD). This study aimed to identify IRT response predictors for clinical and research use. Consecutive subjects admitted to the Massachusetts General Hospital/McLean OCD Institute (OCDI) between February 1997 and June 2003 were included (N = 476). IRT responder and non-responder group characteristics were compared using t-tests and χ2 analyses. Multiple regression analysis modeled relationships between final OCD severity (Yale-Brown Obsessive–Compulsive scale scores) and predictor variables, while accounting for multicollinearity and potential outliers. Treatment responders comprised 59.3% of the treatment sample. Responders had significantly fewer males (p = 0.02), lower depression severity (p = 0.03), poorer psychosocial functioning (p = 0.03) and fewer tic disorders (0.04), but were not different with respect to admission length, age, marital or employment status, OCD onset, family OCD history, treatment or admission history. In the final regression model, decreased initial OCD severity (p < 0.001), female gender (p = 0.003) and better initial psychosocial functioning (Work and Social Adjustment scale scores) (p = 0.003) were predictors of less severe OCD at discharge (adjusted R-square = 0.28). Depression severity (Beck Depression Inventory scores) and insight were not predictive of treatment outcome. Future research is necessary to elucidate putative relationships between gender and OCD psychopathology, and to understand the interplay of psychosocial factors, OCD severity and treatment outcome.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.