Clinical Handbook of Obsessive-Compulsive and Related Disorders

Storch, Eric A.; Lewin, Adam B.

doi:10.1007/978-3-319-17139-5

Cited by 6 publications

(1 citation statement)

References 368 publications

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“…Normalmente, o surgimento dos sintomas ocorre no final da adolescência ou no começo da idade adulta, de modo que o início precoce da patologia habitualmente indica prognóstico pouco favorável (APA, 2014). Em relação à etiologia do TA, Mataix-Cols (2014) presume que fatores genéticos, cognitivos e/ou ambientais possam estar relacionados às causas do transtorno, caracterizando-o como um quadro preocupante e de sintomatologia predominantemente refratária (Ayers et al, 2014;Muroff & Underwood, 2016).…”

Section: Introductionunclassified

Avaliação de Sintomas Psicológicos no Transtorno da Acumulação: Um Estudo de Caso

Schmidt

Méa

2017

Aval. Psicol.

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RESUMO O Transtorno da Acumulação (TA) caracteriza-se pela aquisição de itens desnecessários, dificuldade em se desfazer de objetos e a desorganização do ambiente de convívio. O estudo de caso analisa as características de personalidade e os sintomas psicológicos comórbidos em uma paciente com diagnóstico de TA. Para o levantamento de dados, utilizou-se uma entrevista semiestruturada, o Questionário dos Esquemas de Young (QEY-S2), o Inventário dos Estilos Parentais de Young (IEP), o Inventário de Depressão e Ansiedade de Beck (BDI-II e BAI, respectivamente), o Inventário de Sintomas de Stress de Lipp (ISSL) e o Método de Rorschach. Nos resultados, observou-se a presença de Esquemas Iniciais Desadaptativos (EIDs) pertencentes ao domínio de desconexão e rejeição, sugerindo uma conexão entre os sintomas do TA e experiências emocionais negativas vivenciadas pela paciente durante a infância. Futuramente, recomenda-se a realização de novos estudos com delineamento transversal no intuito de substanciar os resultados obtidos pela presente pesquisa. Palavras-chave: transtorno da acumulação, depressão, ansiedade, esquemas iniciais desadaptativos. ABSTRACT-Psychological symptom evaluation in accumulation disorder: A case study Accumulation disorder (AD) is characterized by the acquisition of unnecessary items, difficulty in disposing objects, and disorganization of the convivial environment. The case study analyzes personality characteristics and comorbid psychological symptoms in a patient diagnosed with AD. For data collection, a semi-structured interview was used, the Young Schema Questionnaire (YSQ-S2), the Young Parenting Styles Inventory (PSI), the Beck Depression Inventory and the Beck Anxiety Inventory (BDI-II and BAI, respectively), the Lipp Stress Symptoms Inventory (LSSI), and the Rorschach Method. In the results, we observed the presence of Early Maladaptive Schemas (EMS) belonging to the disconnection and rejection domain, suggesting a connection between AD symptoms and negative emotional experiences experienced by the patient during childhood. In the future, new studies with a cross-sectional design are recommended in order to substantiate the results obtained by the present research.

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Section: Introductionunclassified

Avaliação de Sintomas Psicológicos no Transtorno da Acumulação: Um Estudo de Caso

Schmidt

Méa

2017

Aval. Psicol.

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Serious negative consequences associated with exposure and response prevention for obsessive‐compulsive disorder: A survey of therapist attitudes and experiences

et al. 2020

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Objective: Many therapists are reluctant to conduct exposure and response prevention (ERP) for obsessive-compulsive disorder (OCD). Negative beliefs about the safety and tolerability of ERP are common, especially for harm-related OCD symptoms. The study examined the nature and frequency of ERP-related serious negative consequences (SNC) and therapist attitudes and experiences providing ERP for harm-related OCD. Methods: An anonymous survey was completed by 277 therapists with experience treating OCD using ERP. Questions assessed clinical experiences of harm-related exposures, the nature of SNC, and concerns and clinical considerations regarding ERP.Results: Therapist's willingness to treat harm-related OCD was high. SNCs were reported for 6 clients (per-client risk: adults 0.05%, youth 0.01%) and 13 therapists (per therapist risk 4.73%, therapist per-year risk 0.004%). Qualitative analysis identified themes relating to the conduct of treatment, specific exposure types, professional issues, and negative perceptions of ERP.Conclusion: SNC associated with ERP for OCD are rare and primarily represent unintended secondary consequences of OCD or misunderstandings regarding the process and rationale behind ERP. Improving access to ERP will require good communication with clients, families, and other professionals regarding the rationale and safety of ERP. K E Y W O R D S assessment/diagnosis, child/adolescent, cognitive behavioral therapy, dissemination/ implementation, obsessive-compulsive disorder

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