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

Miguel, Eurí­pedes Constantino; Ferrão, Ygor Arzeno; Rosário, Maria Conceição do; Mathis, Maria Alice de; Torres, Albina Rodrigues; Fontenelle, Leonardo F.; Hounie, Ana Gabriela; Shavitt, Roseli Gedanke; Cordioli, Aristides Volpato; Gonzalez, Christina Hojaij; Petribú, Kátia; Diniz, Juliana Belo; Malavazzi, Dante Marino; Torresan, Ricardo Cézar; Raffin, Andréa Litvin; Meyer, Elisabeth; Braga, Daniela Tusi; Borcato, Sonia; Valério, Carolina; Gropo, Luciana Nagalli; Prado, Helena; Perin, Eduardo Alliende; Iêgo, Sandro; Copque, Helen; Borges, Marcos R. S.; Lopes, Angélica Prazeres; Silva, Elenita D. da

doi:10.1590/s1516-44462008000300003

Cited by 134 publications

(133 citation statements)

References 41 publications

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“…The results obtained in the study conducted by Miguel et al (2008), support this association. In his sample, high rates of OCD comorbidity were found with the major depressive disorder (69.7%), social phobia (36.8%), generalized anxiety disorder (35.4%), specific phobias (32.4%) and post-traumatic stress disorders (15.6%).…”

Section: Guiding Conception With Research and Clinical Experience Supsupporting

confidence: 68%

Cognitive-behavioral therapy of a case of obsessive-compulsive disorder

Justo¹,

Matos²,

Lipp³

2015

Revista Brasileira De Terapias Cognitivas

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Este artigo foi submetido no SGP (Sistema de Gestão de Publicações) da RBTC em 14 de junho de 2016. cod. 434. Artigo aceito em 17 de junho de 2016. ResumoMaria, 35 anos, iniciou tratamento psicológico por indicação de seu médico psiquiatra e apresentava sintomas obsessivo-compulsivos [OCs] severos, com significativo prejuízo no seu funcionamento social, ocupacional e na sua saúde. Suas obsessões eram associadas à ideia de contaminação e doença, e suas compulsões eram de limpeza e higiene. Apresentava também comportamentos de esquiva associados às obsessões e reduzido repertório social. A história de vida e a avaliação psicológica de Maria permitiram compreender a evolução de seu quadro sintomatológico e a identificação dos aspectos predisponentes, precipitadores e mantenedores do transtorno obsessivo-compulsivo [TOC]. Baseado no registro realizado durante os atendimentos psicológicos, com o tratamento cognitivo-comportamental, observou-se uma redução na frequência dos comportamentos compulsivos. A auto avaliação da cliente e a observação clínica também apontaram uma melhora no funcionamento social e em sua condição física. No entanto, não foi possível realizar o follow-up para averiguar permanência dos ganhos obtidos durante o tratamento. Palavras-chave:Comportamento; Obsessivo; Terapia AbstRAct Maria, aged 35, began psychological treatment after referral by her psychiatrist, presenting severe obsessive-compulsive symptoms [OCs] which had a significantly adverse impact on her social and occupational function and on her health. Her obsessions were associated with the idea of infection and illness and her compulsions were cleanliness and hygiene. She also presented avoidance behaviors associated with these obsessions and deficit in social skills. Maria's life history and her psychological assessment enabled us to understand the development of her symptoms and to identify the predisposing, precipitating and maintaining aspects of the obsessive-compulsive disorder [OCD]. Based on the records kept during the cognitive-behavioral treatment, a reduction in the frequency of her compulsive behavior was observed. The client's self-assessment and the clinical observations also pointed towards improvement in social function and physical condition. Future efforts should include a follow-up to check for the maintenance of these gains. CASE CONTEXT AND METHOD The RaTionale foR SelecTing ThiS PaRTiculaR clienT STudyThere were four main reasons that determined the choice of Maria's case for this study: the OCD diagnosis, the severity of the OC symptoms, the lack of prior psychological treatment, and the cognitive-behavioral treatment carried out. This case illustrates the incapacitation caused by OC symptoms and the influence of life history on the development and permanence of the disorder. An analysis of the records kept during the psychological therapy session also allowed us to ascertain the progress made with the cognitive-behavioral treatment. The MeThodological STRaTegieS eMPloyed foR enhancing The RigoR of The STudy ca...

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Section: Guiding Conception With Research and Clinical Experience Supsupporting

confidence: 68%

Cognitive-behavioral therapy of a case of obsessive-compulsive disorder

Justo¹,

Matos²,

Lipp³

2015

Revista Brasileira De Terapias Cognitivas

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“…This result is compatible with the long time often elapsed between the onset of symptoms and the search for assistance, as long as 18.1 years in an adult sample. 14 Another important finding in our sample relates to the suffering caused by OCD, which may potentially have accounted for suicidal ideation and suicide attempt results. In our sample, 20% of the adolescents with OCD showed lifetime suicide attempts, and 9.3% showed current suicidal ideation.…”

Section: Discussionmentioning

confidence: 94%

“…A multicenter study carried out in Brazil using the SCID-TCIm showed interexaminer reliability rates as high as 96%. 14 …”

Section: Structured Clinical Interview For Dsm-iv (Scid-tcim)mentioning

confidence: 99%

Obsessive-compulsive symptoms and obsessive-compulsive disorder in adolescents: a population-based study

Vivan

Rodrigues

Wendt

et al. 2013

Rev. Bras. Psiquiatr.

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Objectives: To estimate the prevalence of obsessive-compulsive symptoms (OCS) and disorder (OCD) among adolescents and to describe OCD characteristics according to gender. Methods: Participants were selected by cluster sampling at seven high-schools in southern Brazil. In the first stage, 2,323 students were screened for OCS; in the second stage, adolescents scoring o 21 on the OCI-R scale were individually interviewed. OCD diagnosis was established using a semistructured interview (Schedule for Affective Disorders and Schizophrenia for School Aged Children: Present and Lifetime Version --K-SADS-PL).Results: The past-month estimated prevalence of OCS was 18.3%, and the point estimated prevalence of OCD, 3.3%. Girls showed higher scores (OCS: 24.8 vs. 14.4%; OCD: 4.9 vs. 1.4%; p , 0.001). Only 9.3% of OCD adolescents had been diagnosed and 6.7% received treatment. The most frequent/severe DY-BOCS dimensions were miscellaneous (86.7%; mean score 6.363.8) and symmetry (85.3%; 5.963.8). Female OCD adolescents predominantly showed depression (p = 0.032), and male adolescents, tic disorders (p = 0.006). Conclusions: OCD is underdiagnosed in adolescents, and few are treated. Future studies should investigate the relationship between OCS and the onset of OCD.

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“…6 Some of these instruments were described in greater detail in a previous 24 report by the CTOC. 24 …”

Section: Instrumentsmentioning

confidence: 99%

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

Pinto

Iêgo

Nunes

et al. 2011

Rev. Bras. Psiquiatr.

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

Cited by 134 publications

References 41 publications

Cognitive-behavioral therapy of a case of obsessive-compulsive disorder

Cognitive-behavioral therapy of a case of obsessive-compulsive disorder

Obsessive-compulsive symptoms and obsessive-compulsive disorder in adolescents: a population-based study

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

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