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        Treatments used for obsessive-compulsive disorder-An international perspective

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        Treatments_for_OCD_International_survey_7May2018.pdf (PDF, 196Kb)
        Author
        Brakoulias, Vlasios
        Starcevic, Vladan
        Albert, Umberto
        Arumugham, Shyam Sundar
        Bailey, Brenda E
        Belloch, Amparo
        Borda, Tania
        Dell'Osso, Liliana
        Elias, Jason A
        Falkenstein, Martha J
        Ferrao, Ygor A
        Fontenelle, Leonardo F
        Jelinek, Lena
        Kalogeraki, Leto
        Kay, Brian
        Laurito, Luana D
        Lochner, Christine
        Maina, Giuseppe
        Marazziti, Donatella
        Martin, Andrew
        Matsunaga, Hisato
        Miguel, Euripedes C
        Morgado, Pedro
        Mourikis, Irakis
        Pasquini, Massimo
        Perez Rivera, Rodrigo
        Potluri, Sriramya
        Reddy, Janardhan Y C
        Riemann, Brian C
        do Rosario, Maria Conceição
        Shavitt, Roseli G
        Stein, Dan J
        Viswasam, Kirupumani
        Wang, Zhen
        Fineberg, Naomi A
        Attention
        2299/21550
        Abstract
        OBJECTIVE: The objective of this study was to characterise international trends in the use of psychotropic medication, psychological therapies, and novel therapies used to treat obsessive-compulsive disorder (OCD). METHODS: Researchers in the field of OCD were invited to contribute summary statistics on the characteristics of their samples. Consistency of summary statistics across countries was evaluated. RESULTS: The study surveyed 19 expert centres from 15 countries (Argentina, Australia, Brazil, China, Germany, Greece, India, Italy, Japan, Mexico, Portugal, South Africa, Spain, the United Kingdom, and the United States) providing a total sample of 7,340 participants. Fluoxetine (n = 972; 13.2%) and fluvoxamine (n = 913; 12.4%) were the most commonly used selective serotonin reuptake inhibitor medications. Risperidone (n = 428; 7.3%) and aripiprazole (n = 415; 7.1%) were the most commonly used antipsychotic agents. Neurostimulation techniques such as transcranial magnetic stimulation, deep brain stimulation, gamma knife surgery, and psychosurgery were used in less than 1% of the sample. There was significant variation in the use and accessibility of exposure and response prevention for OCD. CONCLUSIONS: The variation between countries in treatments used for OCD needs further evaluation. Exposure and response prevention is not used as frequently as guidelines suggest and appears difficult to access in most countries. Updated treatment guidelines are recommended.
        Publication date
        2019-01-10
        Published in
        Human Psychopharmacology
        Published version
        https://doi.org/10.1002/hup.2686
        Other links
        http://hdl.handle.net/2299/21550
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