치료저항성 강박장애의 약물학적 치료 및 통합적 치료 모형의 제안

• 영문명: Pharmacotherapy and the Proposal of the Integrative Therapy Model for Treatment Resistant Obsessive-Compulsive Disorder
• 발행기관: 대한신경정신의학회
• 저자명: 권준수 하태현
• 간행물 정보: 『신경정신의학』제42권 제3호, 302~313쪽, 전체 12쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2003.05.30

영문 초록

There have been considerable advances in our understanding of the neurobiology and the treatment of obsessive-compulsive disorder (OCD). However, it seems that many patients with OCD are not met with proper treatment, and even the patients who receive sufficient therapy the response rate is not high. This paper reviews the pharmacological treatments of OCD with special focus on therapeutic options for treatment resistance cases. In treating a resistant case, the clinical characteristics including comorbid conditions of the patient should be reevaluated. Through until recently, there has been no standarized guideline to treat resistance cases and much is up to clinician’s preference, but thoughtful selection and combination of drugs with optimized psychosocial approach may improve the response rate. We propose an integrative therapy model for treatment resistant OCD to emphasize the need for the expansion of treatment resources. Treatment resistant OCD deserves more clinical and socioeconomic attentions and needs further research for management.

목차

서 론

강박장애의 약물학적 치료의 일반적 지침

강박장애의 일차선택 치료제

강박장애의 유지치료

강박장애의 치료반응과 관련된 요인

강박장애의 치료 저항성

치료저항성 강박장애의 약물학적 치료전략

강박장애의 통합적 치료모형

결 론

REFERENCES

키워드

Obsessive-Compulsive Disorder Psychopharmacotherapy Treatment resistance Therapy model