0 554

Cited 0 times in

한국형 강박장애 치료 알고리듬 2007 (IV) : 공존질환이 동반된 경우

Other Titles
 Korean Treatment Algorithm for Obsessive-Compulsive Disorder 2007(IV):Comorbid Conditions 
 하태현  ;  김세주  ;  김원  ;  양종철  ;  권준수  ;  구민성  ;  김찬형 
 Korean Journal of Psychopharmacology (대한정신약물학회지), Vol.18(6) : 414-422, 2007 
Journal Title
Korean Journal of Psychopharmacology(대한정신약물학회지)
Issue Date
Patients with obsessive-compulsive disorder (OCD) frequently exhibit complex clinical features, including comorbidity with other psychiatric disorders, which challenge diagnostic and therapeutic practice. This study presents a number of Korean experts’ ratings of the appropriateness of treatments for patients with comorbid OCD and other psychiatric disorders. Methods:The Korean Treatment Algorithm Project for Obsessive-Compulsive Disorder (KTAP-OCD 2007) developed a questionnaire that included questions about seven psychiatric comorbid conditions: major depressive disorder, bipolar disorder, panic or social anxiety disorder, schizophrenia, attention deficit hyperactive disorder (ADHD), oppositional/conduct/antisocial disorder, and Tourette disorder. Answers from 24 respondents were analyzed to assess first-line and second-line treatments for each comorbid condition. Results:Experts selected cognitive behavior therapy (CBT) in conjunction with medication as the treatment for comorbidity with major depressive disorder, anxiety disorders, ADHD, or Tourette disorder. They selected a selective serotonin reuptake inhibitor (SSRI) combined with atypical antipsychotics as the treatment of choice for patients with comorbid OCD and schizophrenia. When patients had comorbid OCD and bipolar disorder, experts preferred adjunctive serotonin reuptake inhibitors to CBT. In all cases, experts were less likely to select clomipramine for second-line treatment. Conclusion:The findings from the KTAP-OCD 2007 survey on psychiatric comorbid conditions were generally consistent with foreign guidelines. However, more guidelines might be required for comorbidity with bipolar disorder and the use of clomipramine.
Full Text
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
Kim, Chan Hyung(김찬형)
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.