Et nyt studie fra forskere ved Bradley Hasbro Children’s Research Centre fandt at børn helt ned til 4 år kan udvikle svær (full-blown) obsessive compulsive disorder (OCD) og ofte viser mange af de samme OCD karakteristika som man ser hos ældre børn.
Kort intensiv kognitiv adfærdsterapi har god effekt
Et nyt studie publiceret i Nature tidskriftet Molecular Psychiatry har påvist at intensiv kognitiv adfærds terapi kan ændre aktiviteten i bestemte områder af hjernen. Den opdagelse kan have vigtig klinisk indflydelse på udviklingen af den fremtidige psykoterapi. Ved daglig terapi over fire uger fandt man signifikante ændringer i regioner af hjerne ved behandling af OCD (obsessive-compulsive disorder).
Tidligere scanningsstudier af OCD har påvist at den øget aktivitet i frontal-subcortical kredsløb i hjernen reduceres som svar på behandling med nyere antidepressiva (SRI) eller kognitiv adfærdsterapi.
Før antog man at kliniske forbedringer ved OCD krævede 12 ugers behandling med enten kognitiv adfærdsterapi eller medicinsk behandling med antidepressiva.
Guideline for behandling af børn med angstlidelser
Sekretariatet for Referenceprogrammer (SfR) under Sundhedsstyrelsen afholdte onsdag den 28. november 2007 en høring om Referenceprogram for voksne med angstlidelser. (Referenceprogram er det saame som guideline). I referenceprogrammet anbefaler man bl.a. af der udarbejdes et Referenceprogram for børn med angstlidelser. Indtil det projekt måske bliver realiseret, kan jeg anbefale at man læser American Academy of Child and Adolescent Psychiatry udgave, såkaldte Practice Parameters, der kan hentes fra deres hjemmesider Anxiety Disorders (P-ANX) Vol 46 Feb 2007 . Anbefalingerne blev udgive i tidsskriftet Journal of the American Academy of Child & Adolescent Psychiatry:
Practice Parameter for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders
ABSTRACT
This revised practice parameter reviews the evidence from research and clinical experience and highlights significant advancements in the assessment and treatment of anxiety disorders since the previous parameter was published. It highlights the importance of early assessment and intervention, gathering information from various sources, assessment of comorbid disorders, and evaluation of severity and impairment. It presents evidence to support treatment with psychotherapy, medications, and a combination of interventions in a multimodal approach.
Journal of the American Academy of Child & Adolescent Psychiatry. 46(2):267-283, February 2007. Eller se PubMed.
For en tysk oversigt over en diskussion af evidensbaseret behandling af angstlidelser hos børn, se: Die psychotherapeutische Behandlung von Angststörungen im Kindes- und Jugendalter – Was ist evidenzbasiert? af Silvia Schneider & Tina In-Albon, Klinische Kinder- und Jugendpsychologie, Universität Basel, i Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, Volume 34, Number 3, 191-202 / 2006. Engelsk abstrakt medfølger.
Intensive Cognitive Behavioural Treatment for children
At the ADAA 27th Annual Conference 2007 (ADAA is The Anxiety Disorders Association of America) two completed research programs for Obsessive-Compulsive Disorder treatment were presented:
Handbook of OCD: Concepts and Controversies
A new very interesting book is being published july 2005.
Handbook of OCD: Concepts and Controversies
Jonathan S. Abramowitz (Editor), Arthur C. Houts (Editor)
Product Details:
Concepts and Controversies in Obsessive-Compulsive Disorder
Series: Series in Anxiety and Related Disorders,
Abramowitz, Jonathan S.; Houts, Arthur C. (Eds.)
2005, XIV, 803 p. 5 illus., Hardcover
Publisher: Springer-Verlag New York Inc.
You can pre-order it at amazon.co.uk
Here is some information about the book:
Synopsis
Few conditions are as fascinating to a psychologist as obsessive-compulsive disorder (OCD), and few generate as much controversy. Experts disagree over topics related to classification, etiology, and treatment, and differing points of view also occur along disciplinary lines between psychology and psychiatry. Because of the insularity of various scientific communities that study OCD, there is rarely a forum for examining these issues from various perspectives, and for trying to provide a more complex and multifaceted picture of the disorder. This volume creates such a forum.
