Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy

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Maria Alice de Mathis ; Priscila Chacon ^[2] ; Rodrigo Boavista ^[3] ; Marcos Vinícius Sousa de Oliveira ^[4] ; Pedro Macul Ferreira de Barros ^[5] ; Marco Antonio Nocito Echevarria ^[6] ; Ygor Arzeno Ferrão ; Edoardo Filippo de Queiroz Vattimo ^[8] ; Antônio Carlos Lopes ^[9] ; Albina Rodrigues Torres ; Juliana Belo Diniz ; Leonardo Fontenelle ; Maria Conceição do Rosário ; Roseli Gedanke Shavitt ; Renata de Melo Felipe da Silva ^[15] ; Eurípedes Constantino Miguel ; Daniel Lucas da Conceição Costa

• Tipo de documento: Artigo Científico
• Fonte: Revista Brasileira de Psiquiatria; v. 45, n. 5, p. 431-447, 2023-11-27.

Resumo

Objectives: To summarize evidence-based cognitive-behavioral therapy (CBT) treatment and propose clinical interventions for adult patients with obsessive-compulsive disorder (OCD). Methods: The literature on CBT interventions for adult OCD, including BT and exposure and response prevention, was systematically reviewed to develop updated clinical guidelines for clinicians, providing comprehensive details about the necessary procedures for the CBT protocol. We searched the literature from 2013-2020 in five databases (PubMed, Cochrane, Embase, PsycINFO, and Lilacs) regarding study design, primary outcome measures, publication type, and language. Selected articles were assessed for quality with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association. Results: We examined 44 new studies used to update the 2013 American Psychiatric Association guidelines. High-quality evidence supports CBT with exposure and response prevention techniques as a first-line treatment for OCD. Protocols for Internet-delivered CBT have also proven efficacious for adults with OCD. Conclusion: High-quality scientific evidence supports the use of CBT with exposure and response prevention to treat adults with OCD. (AU)

• Processo FAPESP: 14/50917-0 - INCT 2014: psiquiatria do desenvolvimento para crianças e adolescentes
• Beneficiário: Eurípedes Constantino Miguel Filho
• Modalidade de apoio: Auxílio à Pesquisa - Temático