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Doctoral Thesis
DOI
10.11606/T.5.2004.tde-29092005-114209
Document
Author
Full name
Ygor Arzeno Ferrão
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2004
Supervisor
Committee
Miguel Filho, Euripedes Constantino (President)
Busnello, Ellis Alindo D'Arrigo
Elkis, Helio
Fontenelle, Leonardo Franklin da Costa
Lafer, Beny
Title in Portuguese
"Características clínicas do transtorno obsessivo-compulsivo refratário aos tratamentos convencionais"
Keywords in Portuguese
EVOLUÇÃO CLÍNICA
PROGNÓSTICO
RESULTADO DE TRATAMENTO
TRANSTORNO OBSESSIVO-COMPULSIVO/diagnóstico
Abstract in Portuguese
Estudou-se fatores associados a refratariedade do Transtorno Obsessivo-Compulsivo aos tratamentos convencionais em 23 pacientes refratários e 26 respondedores. Os refratários mostraram: sintomas obsessivo-compulsivos, depressivos e ansiosos mais intensos; pior qualidade de vida; mais freqüentemente não ter cônjuge, ter menor escolaridade e condição sócio-econômica, maior acomodação familiar, curso crônico da doença, maior freqüência de conteúdo sexual/religioso, maior período de tempo para iniciar o tratamento e Transtorno Alimentar co-mórbido. O modelo de regressão logística mostrou que maior acomodação familiar e sintomas sexuais/religiosos estão associadas à refratariedade.
Title in English
Clinical features of conventional treatment refractory obsessive-compulsive disorder patients
Keywords in English
CLINICAL EVOLUTION
OBSESSIVE-COMPULSIVE DISORDER/diagnosis
PROGNOSIS
TREATMENT OUTCOME
Abstract in English
We studied possible associated factors of conventional treatment refractoriness in 23 refractory versus 26 respondent Obsessive Compulsive Disorder patients. Refractories had: higher severity of OC, depression and anxiety symptoms; worse quality of life; no spouse; less scholarship; lower social class; higher family accommodation; chronic course of the disease; more frequent sexual/religious symptoms; a longer period to begin the treatment; and comorbid Eating Disorder. Regression analysis model showed that, higher family accommodation and sexual/religious symptoms are associated to refractoriness
 
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Publishing Date
2005-10-05
 
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