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  • Cambridge University Press (CUP)  (4)
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  • Cambridge University Press (CUP)  (4)
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  • 1
    Online-Ressource
    Online-Ressource
    Características clínicas y respuesta al tratamiento en el trastorno obsesivo-compulsivo con poca y con buena conciencia de enfermedad
    Cambridge University Press (CUP) ; 2004
    In:  European psychiatry (Ed. Española) Vol. 11, No. 7 ( 2004-10), p. 438-445
    Details
    In: European psychiatry (Ed. Española), Cambridge University Press (CUP), Vol. 11, No. 7 ( 2004-10), p. 438-445
    Kurzfassung: Los criterios del DSM-IV reconocen la existencia del trastorno obsesivo-compulsivo (TOC) con poca conciencia de enfermedad. Sin embargo, hay una escasez de publicaciones sobre los correlatos clínicos y la respuesta al tratamiento en TOC con poca conciencia de enfermedad y con buena conciencia de enfermedad. En este estudio, la conciencia de enfermedad se mide utilizando la Escala de Evaluación de las Creencias de Brown (BABS) desarrollada específicamente para evaluar la conciencia de enfermedad. Se comprobó a cien sujetos con TOC del DSM-IV de la clínica de TOC de un gran hospital psiquiátrico en India. Todos los sujetos recibieron una evaluación arnplia utilizando instrumentos estructurados y medidas establecidas de trastornos psicopatológicos. Se trató a los sujetos con dosis adecuadas de fármacos durante un periodo adecuado. Los resultados mostraron que el 25% de los sujetos tenían poca conciencia de enfermedad. La poca conciencia de enfermedad se asociaba con edad anterior en el comienzo, duración más larga de la enfermedad, mayor número de síntomas obsesivo-compulsivos, enfermedad más grave y tasa más alta de comorbilidad, particularmente de depresión mayor. De los sujetos que recibieron tratamiento adecuado (n = 73), 44 (el 60%) respondieron al tratamiento. La poca conciencia de enfermedad se asociaba con mala respuesta al tratamiento farmacológico. En el análisis de regresión logística paso a paso, la puntuación de la BABS en la línea de base predecía muy bien la mala respuesta al tratamiento. La poca conciencia de enfermedad parece asociarse con correlatos clínicos específicos y mala respuesta al tratamiento farmacológico. Se necesitan más estudios en muestras mayores para replicar nuestros hallazgos.
    Materialart: Online-Ressource
    ISSN: 1134-0665 , 2695-5466
    URL: Article
    DOI: 10.1017/S1134066500004872
    Sprache: Englisch
    Verlag: Cambridge University Press (CUP)
    Publikationsdatum: 2004
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 2
    Online-Ressource
    Online-Ressource
    Obsessive-Compulsive Disorder With and Without Tic Disorder: A Comparative Study From India
    Cambridge University Press (CUP) ; 2008
    In:  CNS Spectrums Vol. 13, No. 8 ( 2008-08), p. 705-711
    Details
    In: CNS Spectrums, Cambridge University Press (CUP), Vol. 13, No. 8 ( 2008-08), p. 705-711
    Kurzfassung: Introduction: Evidence from phenomenological, family, genetic, and treatment studies from Western centers have suggested that tic-related obsessive-compulsive disorder (OCD) could be different from non-tic-related OCD. This study from India investigated the differences in OCD with and without tics, with respect to sociode-mographics, symptom profile, and comorbidity, including obsessive-compulsive spectrum disorders, to examine whether the clinical profile of tic-related OCD is similar to that reported previously. Methods: Fifty subjects with OCD and tics (chronic motor tics and Tourette syndrome) were compared with 141 OCD subjects without tics. Results: Subjects having OCD with tics tended to be males, and had an earlier onset of illness. They had more of symmetry/aggressive and religious obsessions, and cleaning, ordering/arranging, hoarding, and repeating compulsions and were associated with trichotillomania and hypochondraisis. Stepwise backward (Wald) regression analysis showed that an early age of onset, male gender, aggressive obsessions, cleaning compulsions, and trichotillomania were significantly associated with tic-related OCD. Conclusion: The findings of this study from India are broadly similar to those reported previously from the West indicating the universality of differences in tic- and non-tic-related OCD. Our findings also support the existing evidence that tics contribute to the heterogeneity of OCD.
    Materialart: Online-Ressource
    ISSN: 1092-8529 , 2165-6509
    URL: Article
    DOI: 10.1017/S1092852900013791
    Sprache: Englisch
    Verlag: Cambridge University Press (CUP)
    Publikationsdatum: 2008
    ZDB Id: 2149753-9
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 3
    Online-Ressource
    Online-Ressource
    Cultural adaptation of cognitive behaviour therapy for depression: a qualitative study exploring views of patients and practitioners from India
    Cambridge University Press (CUP) ; 2022
    In:  The Cognitive Behaviour Therapist Vol. 15 ( 2022)
    Details
    In: The Cognitive Behaviour Therapist, Cambridge University Press (CUP), Vol. 15 ( 2022)
    Kurzfassung: Cognitive behaviour therapy (CBT) is an effective treatment for depression. However, culture can influence engagement and treatment efficacy of CBT. Several attempts have been made in Asian countries to develop a culturally adapted CBT for depression. However, research in the Indian context documenting the views on cultural influence of CBT is limited. The present study is an attempt to explore the views of patients and therapists in India by following an evidence-based approach that focuses on three areas for adaptation: (1) awareness of relevant cultural issues and preparation for therapy; (2) assessment and engagement; and (3) adjustments in therapy techniques. Semi-structured interviews with three consultant clinical psychologists/therapists, a focused group discussion with six clinical psychologists, and two patients undergoing CBT for depression were conducted. The data were analysed using a thematic framework analysis by identifying emerging themes and categories. The results highlight therapists’ experiences, problems faced, and recommendations in all three areas of adaptation. The findings highlight the need for adaptation with understanding and acknowledging the culture differences and clinical presentation. Culturally sensitive assessment and formulation with minor adaptation in clinical practice was recommended. Therapists emphasised the use of proverbs, local stories and simplified terminologies in therapy. The findings will aid in providing culturally sensitive treatment to patients with depression in India. Key learning aims (1) To understand the views of Indian patients and therapists based on their experience of CBT. (2) To understand the need for cultural adaptation of CBT in India. (3) To understand the adaptations by therapists while using CBT in clinical practice. (4) To gain perspective on how CBT can be culturally adapted to meet the needs of the Indian population.
    Materialart: Online-Ressource
    ISSN: 1754-470X
    URL: Article
    DOI: 10.1017/S1754470X22000137
    Sprache: Englisch
    Verlag: Cambridge University Press (CUP)
    Publikationsdatum: 2022
    ZDB Id: 2482439-2
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 4
    Online-Ressource
    Online-Ressource
    Clinical characteristics and treatment response in poor and good insight obsessive–compulsive disorder
    Cambridge University Press (CUP) ; 2004
    In:  European Psychiatry Vol. 19, No. 4 ( 2004-06), p. 202-208
    Details
    In: European Psychiatry, Cambridge University Press (CUP), Vol. 19, No. 4 ( 2004-06), p. 202-208
    Kurzfassung: The DSM-IV criteria recognize the existence of obsessive–compulsive disorder (OCD) with poor insight. However, there is paucity of literature on the clinical correlates and treatment response in poor and good insight OCD. In this study, insight is measured by using the Brown Assessment of Beliefs Scale (BABS) developed specifically to assess insight. One hundred subjects with DSM-IV OCD were ascertained from the OCD clinic of a large psychiatric hospital in India. All subjects were evaluated extensively by using structured instruments and established measures of psychopathology. The subjects were treated with adequate doses of drugs for adequate period. The results showed that 25% of the subjects had poor insight. Poor insight was associated with earlier age-at-onset, longer duration of illness, more number of obsessive–compulsive symptoms, more severe illness and higher comorbidity rate, particularly major depression. Of the subjects who were treated adequately ( N = 73), 44 (60%) were treatment responders. Poor insight was associated with poor response to drug treatment. In the step-wise logistic regression analysis, baseline BABS score was highly predictive of poor treatment response. Poor insight appears to be associated with specific clinical correlates and poor response to drug treatment. Further studies are needed in larger samples to replicate our findings.
    Materialart: Online-Ressource
    ISSN: 0924-9338 , 1778-3585
    URL: Article
    DOI: 10.1016/j.eurpsy.2003.12.005
    RVK:
    XA 10000
    Sprache: Englisch
    Verlag: Cambridge University Press (CUP)
    Publikationsdatum: 2004
    ZDB Id: 2005377-0
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
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