Tag-arkiv: Danmark

Ny bog: Kognitiv adfærdsterapi – en introduktion

Kognitiv adfærdsterapi - en introduktion

Kognitiv adfærdsterapi – en introduktion af Anne Kåver

Kognitiv adfærdsterapi er en metode, der har vist sig at have størst effekt i behandlingen af både børn og voksne med psykiske lidelser som fx angst, fobier, OCD, depression, spiseforstyrrelser, kroniske smerter, udviklings- og personlighedsforstyrrelser og misbrugsproblemer. Med værket Kognitiv adfærdsterapi – en introduktion har vi for første gang i Danmark et samlet værk over teori, centrale teknikker og forslag til praksis.

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Counting the OCD suffers

Hvor mange lider af OCD? Tja, det afhænger af hvilket diagnosesystem man benytter. Indtil 1970’erne antog man at det drejede sig om et beskedent antal personer. Så udførte man en række epidemiologiske undersøgelser bl.a. i USA, hvor man kom frem til at det nok var et sted mellem 2% til 3%, hvilket blev bekræftet af andre studier rundt om i verden. En australsk undersøgelse, der publiceres i det seneste nummer af American Journal of Psychitry, er kommet frem til at det ‘kun’ drejer sig om 0,6% af en population, hvis man følger DSM-IV kriterierne for at få diagnosen OCD. De tidligere undersøgelser blev udført efter DSM-III kriterierne for at få diagnosen OCD.
Det rejser spørgsmålet: hvornår har man OCD (og andre psykiatriske lidelser)? Er det når man har fået stillet diagnosen efter DSM-III, DSM-IV, DSM-IV TR eller ICD 9 eller 10 ? (ICD-10 er WHOs diagnosesystem og benyttes bl.a. i Danmark).
DSM-IV TR er en revideret version af DSM-IV og man kan selvfølgelig spørge om hvorfor de australske forskere ikke har anvendt denne? Forskerne har åbnet en interessant diskussion om diagnostik af OCD og man kan kun håbe at der opnås en konsensus i fagkredse om at stille den korrekte diagnose.
Der skal dog lige tilføjes at opfatte OCD (og sikkert andre psykiske lidelser) som konstant i en befolkning er misvisende, fordi årsagerne til OCD er mange, bl.a. ser man efter store influenzaepidemier (såkalte pandemier) en øget forekomst af OCD.

Counting the Counters
The rates of obsessive-compulsive disorder (OCD) in several epidemiological studies have been surprisingly high, up to 2.5% of the general population. Broad diagnostic criteria and lay interviewers may have led to overcounting. Many people have intrusive thoughts and ritualized behaviors, but generally these do not interfere with our lives. Crino et al. (p. 876) report an Australian survey of 10,641 adults that included only obsessions or compulsions causing marked distress, consuming substantial time, and interfering with functioning. By these standards, OCD was present in 0.6% of the population. OCD was often accompanied by other psychiatric disorders, but substance abuse was less common than in other surveys. Compared to earlier diagnostic systems, the current criteria were more likely to identify people who are disabled, receive medical services, and are unemployed. This suggests a more accurate identification of people with true illness.

Source: American Journal of Psychitry 162:A64, May 2005, In This Issue: Counting the Counters

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Medtronic Receives Humanitarian Use Device Designation for Treatment of OCD

Den amerikanske virksomhed Medtronic vil snart søge godkendelse hos den amerikanske lægemiddelstyrelse Food and Drug Agency om godkendelse af deres produkt Activa til behandling af behandlingsresistent OCD. Activa benytter Deeb Brain Stimulation terapi og er reversibel modsat for eksempel neurokirurgi.

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Ny OCD undersøgelse i Danmark

Quality of life with OCD. A self-reported survey among members of the Danish OCD Association

Obsessive-compulsive disorder (OCD) is today the fourth most frequent diagnosis issued within psychiatry. OCD can be quite incapacitating for the affected person and often becomes chronic. The purpose of the present study has been to help illuminate the character of the quality of life among the members of the Danish OCD Association. The data was compiled from 406 questionnaires sent out to all those members of the Danish OCD Association who had reported to suffer from OCD. The level of response was 54.4%. Persons with OCD signalled striking influences on their academic, occupational and social functions and thereby a corresponding influence on their quality of life in general. Emerging were significant levels of comorbidity and suicidal tendency. The time interval between symptom onset and the establishment of a correct diagnosis was found to be 13 years in average in this study. There appeared to be a marked tardiness in treatment as a consequence of the latency period between onset of symptoms and the establishment of a diagnosis. This has proven to be of importance in relation to the provision of proper treatment, the developmental course of the OCD condition, and not least in the quality of life for the person with OCD as well as his/her family members.

Sørensen, C. B., Kirkeby, L., & Thomsen, P. H. (2004). Quality of life with OCD. A self-reported survey among members of the Danish OCD association. Nordic Journal of Psychiatry, 58(3), 231-236. doi:10.1080/08039480410006287