Korean J Psychopharmacol.
2007 Sep;18(5):338-346.
Korean Treatment Algorithm for Obsessive-Compulsive Disorder 2007 (I)
- Affiliations
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- 1Department of Psychiatry and Stress Research Institude, College of Medicine, Inje University, Seoul, Korea.
- 2Department of Psychiatry and Institute of Behavioral Science in Medicine,Yonsei University College of Medicine, Seoul, Korea. spr88@yuhs.ac
- 3Department of Psychiatry, Chonbuk National University Medical School, Jeonju, Korea.
- 4Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea.
- 5Department of Psychiatry, College of Medicine, Kwandong University, Goyang, Korea.
Abstract
OBJECTIVE
Obsessive-compulsive disorder (OCD) is one of the more common serious mental illnesses. Effective psychological and drug treatments are available for the distressing, time-consuming, repetitive thoughts and rituals and the associated functional impairment. The decision of a treatment, however, is not easy because of the various clinical features and many treatment options. Therefore, practice guidelines and algorithms have been developed in some countries to provide the proper information to clinicians. We sought to develop the Korean Treatment Algorithm Project for OCD 2007 (KTAP-OCD 2007).
METHODS
The survey questionnaire based on the Expert Consensus Guideline Series-Obsessive Compulsive disorder (1997) and was developed through modification and review by a study group for the KTAP-OCD 2007. Twenty-four (70.6%) of the 34 members of the review committee completed the survey.
RESULTS
For the initial treatment of OCD, all of the selective serotonin reuptake inhibitor (SSRI)monotherapies, cognitive-behavioral therapy (CBT), and SSRI+CBT were included in the first treatment options. Fluoxetine, sertraline, paroxetine, citalopram, and fluvoxamine were included among the available SSRIs. The treatment for resistant OCD, maintenance treatment, treatment for comorbidities, and CBT for various clinical symptoms were also evaluated by the questionnaire. DISCUSSION: Most experts presented a consensus opinion as to the initial treatment of OCD, some nonconsensual opinions were expressed and gaps occurred between research data and clinical usage in some steps. And there are some differences were seen between Western countries and Korea. The KTAP-OCD 2007 is the first algorithm developed for OCD treatment in Korea, and our hope is that the KTAP-OCD will assist clinicians and researchers.
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