Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/171755
Title: Early intervention for obsessive compulsive disorder: an expert consensus statement
Author: Fineberg, Naomi A.
Dell'Osso, Bernardo
Albert, Umberto
Maina, Giuseppe
Geller, Daniel
Carmi, Lior
Sireau, Nick
Walitza, Susanne
Grassi, Giacomo
Pallanti, Stefano
Hollander, Eric
Brakoulias, Vlasios
Menchón Magriñá, José Manuel
Marazziti, Donatella
Ioannidis, Konstantinos
Apergis-Schoute, Annemieke
Stein, Dan J.
Cath, Danielle C.
Veltman, Dick J.
Van Ameringen, Michael
Fontenelle, Leonardo F.
Shavitt, Roseli G.
Costa, Daniel
Diniz, Juliana B.
Zohar, Joseph
Keywords: Neurosi obsessiva
Programes de prevenció
Teràpia de la conducta
Obsessive-compulsive disorder
Prevention programs
Behavior therapy
Issue Date: 1-Apr-2019
Publisher: Elsevier B.V.
Abstract: Obsessive-compulsive disorder (OCD) is common, emerges early in life and tends to run a chronic, impairing course. Despite the availability of effective treatments, the duration of untreated illness (DUI) is high (up to around 10 years in adults) and is associated with considerable suffering for the individual and their families. This consensus statement represents the views of an international group of expert clinicians, including child and adult psychiatrists, psychologists and neuroscientists, working both in high and low and middle income countries, as well as those with the experience of living with OCD. The statement draws together evidence from epidemiological, clinical, health economic and brain imaging studies documenting the negative impact associated with treatment delay on clinical outcomes, and supporting the importance of early clinical intervention. It draws parallels between OCD and other disorders for which early intervention is recognized as beneficial, such as psychotic disorders and impulsive-compulsive disorders associated with problematic usage of the Internet, for which early intervention may prevent the development of later addictive disorders. It also generates new heuristics for exploring the brain-based mechanisms moderating the 'toxic' effect of an extended DUI in OCD. The statement concludes that there is a global unmet need for early intervention services for OC related disorders to reduce the unnecessary suffering and costly disability associated with under-treatment. New clinical staging models for OCD that may be used to facilitate primary, secondary and tertiary prevention within this context are proposed.
Note: Versió postprint del document publicat a: https://doi.org/10.1016/j.euroneuro.2019.02.002
It is part of: European Neuropsychopharmacology, 2019, vol. 29, num. 4, p. 549-565
URI: http://hdl.handle.net/2445/171755
Related resource: https://doi.org/10.1016/j.euroneuro.2019.02.002
ISSN: 0924-977X
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)

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