2019印度临床实践指南_儿童和青少年强迫症的管理.pdfVIP

[Downloaded free from on Thursday, February 14, 2019, IP: 00] CLINICAL PRACTICE GUIDELINES Clinical Practice Guidelines for the Management of Obsessive-Compulsive Disorder in Children and Adolescents Ajit Avasthi, Akhilesh Sharma, Sandeep Grover Department of Psychiatry, PGIMER, Chandigarh, India INTRODUCTION Childhood obsessive-compulsive disorder (OCD) is a chronic evidence of perinatal risk factors, subclinical OC symptoms, neuropsychiatric condition. Lifetime prevalence of OCD the presence of comorbid conditions in three-fourth of worldwide ranges from 1% to 3%,[1] with a rate higher in cases, neuropsychological deficits, covert symptoms, the developed world 2%–3%.[2] Indian data from national mental significant role of environmental triggers with high family health survey and one more study shows a prevalence accommodation and less insight.[10-12] of 0.8%[3] and 0.6%,[4] respectively. There are limited epidemiological data from India on OCD in children and The WHO lists OCD among the group of the highest adolescents. A multicenter study done at rural, urban, and disabling conditions. Recent epidemiological data slum area of Bangalore and Lucknow reported prevalence have generated interest in public and health-care rate of OCD in children and adolescents aged 4–16 years providers. Researchers have engaged in advance to be 0.1%.[5] A school-based survey of adolescents aged functional neuroimaging, genetics, neurosu