Abstract:
BACKGROUND:The initial treatment of obsessive-compulsive disorder (OCD) has generally been limited to serotonergic agents, cognitive-behavioral therapy (CBT), or a combination of the two. These findings were supported by the POTS study for OCD in children and adolescents. However, treatment with serotonergic agents or CBT can take several weeks before benefit is seen; severe cases of OCD may require more immediate treatment. CASE REPORT:The authors present a case of severe OCD in an adolescent that required immediate treatment due to her critical medical condition. The patient's symptoms included not eating or taking medications or fluids by mouth due to fears of contamination. A medical hospitalization was previously required due to dehydration. As treatment with an SSRI would not have quick enough onset and the patient was initially resistant to participating in CBT, the patient was psychiatrically hospitalized and first started on liquid risperidone. After several doses of risperidone, the patient was able to participate in CBT and start sertraline. DISCUSSION:The authors discuss the differential diagnosis of such a patient, including the continuum of OCD symptoms and psychotic symptoms. The authors discuss the different treatment options, including the utilization of inpatient psychiatric hospitalization. The authors discuss the potential risks and benefits of using atypical antipsychotics in lieu of benzodiazepines for the initial treatment of severe adolescent OCD. The authors also discuss other current treatment recommendations and rationale for the treatment that was pursued. CONCLUSIONS:This patient received benefit of her symptoms relatively quickly with psychiatric hospitalization and an atypical antipsychotic. The diagnosis of a psychotic disorder should be considered. These treatment options must be weighed against the risks of atypical antipsychotics, including extrapyramidal symptoms, weight gain, and metabolic syndrome; benzodiazepines also have their risks and benefits. Additionally, the cost of time and finances of inpatient hospitalization must be considered. More research is needed regarding the short- and long-term efficacy and safety of antipsychotics in the treatment of OCD in the child and adolescent population.
journal_name
J Behav Addictjournal_title
Journal of behavioral addictionsauthors
Nguyen ML,Shapiro MA,Welch SJdoi
10.1556/JBA.1.2012.2.6subject
Has Abstractpub_date
2012-06-01 00:00:00pages
78-82issue
2eissn
2062-5871issn
2063-5303journal_volume
1pub_type
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journal_title:Journal of behavioral addictions
pub_type: 杂志文章,评审
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abstract:Background and aims:Compulsive Sexual Behavior Disorder (CSBD) is characterized by a persistent failure to control intense and recurrent sexual impulses, urges, and/or thoughts, resulting in repetitive sexual behavior that causes a marked impairment in important areas of functioning. Despite its recent inclusion in the...
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journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.6.2017.089
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abstract:BACKGROUND AND AIMS:Overindulgence in Internet gaming, which is related to rapid development of the online game industry, can cause a psychiatric disorder known as Internet gaming disorder (IGD). The number of adolescents with IGD is on the rise in countries with developed Internet technologies, such as South Korea. Th...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
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journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.5.2016.034
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abstract::The World Health Organization (WHO) included gaming disorders in International Classification of Disease-11th (ICD-11) on May 25, 2019. Since then, some academics and the gaming industry have continued to argue over the health system's response to online addictive behaviors. Under these circumstances, a framework invo...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.2020.00095
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abstract:BACKGROUND AND AIMS:Although social networking sites brought giant convenience, many negative effects on users' psychological well-being need more investigation. This study used a survey to examine Facebook addiction and state anxiety without Facebook. As research shows gender is related to trait anxiety and may intera...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.8.2019.09
更新日期:2019-03-01 00:00:00
abstract::Background and aims Although first treatment approaches for Internet Use Disorders (IUDs) have proven to be effective, health care utilization remained low. New service models focus on integrated health care systems, which facilitate access and reduce burdens of health care utilization, and stepped-care interventions,...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.6.2017.065
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abstract::Background and aims The relationship between college student gambling, parenting styles, and family environments is a neglected area of gambling research. Do parenting styles indirectly influence problem gambling behaviors via family environments? Do poor family environments, characterized by high levels of conflict a...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/JBA.1.2012.014
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abstract:Background and aims:There is a considerable amount of research on the psychological antecedents and outcomes of gaming disorder. Although many studies have examined various personality traits or motivations as predictors in isolation, fewer studies have investigated the mediations between personality traits and motivat...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.2020.00013
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journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.5.2016.020
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journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.7.2018.115
更新日期:2018-12-01 00:00:00
abstract::Background and aims There is a well-established association between pathological gambling and substance use disorders in adolescents. The aim of this study was to shed light on the association between adolescents' different levels of involvement in gambling activities and substance use (smoking tobacco and cannabis an...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.6.2017.043
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abstract:BACKGROUND:Decision-making and risk-taking behavior undergo developmental changes during adolescence. Disadvantageous decision-making and increased risk-taking may lead to problematic behaviors such as substance use and abuse, pathological gambling and excessive internet use. METHODS:Based on MEDLINE searches, this ar...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/JBA.2.2013.1.1
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND AND AIMS:Past research suggests that sleep problems are associated with increased risky decision-making. Similarly, gambling disorder and alcohol use disorder are also associated with increased risky decision-making. Individuals with gambling disorder or alcohol use disorder have also reported higher rates o...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
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abstract::Background and aims A considerable body of literature has emerged over the past two decades assessing the relationship between problematic or addictive use of the Internet and various indices of psychological well-being. Conversely, comparatively little research has assessed the relationship between problematic or add...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/JBA.1.2012.016
更新日期:2013-06-01 00:00:00
abstract::Background and aims Internet gaming disorder (IGD) imposes a potential public health threat worldwide. Gaming motives are potentially salient factors of IGD, but research on Chinese gaming motives is scarce. This study empirically evaluated the psychometric properties of the Chinese version of the Motives for Online G...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.6.2017.007
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND AND AIMS:Many people present excessive patterns of social networking site (SNS) use and try to self-regulate it. However, little is known regarding the strategies employed by young adult SNS users and their role in preventing the emergence of addiction-like symptoms in relation to SNS use. METHODS:In Study ...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.8.2019.49
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abstract::Background and aims Problem gambling has been identified as an emergent public health issue, and there is a need to identify gambling trends and to regularly update worldwide gambling prevalence rates. This paper aims to review recent research on adult gambling and problem gambling (since 2000) and then, in the contex...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章,评审
doi:10.1556/2006.5.2016.073
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abstract:BACKGROUND:Cue-induced brain reactivity has been suggested to be a fundamental and important mechanism explaining the development, maintenance, and relapse of addiction, including Internet gaming disorder (IGD). Altered activity in addiction-related brain regions has been found during cue-reactivity in IGD using functi...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.8.2019.25
更新日期:2019-06-01 00:00:00
abstract::Background and aims The Bergen Social Media Addiction Scale (BSMAS), a six-item self-report scale that is a brief and effective psychometric instrument for assessing at-risk social media addiction on the Internet. However, its psychometric properties in Persian have never been examined and no studies have applied Rasc...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
doi:10.1556/2006.6.2017.071
更新日期:2017-12-01 00:00:00
abstract::Background and aims People with substance abuse and pathological gamblers show an attentional bias. In a laboratory setting, we found an attentional bias using an addiction Stroop in adults with Internet Gaming Disorder (IGD). We aimed at investigating this effect using two web-based experiments. Methods Study 1: Game...
journal_title:Journal of behavioral addictions
pub_type: 杂志文章
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abstract:BACKGROUND:A positive relationship between problematic gaming and escapism motivation to play video games has been well established, suggesting that problematic gaming may result from attempts to deal with negative emotions. However, to date, no study has examined how emotion dysregulation affects both escapism motives...
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pub_type: 杂志文章
doi:10.1556/2006.8.2019.02
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND AIMS:The "process-model" of self-control proposes that the ego-depletion effect is better explained by a switch between interest in "have-to" labor and cognitive "want-to" leisure, rather than being mainly due to a decrease in cognitive resources, as advanced by the "strength-model" of self-control. Howe...
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1556/2006.7.2018.101
更新日期:2018-12-01 00:00:00