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DOI: 10.1055/s-2006-952042
Zwangsstörungen
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Die Zwangsstörung ist eine schwere, meist chronische psychische Erkrankung, die häufig vor anderen Personen, insbesondere auch vor Ärzten und Psychotherapeuten, verheimlicht wird.
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Zwangsstörungen weisen eine hohe Komorbidität mit anderen psychischen Erkrankungen auf, insbesondere mit depressiven Störungen, Angststörungen, Persönlichkeitsstörungen und Essstörungen.
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An effektiven Behandlungsstrategien steht heute die kognitive Verhaltenstherapie mit Reizkonfrontation (Exposition) und Reaktionsmanagement sowie selektive Serotonin-Wiederaufnahmehemmer zur Verfügung. Die Kombination beider Verfahren kann zu Responderraten von 80 bis 90 % der Patienten führen. Bei Therapieresistenz ist die Wirksamkeit atypischer Neuroleptika erwiesen.
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Behandlungserfolg bzw. Response bedeutet bei Zwangsstörungen meist eine deutliche Symptomreduktion, äußerst selten jedoch eine Remission.
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Die Versorgungssituation für Patienten, die an Zwangsstörungen erkrankt sind, ist noch sehr unzureichend. Bei vielen Patienten werden unwirksame Fehlbehandlungen durchgeführt, bevor spezifische, evidenzbasierte Therapien zur Anwendung kommen.
Publikationsverlauf
Publikationsdatum:
16. April 2007 (online)
© Georg Thieme Verlag KG Stuttgart · New York
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