4.4 Review

Treatment Strategies of Obsessive-Compulsive Disorder and Panic Disorder/Agoraphobia

期刊

CURRENT TOPICS IN MEDICINAL CHEMISTRY
卷 12, 期 4, 页码 238-253

出版社

BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/1568026799078688

关键词

Obsessive-compulsive disorder; panic disorder; selective serotonin re-uptake inhibitors; tricyclic antidepressants; serotonin-norepinephrine re-uptake inhibitors; resistance; non-pharmacological treatments; novel strategies

向作者/读者索取更多资源

Anxiety disorders represent the most prevalent psychiatric disorders. In addition, a considerable burden is associated with them, not only for individual sufferers, but also for the health care system. However, many patients who might benefit from treatment are not diagnosed or treated. This may partly be due to lack of awareness of the anxiety disorders by primary care practitioners and by the sufferers themselves. In addition, the stigma still associated with psychiatric disorders and lack of confidence in psychiatric treatments are factors leading to no/under recognition and treatment, or the use of unnecessary or inappropriate treatments. This paper aims to provide a comprehensive review of recommendations for the pharmacological treatment of two common anxiety disorders, in particular obsessive-compulsive disorder (OCD) and panic disorder (PD). The first-line treatments of OCD include medium-high doses of selective serotonin reuptake inhibitors (SSRIs) and clomipramine, a tricyclic (TCA) antidepressant with prevalent serotonergic activity. The recommended drugs for PD include SSRIs, TCAs and serotonin-norepinephrine reuptake inhibitors (SNRIs); in treatment-resistant cases, benzodiazepines like alprazolam may be used in patients with no history of addiction and tolerance. Other treatment options include irreversible and reversible monoamine-oxidase inhibitors, hydroxyzine, and others. Besides pharmacological treatments, some psychological strategies have been shown to be effective, in particular, cognitive behavior therapy (CBT) and other variants of behavior therapy that have been sufficiently investigated in controlled studies, and, therefore, will be reviewed herein.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Review Clinical Neurology

Insomnia, sleep loss, and circadian sleep disturbances in mood disorders: a pathway toward neurodegeneration and neuroprogression? A theoretical review

Laura Palagini, Pierre A. Geoffroy, Mario Miniati, Giulio Perugi, Giovanni Biggio, Donatella Marazziti, Dieter Riemann

Summary: This paper reviews the relationships between sleep, circadian phasing alterations, and neurodegenerative/neuroprogressive processes in mood disorders. Studies suggest that insomnia and altered circadian sleep may contribute to neurodegeneration and neuroprogression, increasing risks such as accumulation of neurotoxic proteins and oxidative stress. Targeting sleep disturbances may have neuroprotective benefits for mood disorders.

CNS SPECTRUMS (2022)

Article Clinical Neurology

The price of love: an investigation into the relationship between romantic love and the expression of obsessive-compulsive disorder

James McLauchlan, Emma M. Thompson, Ygor A. Ferrao, Euripedes C. Miguel, Lucy Albertella, Donatella Marazziti, Leonardo F. Fontenelle

Summary: The study found that love-precipitated OCD is associated with greater severity of sensory phenomena and later age at onset, but not with other characteristics and comorbid disorders. It suggests further exploration to determine the clinical significance of romantic love in shaping the expression of OCD.

CNS SPECTRUMS (2022)

Editorial Material Clinical Neurology

Space missions: psychological and psychopathological issues

Donatella Marazziti, Alessandro Arone, Tea Ivaldi, Konstantin Kuts, Konstantin Loganovsky

Summary: While space exploration is an attractive goal, there are psychological and psychopathological risks that should be considered, such as disturbances in sleep-wake cycle, personality changes, and depression. These risks could lead to central nervous system alterations and potential impairments in mission success and individual health. More studies are needed to prevent and address these risks in space exploration.

CNS SPECTRUMS (2022)

Article Clinical Neurology

Which patients with bipolar depression receive antidepressant augmentation? Results from an observational multicenter study

Laura Musetti, Antonio Tundo, Erika Cambiali, Claudia Del Grande, Rocco De Filippis, Caterina Franceschini, Luca Proietti, Sophia Betro, Donatella Marazziti, Liliana Dell'Osso

Summary: The study found that the combination of antidepressants with mood stabilizers/second-generation antipsychotics is effective and safe in the short and long term for a specific subgroup of bipolar depressed patients.

CNS SPECTRUMS (2022)

Article Clinical Neurology

Decreased vitamin D levels in obsessive-compulsive disorder patients

Donatella Marazziti, Filippo M. Barberi, Leonardo Fontenelle, Beatrice Buccianelli, Manuel G. Carbone, Elisabetta Parra, Stefania Palermo, Lucia Massa, Claudia Tagliarini, Alessandra Della Vecchia, Federico Mucci, Alessandro Arone, Liliana Dell'Osso

Summary: This study compared vitamin D levels in adult patients with obsessive-compulsive disorder (OCD) and explored possible correlations with patients' characteristics. The results showed a negative correlation between vitamin D levels and the severity of OCD and specific symptoms, with some differences based on gender. Further research is needed to confirm these findings and evaluate the effectiveness of vitamin D supplementation in OCD patients.

CNS SPECTRUMS (2023)

Review Clinical Neurology

Telephone-delivered Interpersonal Psychotherapy: a systematic review

Mario Miniati, Francesca Marzetti, Laura Palagini, Ciro Conversano, Beatrice Buccianelli, Donatella Marazziti, Angelo Gemignani

Summary: This paper reviews the efficacy of Interpersonal Psychotherapy (IPT) administered via telephone (IPT-T). Thirteen studies were selected for analysis, with results showing that IPT-T had response rates similar to traditional IPT. However, the results are limited by small sample sizes, selection bias, and heterogeneity of rating scales.

CNS SPECTRUMS (2023)

Article Biology

Decreased Levels of Vitamin D in Bipolar Patients

Donatella Marazziti, Paola Mangiapane, Manuel Glauco Carbone, Florinda Morana, Alessandro Arone, Lucia Massa, Stefania Palermo, Miriam Violi, Giovanni Bertini, Leonardo Massoni, Sara Fantasia, Andrea Pozza, Federico Mucci, Benedetto Morana

Summary: Recently, there has been renewed interest in the role of vitamin D in neuropsychiatry, especially in mood disorders such as major depression and bipolar disorders. This study evaluated vitamin D levels in a sample of inpatients with bipolar disorders and found that their vitamin D levels were significantly lower than the normative values. The findings support the role of vitamin D in bipolar disorders and suggest that further studies should be conducted to investigate the potential benefits of vitamin D supplementation in treating mood disorders.

LIFE-BASEL (2023)

Article Biology

Cognitive Fusion, Ruminative Response Style and Depressive Spectrum Symptoms in a Sample of University Students

Mario Miniati, Sara Busia, Ciro Conversano, Graziella Orru, Rebecca Ciacchini, Viarda Cosentino, Donatella Marazziti, Angelo Gemignani, Laura Palagini

Summary: This study aimed to investigate whether university students were more prone to cognitive fusion, rumination, and depressive symptoms compared to non-university students of the same age. The results showed that university students scored significantly higher in cognitive fusion, rumination, and depressive symptoms. Therefore, it is important to target these issues and provide psychoeducational and psychotherapeutic interventions for university students.

LIFE-BASEL (2023)

Article Neurosciences

Depression and Pseudodementia: Decoding the Intricate Bonds in an Italian Outpatient Setting

Beatrice Buccianelli, Donatella Marazziti, Alessandro Arone, Stefania Palermo, Marly Simoncini, Manuel Glauco Carbone, Leonardo Massoni, Miriam Violi, Liliana Dell'Osso

Summary: Despite uncertainties in its diagnostic framework, pseudodementia can be characterized as a condition with depressive symptoms and cognitive impairment in the absence of dementia. This study aimed to assess neurological and cognitive dysfunctions in elderly depressed subjects and explore the relationship between cognitive impairment and depressive symptoms. The findings suggest that pseudodementia represents a borderline condition between depression and cognitive decline that should be identified and treated promptly.

BRAIN SCIENCES (2023)

Review Biology

Novel Pharmacological Targets of Post-Traumatic Stress Disorders

Donatella Marazziti, Claudia Carmassi, Gabriele Cappellato, Ilaria Chiarantini, Leonardo Massoni, Federico Mucci, Alessandro Arone, Miriam Violi, Stefania Palermo, Giovanni De Iorio, Liliana Dell'Osso

Summary: Post-traumatic stress disorder (PTSD) is a complex and challenging psychopathological condition with a heterogeneous clinical picture. The current pharmacological treatments for PTSD are mainly empirical and based on the serotonergic system, but they show only partial benefits due to limited knowledge of its neurobiology. New pathogenetic hypotheses, including different mediators and pathways, are urgently needed for the development of novel and more efficient drugs.

LIFE-BASEL (2023)

Article Biology

Variation of Circulating Brain-Derived Neurotrophic Factor (BDNF) in Depression: Relationships with Inflammatory Indices, Metabolic Status and Patients' Clinical Features

Valentina Falaschi, Lionella Palego, Donatella Marazziti, Laura Betti, Laura Musetti, Alessandra Maglio, Valerio Dell'Oste, Simona Sagona, Antonio Felicioli, Barbara Carpita, Alberto Brogi, Federico Mucci, Enrico Massimetti, Liliana Dell'Osso, Gino Giannaccini

Summary: This study aims to contribute to the method of subtyping major depressed patients by exploring the relationships between circulating BDNF, inflammatory/metabolic markers in the blood, and clinical characteristics. The findings reveal that inflammatory parameters are positively correlated with depression scores, and different forms of BDNF are associated with specific patient characteristics. The study suggests that BDNF may differentiate depression conditions and provide a deeper understanding of the peripheral biomarker profiles in major depressive episodes.

LIFE-BASEL (2023)

Article Endocrinology & Metabolism

A long and winding road: My personal journey to oxytocin with no return

Donatella Marazziti

Summary: The present paper is a personal narration of the author's scientific pathway in studying oxytocin. The author's interest in the neurobiology of human emotions was sparked by a pioneering study on romantic lovers and eventually led to a shift in research focus from diseases to physiological states related to love. The author suggests that future studies should further explore the role of oxytocin in human nature and its potential therapeutic applications in various physiological and pathological conditions, which could potentially improve the lives of individuals and societies.

COMPREHENSIVE PSYCHONEUROENDOCRINOLOGY (2023)

Review Health Care Sciences & Services

Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

Helene Kane, Jade Gourret Baumgart, Wissam El-Hage, Jocelyn Deloyer, Christine Maes, Marie-Clotilde Lebas, Donatella Marazziti, Johannes Thome, Laurence Fond-Harmant, Frederic Denis

Summary: This systematic literature review explores the development of using digital technologies for remote monitoring and assessment in the context of the COVID-19 pandemic. The analysis reveals variations in the integration of digital technologies, depending on countries, contexts, local regulations, and modalities of care. The use of videoconferencing has significantly increased, impacting working conditions and therapeutic relationships. This crisis has provided professionals an opportunity to gain experience in remote care and better understand the possibilities and limitations of these digital technologies.

JMIR HUMAN FACTORS (2022)

暂无数据