强迫症(OCD),以持久性为特征,侵入性思维(强迫症)和重复行为或精神行为(强迫),会显著影响孩子的日常功能,学业成绩,和整体生活质量。随着小儿强迫症的患病率持续上升,迫切需要循证治疗,这些治疗不仅可以减轻症状,而且可以提高受影响儿童和青少年的生活质量。通过识别知识差距并为未来研究提出方向,这篇叙述性综述有助于正在进行的关于小儿强迫症治疗的讨论.最终,综合证据旨在增进我们对儿童和青少年强迫症的同情和有效管理的理解和最佳实践。这项研究的目的是全面概述儿科强迫症(OCD)治疗的当前趋势和新兴策略,并强调针对个体患者需求定制治疗方法的重要性。考虑症状严重程度和治疗反应等因素。专注于有经验证据支持的干预措施,这篇综述深入研究了认知行为疗法(CBT),药物治疗,这些模式的协同作用,和创造性的治疗方法,同时考虑与儿科人群相关的独特发育方面。从2013年至今,我们通过在PubMed数据库中搜索标题进行了这篇综述。我们全面的文献综述集中在治疗小儿强迫症的进展,使用诸如“强迫症”之类的关键词,\"\"儿科,\"\"治疗,\"\"CBT,\"\"SSRI,\"\"药物治疗,“和”联合治疗。“虽然药物治疗和CBT都显示出个体疗效,这些方法的组合似乎更有效,特别是对于以前没有接触过CBT的药物无应答者,尽管有一些复杂的发现。这些发现对优化针对小儿强迫症复杂性的联合治疗策略的持续讨论做出了重要贡献。
Obsessive-compulsive disorder (OCD), characterized by persistent, intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions), can significantly impact a child\'s daily functioning, academic performance, and overall quality of life. As the prevalence of pediatric OCD continues to rise, there is a critical demand for evidence-based treatments that not only alleviate symptoms but also enhance the quality of life for affected children and adolescents. By identifying gaps in knowledge and suggesting directions for future research, this narrative review contributes to the ongoing discourse on pediatric OCD treatments. Ultimately, the synthesis of evidence aims to enhance our understanding and inform best practices in the compassionate and effective management of OCD in children and adolescents. The aim of this study is to provide a comprehensive overview of current trends and emerging strategies in the treatment of pediatric obsessive-compulsive disorder (OCD) and highlights the significance of tailoring treatment approaches to individual patient needs, considering factors such as symptom severity and treatment response. Concentrating on interventions supported by empirical evidence, the review delves into cognitive-behavioral therapy (CBT),
pharmacotherapy, the synergistic effects of these modalities, and inventive therapeutic approaches, all while considering the distinctive developmental aspects pertinent to pediatric populations. We conducted this review by searching for titles in the PubMed database from 2013 to present. Our comprehensive literature review focused on advancements in treating pediatric OCD, using keywords like \"Obsessive-compulsive disorder,\" \"Pediatric,\" \"treatment,\" \"CBT,\" \"SSRI,\" \"
Pharmacotherapy,\" and \"combination therapy.\" While both
pharmacotherapy and CBT show individual efficacy, the combination of these approaches appears to be more effective, especially for medication non-responders with no prior exposure to CBT, despite some mixed findings. These findings contribute significantly to the ongoing discussion on optimizing combined therapy strategies tailored to the complexities of pediatric OCD.