[Tics in Gilles de la Tourette syndrome].
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Adult↗
Biomedical subjects
C A Hoogduin
Publications and source records attributed to C A Hoogduin.
Do drop-outs differ from successfully treated obsessive-compulsives?
The most common reasons given by patients for dropping out of treatment are: environmental constraints, dissatisfaction with services and that they no longer need help. In this study two groups of patients suffering from obsessive-compulsive disorders are compared. The drop-outs' reasons for terminating treatment are compared with the comments of patients who completed the therapy successfully. Drop-outs differ from successfully treated OCD's in five respects: they appear to be less obsessive-compulsive; they have more discongruent treatment expectations; they are more critical of the therapist; they experience less anxiety in carrying out homework assignments; they less frequently come under pressure from people close to them.
Adaptation, Psychological↗
Mental play in Gilles de la Tourette's syndrome and obsessive-compulsive disorder.
A new phenomenon, found only in Gilles de la Tourette (GTS) patients, and which we have called 'mental play', is described. It was compared with the phenomenon of counting, which occurred in both GTS and obsessive-compulsive patients. In the GTS patients both mental play and counting were best characterised as playful impulsions. In contrast to the GTS patients, the counting of the obsessive-compulsive patients was in line with their obsessive-compulsive behaviour. These findings suggest that repetitive symptoms in GTS patients, even when they share superficial similarities with obsessive-compulsive symptoms, should not be diagnosed automatically as obsessive-compulsive.
Adolescent↗
Tourette syndrome and obsessive-compulsive disorder. An analysis of associated phenomena.
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Humans↗
The treatment of children with obsessive-compulsive disorder.
Very little is known about the treatment of children with an obsessive-compulsive disorder (OCD). No controlled studies have been conducted into the effects of behaviour therapy or other kinds of psychotherapy. There have only been three studies into the effects of antidepressants. After providing some general information on OCD, this article discusses the possibilities, effects and some of the difficulties of treatment.
Adolescent↗
Treatment of chronic tension-type headache with hypnotherapy: a single-blind time controlled study.
We investigated the effectiveness of a special hypnotherapy technique in the treatment of chronic tension-type headache. A waitinglist control group was used to control for the changes in headache activity due to the passage of time. The results showed significant reductions in the number of headache days (p less than 0.05), the number of headache hours (p less than 0.05) and headache intensity (p less than 0.05). The improvement was confirmed by the subjective evaluation data gathered with the use of a questionnaire and by a significant reduction in anxiety scores (p less than 0.01).
Analysis of Variance↗
[Grief work an support experienced during abortion and stillbirth].
We investigated by means of a semi-structured, oral interview how women cope with a miscarriage or stillbirth. The need for psychosocial support and the support which was experienced were also studied. The results stress that the mourning process after a miscarriage or stillbirth proceeds in one sense like the 'conventional' mourning process, but differs in some aspects. Women with one or more children show less intense emotions than childless women. The experiences with the professional help and the environmental support differ depending on the moment: before, during or after the bereavement. Negative experiences usually refer to a too businesslike attitude of doctors and nurses in charge, lack of information, shortcomings in the aftercare, clumsy reactions of the environment and unfulfilled needs for contact with other women who had a miscarriage or stillbirth.
Abortion, Spontaneous↗
Marital adjustment and obsessive-compulsive disorder.
Fifty obsessive-compulsives were treated by behavioural therapy (self-exposure in vivo and response prevention) either with their partner directly involved in all aspects of treatment or without their partner. The two treatment formats were equally effective. Although a substantial number of obsessive-compulsives were found to have marital problems, behavioural treatment directed at the obsessive-compulsive disorder resulted in improvement irrespective of marital quality and partner involvement in the therapy. The effects of treatment led neither to a deterioration of the marriage nor to adjustment problems in the partner.
Adaptation, Psychological↗
The migraine aura as a cause of avoidance behavior.
Two patients are reported in whom the occurrence of migraine aura led to the development of avoidance behavior. In both patients the migraine aura was given a significance of doom by a previous experience. The avoidance behavior represented an attempt of the patients to deal with the visual disturbance.
Adult↗
The significance of the patient-therapist relationship in the treatment of obsessive-compulsive neurosis.
Results are presented of two studies into the predictive value of the therapeutic relationship in the treatment of 60 and 25 obsessive-compulsive patients. A relationship was found between the therapist's score on the Barret-Lennard Relationship Inventory, assessed after the second and 10th sessions. As far as the patients' scores were concerned, however, a significant correlation with outcome was found only after the 10th session.
Follow-Up Studies↗
A decision model in the treatment of obsessive-compulsive neuroses.
The treatment of obsessive-compulsive disorders with a behavioural therapeutic program consisting of response prevention has proved to be rather successful. A prospective study of the potentialities of predicting the outcome of such a treatment program is described. The results of this research could possibly lead to the development of a decision model for use in the treatment of obsessive-compulsive neurosis.
Ambulatory Care↗