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Predicting the therapeutic response to cognitive behavioral therapy in patients with pharmacoresistant obsessive-compulsive disorder.
Vyskočilová, Jana ; Šípek, Jiří (advisor) ; Šivicová, Gabriela (referee)
I chose the theme of obsessive-compulsive disorder as a topic of my thesis. The main reason was that it is a disorder I have worked as a therapist in individual or group therapy frequently. Also I have participated in several studies as evaluator in Psychiatric Centre, and I collected data from dozens of patients. In the first part the thesis deals with the symptoms, clinical picture, prevalence, aetiology and treatment of OCD. Thesis is focuses on behavioural and cognitive models of the disorder in detail, because the treatment used in the present group of patients was CBT. Various models of cognitive behavioural therapy I discuss in more detail, because they allow different views of what happens to the patient and how to change it. The practical part has two parts. The first deals with the effectiveness of group cognitive behavioral approach for OCD patients, who use antidepressants but were resistant to previous treatment and were attended a daycare center at the Prague Psychiatric Center. The second part of the thesis deals with finding a predictor of successful cognitive behavioral therapy in these patients. The aim was to determine whether certain demographic or clinical factors that we evaluated before treatment may predict success outcome. The result is the finding that severity of the...
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Changes in disgust sensitivity associated with hormonal shifts in women - adaptive system or maladaptive response?
Dlouhá, Daniela ; Kaňková, Šárka (advisor) ; Landová, Eva (referee)
Disgust (the feeling of aversion or repulsion) is based on experiencing something distasteful. As an adaptive system, it works as a protection of oneself, especially against infection by pathogens or behavior that could negatively affect one's evolutionary success. Disgust can be observed in women during times of significant hormonal changes, such as pregnancy or the luteal phase of the ovulation cycle. It was observed that these times can also be related to immunological changes, when the woman and (during pregnancy) the fetus require more intensive protection. Hormonal changes can be a sensitive time for the onset of different psychopathological disorders. These disorders are also often associated with heightened levels of disgust. Studies focusing on disgust and the onset of anxiety disorders indicate that the heightened disgust observed in pregnancy could in some cases be just the maladaptive reaction of a developing mental disorder.
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Social functioning of a person suffering from obsessive-compulsive disorder
ŠTEFEK, Marcel
This diploma thesis deals with selected problems that result from a person's obsessive compulsive disorder and that can influence and impact their social functioning. It also looks at selected possibilities for social work that can help to address these problems and to restore social functioning. The first chapter of this diploma thesis is focused on obsessive compulsive disorder. This chapter contains basic information about this mental disorder and the problems caused by this disease. The second chapter deals with the treatment of this disease. The third chapter focuses on the social functioning of a person suffering from obsessive compulsive disorder. This chapter contains selected examples of problems caused by this disease and their impact on the social functioning of a person suffering from obsessive compulsive disorder. These are examples from the scientific literature supplemented with examples from the particular case of Peter N.. The fourth chapter deals with selected possibilities of social work that can help to solve these problems and to restore social functioning.
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Predicting the therapeutic response to cognitive behavioral therapy in patients with pharmacoresistant obsessive-compulsive disorder.
Vyskočilová, Jana ; Šípek, Jiří (advisor) ; Šivicová, Gabriela (referee)
I chose the theme of obsessive-compulsive disorder as a topic of my thesis. The main reason was that it is a disorder I have worked as a therapist in individual or group therapy frequently. Also I have participated in several studies as evaluator in Psychiatric Centre, and I collected data from dozens of patients. In the first part the thesis deals with the symptoms, clinical picture, prevalence, aetiology and treatment of OCD. Thesis is focuses on behavioural and cognitive models of the disorder in detail, because the treatment used in the present group of patients was CBT. Various models of cognitive behavioural therapy I discuss in more detail, because they allow different views of what happens to the patient and how to change it. The practical part has two parts. The first deals with the effectiveness of group cognitive behavioral approach for OCD patients, who use antidepressants but were resistant to previous treatment and were attended a daycare center at the Prague Psychiatric Center. The second part of the thesis deals with finding a predictor of successful cognitive behavioral therapy in these patients. The aim was to determine whether certain demographic or clinical factors that we evaluated before treatment may predict success outcome. The result is the finding that severity of the...
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