Wei Zhen,Yu Jiasheng,Ruan Zhongqiang,Yang Qiong,Predictive role of the degree of prospective memory impairment on treatment response to SSRIs in patients with obsessive-compulsive disorder[J].SICHUAN MENTAL HEALTH,2021,34(4):336-340 |
Predictive role of the degree of prospective memory impairment on treatment response to SSRIs in patients with obsessive-compulsive disorder |
DOI:10.11886/scjsws20210512001 |
English keywords:Obsessive-compulsive disorder Prospective memory SSRIs Outcome prediction |
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English abstract: |
Objective To explore the predictive role of the degree of prospective memory impairment on the treatment response to Selective Serotonin Reuptake Inhibitors (SSRIs) in patients with obsessive-compulsive disorder.Methods A total of 30 patients with obsessive-compulsive disorder who met the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision (DSM-IV-TR) were selected, and all patients were treated with SSRIs for 4 weeks. The severity of obsessive-compulsive symptom was assessed using Yale-Brown Obsessive Compulsive Scale (Y-BOCS), and the efficacy was evaluated by the reduction rate of Y-BOCS score. Moreover, the performance of event-based, time-based and activity-based prospective memory tasks were compared before and after treatment.Results After treatment, the total Y-BOCS score of patients was lower than before treatment [(27.07±4.63) vs. (24.87±5.93), F(1,29)=4.984, P=0.033], meantime, the performance of event- and time- based prospective memory tasks was improved [(0.78±0.21) vs. (0.88±0.11), F(1,29)=9.022, P=0.005; (0.81±0.17) vs. (0.91±0.11), F(1,29)=9.063, P=0.005]. Correlation analysis showed that the performance of event-based prospective memory at baseline was positively correlated with the reduction of Y-BOCS score (r=0.478, P=0.014). The event-based prospective memory performance at baseline could positively predict the treatment response to SSRIs treatment in patients (β=0.441, P=0.014).Conclusion The event-based prospective memory function of patients with obsessive-compulsive disorder can positively predict SSRIs treatment outcome, and patients with better prospective memory performance yield better treatment responses. |
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