Intervenciones dirigidas a la disminución de los síntomas obsesivo-compulsivos en personas con trastorno del espectro autista: una revisión

Palabras clave: : Trastorno del espectro autista, trastorno obsesivo compulsivo, comorbilidad, intervención, revisión

Resumen

El trastorno del espectro autista (TEA) es un trastorno del neurodesarrollo caracterizado por déficits en la comunicación e interacción social y por comportamientos restrictivos y repetitivos. Presenta una elevada comorbilidad con otros trastornos, de hasta un 37% con el trastorno obsesivo compulsivo (TOC) en pacientes jóvenes. El TOC se caracteriza por pensamientos e ideas recurrentes que llevan a la persona a realizar acciones compulsivas para disminuir el nivel de ansiedad que estos pensamientos le generan. Este trabajo presenta una revisión de los métodos psicológicos de intervención utilizados, así como de la efectividad de los mismos, en la reducción de los síntomas del TOC comórbido en personas con TEA. Se incluyeron 14 artículos, en los que la terapia cognitivo conductual (TCC) y la exposición y prevención de respuestas (EPR) presentaron resultados alentadores en la disminución de estos síntomas.

 

Referencias

Referencias
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.

Birmaher, B., Khetarpal, S., Cully, M., Brent, D., & McKenzie, S. (1995). Screen for Child Anxiety Related Disorders (SCARED). Pittsburgh, PA: Western Psychiatric Institute and Clinic, University of Pittsburgh.

Bodfish, J., Symons, F., & Lewis , M. (1999). The repetitive behavior scale: test manual. Morganton, NC.: Western Carolina Center Research Reports.

Cadman, T., Spain, D., Johnston, P., Russell, A., Mataix-Cols, D., Craig, M., … & Wilson, C. E. (2015). Obsessive-compulsive disorder in adults with high-functioning autism spectrum disorder: what does self-report with the OCI-R tell us? Autism Research, 8, 477-485. https://doi.org/10.1002/aur.1461

Calvocoressi, L., Lewis, B., Harris, B., Trufan, B. S., Goodman, W. K., McDougle, C. J., & Price, L. H. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152, 441–443. https://doi.org/10.1176/ajp.152.3.441

*Elliott, S., & Fitzsimons, L. (2014). Modified CBT for treatment of OCD in a 7-year-old boy with ASD—a case report. Journal of Child and Adolescent Psychiatric Nursing, 27, 156–159. https://doi.org/10.1111/jcap.12081

* Farrell, L. J., James, S. C., Maddox, B. B., Griffiths, D., & White, S. (2016). Treatment of comorbid obsessive-compulsive disorder in youth with ASD: the case of Max. En E. Storch, & A. Lewin (Eds.) Clinical Handbook of Obsessive-Compulsive and Related Disorders (pp. 337-355). Switzerland: Springer International Publishing. https://doi.org/10.1007/978-3-319-17139-5_23

Gómez, A., Cano, P., Lucas, M., Romero, P., Tolosa, M. & Martínez, A. (2018). El trastorno obsesivo compulsivo en la infancia y adolescencia. En P. Moreno (Presidencia), Congreso Virtual Internacional de Psiquiatría, Psicología y Salud Mental (Interpsiquis). Conferencia impartida en el XIX Congreso Virtual de Psiquiatría.

*Iniesta Sepúlveda, M., Nadeau, J., Ramos, A., Kay, B., Riemann, B., & Storch, E. (2018). An initial case series of intensive cognitive–behavioral therapy for obsessive–compulsive disorder in adolescents with autism spectrum disorder. Child Psychiatry & Human Development, 49, 9–19. https://doi.org/10.1007/s1057

*Krebs, G., Murray, K., & Jassi, A. (2016). Modified cognitive behavior therapy for severe, treatment-resistant obsessive-compulsive disorder in an adolescent with autism spectrum disorder. Journal of Clinical Psychology, 72, 1162-1173. https://doi.org/10.1002/jclp.22396

*Lehmkuhl, H. D., Storch, E. A., Bodfish, J. W., & Geffken, G. R. (2008). Brief report: exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. Journal of Autism and Developmental Disorders, 38, 977–981. https://doi.org/10.1007/s10803-007-0457-2

Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., ... & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849-861. https://doi.org/10.1007/s10803-006-0123-0

*Merricks, K. L., Nadeau, J. M., Ramos, A., & Storch, E. A. (2017). A case report of intensive exposure-based cognitive behavioral therapy for a child with comorbid autism spectrum disorder and obsessive-compulsive disorder. Journal of Cognitive Psychotherapy, 31(2), 118-123.

*Murray, K., Jassi, A., Mataix-Cols, D., Barrow, F., & Krebs, G. (2015). Outcomes of cognitive behaviour therapy for obsessive–compulsive disorder in young people with and without autism spectrum disorders: a case controlled study. Psychiatry Research, 228, 8–13. https://doi.org/10.1016/j.psychres.2015.03.012

*Nadeau, J., Arnold, E., Storch, E., & Lewin, A. (2014). Family cognitive-behavioral treatment for a child with autism and comorbid obsessive compulsive disorder. Clinical Case Studies, 13, 22-36. https://doi.org/10.1177/1534650113504488

National Institute of Mental Health. (1985). Special feature: rating scales and assessment instruments for use in pediatric psychopharmacology research. Pharmacology Bulletin, 21, 839-843.

*Neil, N., Vause, T., Jaksic, H., & Feldman, M. (2017). Effects of group functional behavior-based cognitive-behavioral therapy for obsessive-compulsive behavior in a youth with autism spectrum disorder. Child & Family Behavior Therapy, 3, 179–190. https://doi.org/10.1080/07317107.2017.1338448

Organización Mundial de la Salud (2018). Trastornos del espectro autista. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/autism-spectrum-disorders

Paula-Pérez, I. (2012). Diagnóstico diferencial entre el trastorno obsesivo compulsivo y los patrones de comportamiento, actividades e intereses restringidos y repetitivos en los trastornos del espectro autista. Revista de Psiquiatría y Salud Mental, 6, 178-186. https://doi.org/10.1016/jrpsm.2012.07.005

Piacentini, J., Peris , T., Bergm, R., Chang , S., & Jaffer, M. (2007). Brief report: functional impairment in childhood OCD: development and psychometrics properties of the child obsessive-compulsive impact scale-revised (COIS-R). Journal of Clinical Child & Adolescent Psychology, 36, 645-653. https://doi.org/10.1080/15374410701662790

*Reaven, J., & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive compulsive disorder in a child with Asperger syndrome: a case report. Autism, 7, 145-164. https://doi.org/10.1177/1362361303007002003

Rodas, R. (2009). Seguimiento del análisis conductual. En Análisis conductual aplicado (pp. 13-27). Colombia: Universidad de Manizales.

*Rombough, E. (2011). Dyad function-based cognitive behavioural therapy as a treatment for obsessive compulsive disorder in two school aged children with high functioning autism. (Unpublished master's thesis) St.Catharines Ontario: Centre of Applied Disability Studies, Brock University. http://hdl.handle.net/10464/3947

*Russell, A. J., Jassi, A., Fullana, M. A., Mack, H., Johnston, K., Heyman, I., ... & Mataix‐Cols, D. (2013). Cognitive behavior therapy for comorbid obsessive‐compulsive disorder in high‐functioning autism spectrum disorders: a randomized controlled trial. Depression and Anxiety, 30, 697-708. https://doi.org/10.1002/da.22053

Rydén, E., & Bejerot, S. (2008). Autism spectrum disorders in an adult psychiatric population: a naturalistic cross-sectional controlled study. Clinical Neuropsychiatry, 5, 13-21.

Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., ... & Leckman, J. F. (1997). Children's Yale-Brown obsessive compulsive scale: reliability and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 844-852. https://doi.org/10.1097/00004583-199706000-00023

Shafran, R., Frampton, I., Heyman, I., Reynolds, M., Teachman, B., & Rachman, S. (2003). Preliminary development of a new self-report measure for OCD in young people. Journal of Adolescence, 26, 137–142. https://doi.org/10.1016/S0140-1971(02)00083-0

Valaer-Rubio, Á. (2015). Abordaje clínico y tratamiento del trastorno obsesivo-compulsivo. Sevilla: Publicia.

*Vause, T., Hoekstra, S., & Feldman, M. (2014). Evaluation of individual function-based cognitive-behavioural therapy for obsessive compulsive behaviour in children with autism spectrum disorder. Journal on Developmental Disabilities, 20, 30-41.

*Vause, T., Neil, N., Jaksic, H., Jackiewicz, G., & Feldman, M. (2017). Preliminary randomized trial of function-based cognitive-behavioral therapy to treat obsessive compulsive behavior in children with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 32, 218–228. https://doi.org/1177/1088357615588517

Nota: Las referencias marcadas con un asterisco (*) contienen los estudios incluidos en la revisión.
Publicado
2020-12-31
Cómo citar
Montagut-Asunción , M., Flores-Pérez, E. J., Tijeras-Iborra, A., & Pastor-Cerezuela, G. (2020). Intervenciones dirigidas a la disminución de los síntomas obsesivo-compulsivos en personas con trastorno del espectro autista: una revisión. Escritos De Psicología - Psychological Writings, 13(2), 80-89. https://doi.org/10.24310/espsiescpsi.v13i2.12414
Sección
Artículos teóricos o de revisión