?????????? ?????

??????????-?????????? ?????
	OCD ???????? ???? ?????????? ???????, ??????? ??? ???? ?? ??? ????
??????	?????????? ?????? ?????????? ??? ?????, ??????? ????????? ?????????? ????, ??????? ????? ?????????? ????
?????????	?????? , ?????????? ????? , ?????????
??????? ???????	35 ?????????? ??????
?????	??????
????? ???	??????? , ???
????? ?????	????????? ??????
?????? ?????	?????????? ?????, ????? ?????????? ????? , ???????? ????? , ??????????-?????????? ?????????????? ?????
?????	???????? , ????? ????????? ????????? ??????? , ???????? ?????? ??????
?????????	2.3%

??????????-?????????? ????? ( OCD ) ?? ?? ?????? ????? ??? ????????? ??????? ?????????? ?????? ?????????? ??? ?????, ??????? ????????? ?????????? ???? (?????? “????” ??? ???????), ????? ??????? ????? ?????????? ???? (?????? “???????” ??? ???????). ^[?] ?????? ????????????? ????? ??????????? ??? ???? ????? ????? ????????? ???????? ???????? ????? ?????. ^[?] ??????? ???????????? ??? ???? , ???????? ?????, ??? ??? ??? ??? ?? ?? ??????????? ?????? ????? ?????? ????. ^[?] ??????? ????? ????? ????? ???????? ???? ??? ????. ^[?] ?? ?????? ??? ???????? ????? ?? ??????????? ??????? ??????? ??????????????? ?????? ????. ^[?] ?? ?????? ??? ?????? ??? ?????????? ???? ??? ????. ^[?] ?????? ????????? ?????????? ???? ???? ???????? ?????. ^[?] ?? ????????? ?????? , ?????????? ????? , ??? ???????????????????? ????? ????????? ??????? ???. ^[?]^[?]

???? ?????? ???. ^[?] ???? ????????? ????????? ????????? ????????? ???????? ????????? ???????? ????????????? ?????? ?????? ???????? ????? ??? ???. ^[?] ????? ?????????? ??????? ????? ??? ???? -??????? ???????? ????????? ?????? ????. ^[?] ???? ????????????? ???????????? ???? ???????? ???????? ???? ???. ^[?] ????? ?? ????????? ?????? ??? ??? ??????? ??? ??? ????? ???????? ????? ???????? ???? ?????? ???. ^[?] ???????????? ???-?????? ??????????-?????????? ????????? (Y-BOCS) ????????? ?????????? ?? ????????? ????????? ?????????? ???????? ??? ?????. ^[?] ??? ???????????? ?????????? ????????? ?????? ?????????? ????? , ???????? ????? , ?????? ????? , ??? ??????????-?????????? ????????????? ?????????? ?????? ????. ^[?]

???????????? ???????? , ??? ?? ????????? ?????????????? ???????? (CBT), ??? ?????? ?????? ?????? ??? ?? ????? ????????? ????????? ??????? (SSRIs) ????? ?????????????????? ?????? ????. ^[?]^[?] OCD ???? CBT ????? ??????????? ???????? ???????? ??????? ?????? ?????? ??????? ????? ??????????? ??????? ??????????? ?????? ????. ^[?] ????????????? ?? SSRIs ????? ?????? ??? ??? ??????????? ????? ??? ???, ?????? ???? ???????? ?????? ????? ???????? ????????? ?????? ????? ?????? ????? ????? ?????. ^[?] ??????? ??????????????? ?????-????????? ????????????? SSRIs ???? ?????????? ???????? ?? ?????? ??? ???? ????? ???????? ??????????? ????? ??????? ????? ??????? ??? ????. ^[?]^[?] ????????????, ?????? ?? ?????? ???? ???? ?????. ^[?]

?????? 2.3% ??????? ????????? ?????????? ?????????? ???? ??????????-?????????? ????? ?????? ????. ^[?] ???????? ???????????? ?????? 1.2% ?? ?? ??? ??? ?? ?????? ??? ????. ^[?] 35 ????? ??????? ?????? ???? ???? ???????? ??? ??? ??????????? ???? ?????????? ?? ?????? 20 ???? ???????????? ?????? ????. ^[?]^[?] ????? ? ?????? ????????? ?????? ???????? ?????? ?????. ^[?] ????????????, ??????????-?????????? ?? ???? ?????? OCD ?? ??????? ?????? ????????? ?????? ??????? ????? ???? ?????????, ???????? ????????? , ?????? ???????? ?????? ????? ???????? ????????? ????? ?????????? ?????? ?????. ^[?]

References [ ?????? ]

^ ^a ^b ^c ^d ^e ^f ^g ^h ⁱ ^j ^k ^l The National Institute of Mental Health (NIMH) (???????? 2016). "What is Obsessive-Compulsive Disorder (OCD)?" . U.S. National Institutes of Health (NIH) . Archived from the original on 23 ???? 2016 . 24 ???? 2016 ???? ?????? . Unknown parameter |deadurl= ignored ( ?????? )
^ ^a ^b ^c ^d ^e ^f ^g ^h ⁱ ^j ^k ^l ^m ⁿ ^o Diagnostic and statistical manual of mental disorders : DSM-5 (5 ed.). Washington: American Psychiatric Publishing. 2013. pp. 237?242. ISBN 978-0-89042-555-8 .
^ ^a ^b Angelakis, I; Gooding, P; Tarrier, N; Panagioti, M (25 March 2015). "Suicidality in obsessive compulsive disorder (OCD): A systematic review and meta-analysis". Clinical Psychology Review . 39 : 1?15. doi : 10.1016/j.cpr.2015.03.002 . PMID 25875222 .
^ ^a ^b ^c ^d Grant JE (14 August 2014). "Clinical practice: Obsessive-compulsive disorder". The New England Journal of Medicine . 371 (7): 646?53. doi : 10.1056/NEJMcp1402176 . PMID 25119610 .
^ ^a ^b ^c Veale, D; Miles, S; Smallcombe, N; Ghezai, H; Goldacre, B; Hodsoll, J (29 November 2014). "Atypical antipsychotic augmentation in SSRI treatment refractory obsessive-compulsive disorder: a systematic review and meta-analysis" . BMC Psychiatry . 14 : 317. doi : 10.1186/s12888-014-0317-5 . PMC 4262998 . PMID 25432131 .
^ ^a ^b Goodman, WK; Grice, DE; Lapidus, KA; Coffey, BJ (September 2014). "Obsessive-compulsive disorder". The Psychiatric clinics of North America . 37 (3): 257?67. doi : 10.1016/j.psc.2014.06.004 . PMID 25150561 .
^ Fenske JN, Schwenk TL (????? 2009). "Obsessive compulsive disorder: diagnosis and management" . Am Fam Physician . 80 (3): 239?45. PMID 19621834 . Archived from the original on 12 ?? 2014. Unknown parameter |deadurl= ignored ( ?????? )
^ Decloedt EH, Stein DJ (2010). "Current trends in drug treatment of obsessive-compulsive disorder" . Neuropsychiatr Dis Treat . 6 : 233?42. doi : 10.2147/NDT.S3149 . PMC 2877605 . PMID 20520787 .
^ Bynum, W.F.; Porter, Roy; Shepherd, Michael (1985). "Obsessional Disorders: A Conceptual History. Terminological and Classificatory Issues.". The anatomy of madness : essays in the history of psychiatry . London: Routledge. pp. 166?187. ISBN 978-0-415-32382-6 .

[NIH2015-1] ^ ^a ^b ^c ^d ^e ^f ^g ^h ⁱ ^j ^k ^l The National Institute of Mental Health (NIMH) (???????? 2016). "What is Obsessive-Compulsive Disorder (OCD)?" . U.S. National Institutes of Health (NIH) . Archived from the original on 23 ???? 2016 . 24 ???? 2016 ???? ?????? . Unknown parameter |deadurl= ignored ( ?????? )

[DSM5-2] ^ ^a ^b ^c ^d ^e ^f ^g ^h ⁱ ^j ^k ^l ^m ⁿ ^o Diagnostic and statistical manual of mental disorders : DSM-5 (5 ed.). Washington: American Psychiatric Publishing. 2013. pp. 237?242. ISBN 978-0-89042-555-8 .

[Ang2015-3] Angelakis, I; Gooding, P; Tarrier, N; Panagioti, M (25 March 2015). "Suicidality in obsessive compulsive disorder (OCD): A systematic review and meta-analysis". Clinical Psychology Review . 39 : 1?15. doi : 10.1016/j.cpr.2015.03.002 . PMID 25875222 .

[NEJM2014-4] Grant JE (14 August 2014). "Clinical practice: Obsessive-compulsive disorder". The New England Journal of Medicine . 371 (7): 646?53. doi : 10.1056/NEJMcp1402176 . PMID 25119610 .

[Ve2014-5] Veale, D; Miles, S; Smallcombe, N; Ghezai, H; Goldacre, B; Hodsoll, J (29 November 2014). "Atypical antipsychotic augmentation in SSRI treatment refractory obsessive-compulsive disorder: a systematic review and meta-analysis" . BMC Psychiatry . 14 : 317. doi : 10.1186/s12888-014-0317-5 . PMC 4262998 . PMID 25432131 .

[Good2014-6] Goodman, WK; Grice, DE; Lapidus, KA; Coffey, BJ (September 2014). "Obsessive-compulsive disorder". The Psychiatric clinics of North America . 37 (3): 257?67. doi : 10.1016/j.psc.2014.06.004 . PMID 25150561 .

[Fenske_2009-7] Fenske JN, Schwenk TL (????? 2009). "Obsessive compulsive disorder: diagnosis and management" . Am Fam Physician . 80 (3): 239?45. PMID 19621834 . Archived from the original on 12 ?? 2014. Unknown parameter |deadurl= ignored ( ?????? )

[Dec2010-8] Decloedt EH, Stein DJ (2010). "Current trends in drug treatment of obsessive-compulsive disorder" . Neuropsychiatr Dis Treat . 6 : 233?42. doi : 10.2147/NDT.S3149 . PMC 2877605 . PMID 20520787 .

[9] Bynum, W.F.; Porter, Roy; Shepherd, Michael (1985). "Obsessional Disorders: A Conceptual History. Terminological and Classificatory Issues.". The anatomy of madness : essays in the history of psychiatry . London: Routledge. pp. 166?187. ISBN 978-0-415-32382-6 .

[?]

[?]

[?]

[?]

[?]

[?]

[?]

[?]

[?]