Obsessive--compulsive symptoms in first episode psychosis and in subjects at ultra high risk for developing psychosis; onset and relationship to psychotic symptoms.
Objective: To determine the prevalence of obsessive--compulsive symptoms and obsessive--compulsive disorder in patients with schizophrenia or related disorders or subjects at ultra high risk for development of psychosis. Secondly, to determine the time of occurrence of obsessive--compulsive symptoms...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 45; no. 5; pp. 400 - 407 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104875315&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104875315 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: May2011 vid: 45 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 104875315 60029721 10.3109/00048674.2010.533363 NLM21087087 104875315 ppf: 400 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Obsessive--compulsive symptoms in first episode psychosis and in subjects at ultra high risk for developing psychosis; onset and relationship to psychotic symptoms. aug: au: Sterk, Bouke Lankreijer, Kay Linszen, Don H de Haan, Lieuwe affil: Department of Psychiatry, Academic Medical Centre, University of Amsterdam Meibergdreef 5, 1105 AZ Amsterdam, Netherlands sug: subj: Obsessive-Compulsive Disorder Epidemiology Psychotic Disorders Risk Factors Prevalence Denmark Time Factors Prospective Studies Clinical Assessment Tools Descriptive Statistics Male Female Human Male Female ab: Objective: To determine the prevalence of obsessive--compulsive symptoms and obsessive--compulsive disorder in patients with schizophrenia or related disorders or subjects at ultra high risk for development of psychosis. Secondly, to determine the time of occurrence of obsessive--compulsive symptoms related to the onset of first psychosis. Method: We collected data on all patients who were referred consecutively to our specialized clinic for first episode psychosis patients and ultra high risk subjects in Amsterdam between 1 July 2006 and 1 July 2008. Diagnosis of psychotic disorders was established using the Comprehensive Assessment of Symptoms and History schedule. Obsessions and compulsions were defined in accordance with DSM-III-R criteria and assessed by clinicians. We analyzed the onset of obsessive--compulsive symptoms and its relation to the onset of first episode psychosis. Results: When a strict definition of obsessive--compulsive symptoms is used, 9.3% (n == 18) of patients with schizophrenia or a related disorder exhibited obsessive--compulsive symptoms and 1.5% also met criteria for obsessive--compulsive disorder. The onset of obsessive--compulsive symptoms occurred before, concurrent with and after onset of first episode psychosis in the following proportion of patients: 7/18, 3/18, 8/18. We found a prevalence of 20.7% of obsessive--compulsive symptoms in ultra high risk subjects. Conclusion: Using a strict definition of obsessive--compulsive symptoms, we found relatively low prevalence rates of obsessive--compulsive symptoms and obsessive--compulsive disorder in patients with schizophrenia or related disorders; the rates are even lower than known rates of obsessive--compulsive symptoms and obsessive--compulsive disorder in the general population. Obsessive--compulsive symptoms rates in ultra high risk subjects are comparable to those in the general population. Further investigation of the predictive validity of obsessive--compulsive symptoms in ultra high risk subjects for developing psychosis is needed. Obsessive--compulsive symptoms either develop prior, during or after the onset of first episode psychosis. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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