Obsessive-Compulsive Disorder with Psychotic Features: Is It a Clinical Entity?

被引：3

作者：

Okamura, Yasushi ^{[1
,2
]}

Murahashi, Yuki ^{[1
]}

Umeda, Yuna ^{[1
]}

Misumi, Toshihiro ^{[3
]}

Asami, Takeshi ^{[2
]}

Itokawa, Masanari ^{[4
]}

Harima, Hirohiko ^{[1
]}

Mizuno, Masafumi ^{[1
]}

Matsunaga, Hisato ^{[5
]}

Hishimoto, Akitoyo ^{[2
]}

机构：

[1] Tokyo Metropolitan Matsuzawa Hosp, Dept Psychiat, Setagaya Ku, 2-1-1 Kamikitazawa, Tokyo 1560057, Japan

[2] Yokohama City Univ, Dept Psychiat, Grad Sch Med, Kanazawa Ku, 3-9 Fukuura, Yokohama, Kanagawa 2360004, Japan

[3] Yokohama City Univ, Dept Biostat, Sch Med, Kanazawa Ku, 3-9 Fukuura, Yokohama, Kanagawa 2360004, Japan

[4] Tokyo Metropolitan Inst Med Sci, Schizophrenia Res Project, Setagaya Ku, 2-1-6 Kamikitazawa, Tokyo 1568506, Japan

[5] Hyogo Med Univ, Dept Neuropsychiat, 1-1 Mukogawacho, Nishinomiya, Hyogo 6638501, Japan

来源：

HEALTHCARE | 2022年 / 10卷 / 10期

关键词：

obsessive-compulsive disorder; psychotic disorder; schizophrenia; comorbidity; insight; functioning; NEUROPSYCHIATRIC INTERVIEW MINI; SCHIZOPHRENIA PREVALENCE; FOLLOW-UP; MENTAL-HEALTH; POOR INSIGHT; RATING-SCALE; SYMPTOMS; COMORBIDITY; VALIDITY; RELIABILITY;

D O I：

10.3390/healthcare10101910

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

(1) Background: Even though the comorbidity of obsessive-compulsive disorder (OCD) and a psychotic disorder (PD), such as schizophrenia, is being increasingly recognized, the impact of this comorbidity on the clinical presentation, including insight into obsessive-compulsive symptoms and the functioning of OCD, remains unclear. (2) Methods: To investigate clinical differences between OCD patients with and without PD, 86 Japanese outpatients who met the DSM-IV-TR criteria for OCD were recruited and divided into two groups: 28 OCD patients with PD, and 58 OCD patients without PD. The two groups were cross-sectionally compared in terms of their sociodemographic profiles and clinical characteristics, including the DSM-IV-TR insight specifier and the Global Assessment of Functioning (GAF). (3) Results: The results showed that OCD patients with PD scored lower on both the insight and GAF assessments. (4) Conclusions: The present study suggests that comorbid PD in OCD is a clinical entity.

引用

页数：13

共 50 条

[1] OBSESSIVE-COMPULSIVE DISORDER WITH PSYCHOTIC FEATURES
EISEN, JL
RASMUSSEN, SA
JOURNAL OF CLINICAL PSYCHIATRY, 1993, 54 (10) : 373 - 379
[2] Obsessive-compulsive disorder with psychotic features in adolescence
Taracena, MTD
Zubeldia, V
Alvarez, MAF
Rodríguez, EA
ACTAS ESPANOLAS DE PSIQUIATRIA, 2000, 28 (06): : 399 - 401
[3] OBSESSIVE-COMPULSIVE DISORDER WITH PSYCHOTIC FEATURES - A PHENOMENOLOGICAL ANALYSIS
INSEL, TR
AKISKAL, HS
AMERICAN JOURNAL OF PSYCHIATRY, 1986, 143 (12): : 1527 - 1533
[4] Clinical features of obsessive-compulsive disorder
Attiullah, N
Eisen, JL
Rasmussen, SA
PSYCHIATRIC CLINICS OF NORTH AMERICA, 2000, 23 (03) : 469 - +
[5] Obsessive-compulsive disorder with psychotic features: psychopathological and personological aspects
Pelizza, Lorenzo
Pupo, Simona
RIVISTA DI PSICHIATRIA, 2013, 48 (03) : 224 - 233
[6] Clinical features of pure obsessive-compulsive disorder
Torres, Albina R.
Shavitt, Roseli G.
Torresan, Ricardo C.
Ferrao, Ygor A.
Miguel, Euripedes C.
Fontenelle, Leonardo F.
COMPREHENSIVE PSYCHIATRY, 2013, 54 (07) : 1042 - 1052
[7] Clinical Features of "Pure" Obsessive-Compulsive Disorder
Torres, A. R.
Shavitt, R. G.
Torresan, R. C.
Ferrao, Y. A.
Miguel, E. C.
Fontenelle, L. F.
JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS, 2013, 2 (02) : 223 - 223
[8] Clinical features of refractory obsessive-compulsive disorder
Miguel, EC
Ferrao, YA
Shavitt, RG
Bedin, NR
Mathis, ME
Lopes, AC
Fontenelle, LF
BIOLOGICAL PSYCHIATRY, 2005, 57 (08) : 101S - 101S
[9] LONG-TERM OUTCOME OF OBSESSIVE-COMPULSIVE DISORDER WITH PSYCHOTIC FEATURES
FENTON, WS
MCGLASHAN, TH
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1990, 178 (12) : 760 - 761
[10] Clinical features associated to refractory obsessive-compulsive disorder
Ferrao, Ygor A.
Shavitt, Rosell G.
Bedin, Nadia R.
de Mathis, Maria Eugenia
Lopes, Antonio Carlos
Fontenelle, Leonardo F.
Torres, Albina R.
Miguel, Euripedes C.
JOURNAL OF AFFECTIVE DISORDERS, 2006, 94 (1-3) : 199 - 209

← 1 2 3 4 5 →