Towards a post-traumatic subtype of obsessive-compulsive disorder
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Data
2012-03-01
Autores
Fontenelle, Leonardo F.
Cocchi, Luca
Harrison, Ben J.
Shavitt, Roseli G.
do Rosário, Maria Conceição
Ferrão, Ygor A.
de Mathis, Maria Alice
Cordioli, Aristides V.
Yücel, Murat
Pantelis, Christos
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Resumo
We evaluated whether traumatic events are associated with a distinctive pattern of socio-demographic and clinical features of obsessive-compulsive disorder (OCD). We compared socio-demographic and clinical features of 106 patients developing OCD after post-traumatic stress disorder (PTSD; termed post-traumatic OCD), 41 patients developing OCD before PTSD (pre-traumatic OCD), and 810 OCD patients without any history of PTSD (non-traumatic OCD) using multinomial logistic regression analysis. A later age at onset of OCD, self-mutilation disorder, history of suicide plans, panic disorder with agoraphobia, and compulsive buying disorder were independently related to post-traumatic OCD. In contrast, earlier age at OCD onset, alcohol-related disorders, contamination-washing symptoms, and self-mutilation disorder were all independently associated with pre-traumatic OCD. In addition, patients with post-traumatic OCD without a previous history of obsessive-compulsive symptoms (OCS) showed lower educational levels, greater rates of contamination-washing symptoms, and more severe miscellaneous symptoms as compared to post-traumatic OCD patients with a history of OCS. © 2011 Elsevier Ltd.
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Comorbidity, Obsessive-compulsive disorder, Post-traumatic stress disorder, Traumatic life-events, Traumatic stress, adult, agoraphobia, alcohol abuse, automutilation, clinical feature, comorbidity, controlled study, disease classification, female, human, major clinical study, male, medical history, obsessive compulsive disorder, panic, posttraumatic stress disorder, suicide attempt, Adult, Compulsive Behavior, Female, Humans, Male, Middle Aged, Obsessive Behavior, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Severity of Illness Index, Stress Disorders, Post-Traumatic
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Journal of Anxiety Disorders, v. 26, n. 2, p. 377-383, 2012.