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Obsessive-compulsive disorder: Prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000

dc.contributor.authorTorres, Albina Rodrigues [UNESP]
dc.contributor.authorPrince, Martin J.
dc.contributor.authorBebbington, Paul E.
dc.contributor.authorBhugra, Dinesh
dc.contributor.authorBrugha, Traolach S.
dc.contributor.authorFarrell, Michael
dc.contributor.authorJenkins, Rachel
dc.contributor.authorLewis, Glyn
dc.contributor.authorMeltzer, Howard
dc.contributor.authorSingleton, Nicola
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniv Bristol
dc.contributor.institutionUniv Leicester
dc.contributor.institutionUCL
dc.contributor.institutionKings Coll London
dc.date.accessioned2014-05-20T13:35:57Z
dc.date.available2014-05-20T13:35:57Z
dc.date.issued2006-11-01
dc.description.abstractObjective: There is little information about obsessive-compulsive disorder in large representative community samples. The authors aimed to establish obsessive-compulsive disorder prevalence and its clinical typology among adults in private households in Great Britain and to obtain generalizable estimates of impairment and help-seeking.Method: Data from the British National Psychiatric Morbidity Survey of 2000, comprising 8,580 individuals, were analyzed using appropriate measurements. The study compared individuals with obsessive-compulsive disorder, individuals with other neurotic disorders, and a nonneurotic comparison group. ICD-10 diagnoses were derived from the Clinical Interview Schedule-Revised.Results: the authors identified 114 individuals (74 women, 40 men) with obsessive-compulsive disorder, with a weighted 1-month prevalence of 1.1%. Most individuals (55%) in the obsessive-compulsive group had obsessions only. Comorbidity occurred in 62% of these individuals, which was significantly greater than the group with other neuroses (10%). Co-occurring neuroses were depressive episode (37%), generalized anxiety disorder (31%), agoraphobia or panic disorder (22%), social phobia (17%), and specific phobia (15%). Alcohol dependence was present in 20% of participants, mainly men, and drug dependence was present in 13%. Obsessive-compulsive disorder, compared with other neurotic disorders, was associated with more marked social and occupational impairment. One-quarter of obsessive-compulsive disorder participants had previously attempted suicide. Individuals with pure and comorbid obsessive-compulsive disorder did not differ according to most indices of impairment, including suicidal behavior, but pure individuals were significantly less likely to have sought help (14% versus 56%).Conclusions: A rare yet severe mental disorder, obsessive-compulsive disorder is an atypical neurosis, of which the public health significance has been underestimated. Unmet need among individuals with pure obsessive-compulsive disorder is a cause for concern, requiring further investigation of barriers to care and interventions to encourage help-seeking.en
dc.description.affiliationUniv Estadual Paulista, Dept Neurol & Psiquiat, Fac Med, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUniv Bristol, Div Psychiat, Bristol BS8 1TH, Avon, England
dc.description.affiliationUniv Leicester, Dept Hlth Sci, Leicester LE1 7RH, Leics, England
dc.description.affiliationUCL, Dept Psychiat & Behav Sci, London WC1E 6BT, England
dc.description.affiliationKings Coll London, Inst Psychiat, Div Psychol Med, London WC2R 2LS, England
dc.description.affiliationUnespUniv Estadual Paulista, Dept Neurol & Psiquiat, Fac Med, BR-18618970 Botucatu, SP, Brazil
dc.format.extent1978-1985
dc.identifierhttp://dx.doi.org/10.1176/appi.ajp.163.11.1978
dc.identifier.citationAmerican Journal of Psychiatry. Arlington: Amer Psychiatric Publishing, Inc., v. 163, n. 11, p. 1978-1985, 2006.
dc.identifier.doi10.1176/appi.ajp.163.11.1978
dc.identifier.issn0002-953X
dc.identifier.lattes3837157956819433
dc.identifier.urihttp://hdl.handle.net/11449/12380
dc.identifier.wosWOS:000241669900022
dc.language.isoeng
dc.publisherAmer Psychiatric Publishing, Inc
dc.relation.ispartofAmerican Journal of Psychiatry
dc.relation.ispartofjcr13.391
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.titleObsessive-compulsive disorder: Prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000en
dc.typeArtigo
dcterms.licensehttp://ps.psychiatryonline.org/public_access_policy.aspx
dcterms.rightsHolderAmer Psychiatric Publishing, Inc
dspace.entity.typePublication
unesp.author.lattes3837157956819433[1]
unesp.author.orcid0000-0002-6030-7456[3]
unesp.author.orcid0000-0002-2958-0331[7]
unesp.author.orcid0000-0001-5205-8245[8]
unesp.author.orcid0000-0003-1379-7146[2]
unesp.author.orcid0000-0001-7008-8130[6]
unesp.author.orcid0000-0003-1072-5008[1]
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
unesp.departmentNeurologia, Psicologia e Psiquiatria - FMBpt

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