Higher prevalence of obsessive-compulsive spectrum disorders in rheumatic fever

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Data

2009-03-01

Autores

Alvarenga, Pedro Gomes de
Floresi, Ana Clara
Torres, Albina Rodrigues [UNESP]
Hounie, Ana G.
Fossaluza, Victor
Gentil, Andre F.
Pereira, Carlos A. B.
Miguel, Euripedes C.

Título da Revista

ISSN da Revista

Título de Volume

Editor

Elsevier B.V.

Resumo

Objective: This study aims to compare the prevalence of obsessive-compulsive spectrum disorders (OCSD) in psychiatric outpatients with and without a history of rheumatic fever (RF).Methods: An analytical cross-sectional study assessing a large sample of consecutive psychiatric outpatients at a Brazilian private practice was conducted during a 10-year period. Psychiatric diagnoses were made by a senior psychiatrist based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Best-estimate diagnosis procedure was also performed.Results: The total sample comprised 678 subjects, 13 of whom (1.92%) presented with a previous history of RF. This group showed a higher prevalence of subclinical obsessive-compulsive disorder (P=.025) and OCSD (P=.007) when compared to individuals with no such history.Conclusions: A previous history of RF was associated with OCSD. These results suggest that clinicians should be encouraged to actively investigate obsessive-compulsive symptoms and related disorders in patients with a positive history of RF. (C) 2009 Published by Elsevier B.V.

Descrição

Palavras-chave

Obsessive-compulsive disorder, Rheumatic fever, Streptococcal infection, Sydenham's chorea

Como citar

General Hospital Psychiatry. New York: Elsevier B.V., v. 31, n. 2, p. 178-180, 2009.