Higher prevalence of obsessive-compulsive spectrum disorders in rheumatic fever

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dc.contributor.authorAlvarenga, Pedro Gomes de
dc.contributor.authorFloresi, Ana Clara
dc.contributor.authorTorres, Albina Rodrigues [UNESP]
dc.contributor.authorHounie, Ana G.
dc.contributor.authorFossaluza, Victor
dc.contributor.authorGentil, Andre F.
dc.contributor.authorPereira, Carlos A. B.
dc.contributor.authorMiguel, Euripedes C.
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:36:09Z
dc.date.available2014-05-20T13:36:09Z
dc.date.issued2009-03-01
dc.description.abstractObjective: 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.en
dc.description.affiliationUniv São Paulo, Sch Med, Dept & Inst Psychiat, São Paulo, Brazil
dc.description.affiliationSão Paulo State Univ, Botucatu Med Sch, Dept Neurol Psychol & Psychiat, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Inst Math & Stat, São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Botucatu Med Sch, Dept Neurol Psychol & Psychiat, São Paulo, Brazil
dc.format.extent178-180
dc.identifierhttp://dx.doi.org/10.1016/j.genhosppsych.2008.11.003
dc.identifier.citationGeneral Hospital Psychiatry. New York: Elsevier B.V., v. 31, n. 2, p. 178-180, 2009.
dc.identifier.doi10.1016/j.genhosppsych.2008.11.003
dc.identifier.issn0163-8343
dc.identifier.lattes3837157956819433
dc.identifier.urihttp://hdl.handle.net/11449/12456
dc.identifier.wosWOS:000264468700013
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofGeneral Hospital Psychiatry
dc.relation.ispartofjcr2.989
dc.relation.ispartofsjr1,147
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectObsessive-compulsive disorderen
dc.subjectRheumatic feveren
dc.subjectStreptococcal infectionen
dc.subjectSydenham's choreaen
dc.titleHigher prevalence of obsessive-compulsive spectrum disorders in rheumatic feveren
dc.typeArtigo
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dcterms.rightsHolderElsevier B.V.
unesp.author.lattes3837157956819433[3]
unesp.author.orcid0000-0002-9328-0210[5]
unesp.author.orcid0000-0003-1072-5008[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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