A cross-cultural clinical comparison between subjects with obsessive-compulsive disorder from the United States and Brazil

dc.contributor.authorMedeiros, Gustavo C.
dc.contributor.authorTorres, Albina R. [UNESP]
dc.contributor.authorBoisseau, Christina L.
dc.contributor.authorLeppink, Eric W.
dc.contributor.authorEisen, Jane L.
dc.contributor.authorFontenelle, Leonardo F.
dc.contributor.authordo Rosário, Maria C.
dc.contributor.authorMancebo, Maria C.
dc.contributor.authorRasmussen, Steven A.
dc.contributor.authorFerrão, Ygor A.
dc.contributor.authorGrant, Jon E.
dc.contributor.institutionUniversity of Chicago
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionAlpert Medical School of Brown University
dc.contributor.institutionMount Sinai St. Lukes/Mount Sinai West
dc.contributor.institutionUniversidade Federal do Rio de Janeiro (UFRJ)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionRio Grande do Sul
dc.date.accessioned2018-12-11T17:23:27Z
dc.date.available2018-12-11T17:23:27Z
dc.date.issued2017-08-01
dc.description.abstractAlthough OCD is a global problem, the literature comparing, in a direct and standardized way, the manifestations across countries is scarce. Therefore, questions remain as to whether some important clinical findings are replicable worldwide, especially in the developing world. The objective of this study was to perform a clinical comparison of OCD patients recruited in the United States (U.S.) and Brazil. Our sample consisted of 1187 adult, treatment-seeking OCD outpatients from the U.S. (n=236) and Brazil (n=951). With regards to the demographics, U.S. participants with OCD were older, more likely to identify as Caucasian, had achieved a higher educational level, and were less likely to be partnered when compared to Brazilians. Concerning the clinical variables, after controlling for demographics the two samples presented largely similar profiles. Brazilian participants with OCD, however, endorsed significantly greater rates of generalized anxiety disorder and post-traumatic stress disorder, whereas U.S. subjects were significantly more likely to endorse a lifetime history of addiction (alcohol-use and substance-use disorders). This is the largest direct cross-cultural comparison to date in the OCD field. Our results provide much needed insight regarding the development of culture-sensitive treatments.en
dc.description.affiliationDepartment of Psychiatry & Behavioral Neuroscience University of Chicago
dc.description.affiliationBotucatu Medical School-São Paulo State University (UNESP)
dc.description.affiliationAlpert Medical School of Brown University
dc.description.affiliationDepartment of Psychiatry Mount Sinai St. Lukes/Mount Sinai West
dc.description.affiliationInstitute of Psychiatry Universidade Federal do Rio de Janeiro (UFRJ)
dc.description.affiliationDepartment of Psychiatry and Psychology Federal University of São Paulo
dc.description.affiliationPorto Alegre Health Sciences Federal University Rio Grande do Sul
dc.description.affiliationUnespBotucatu Medical School-São Paulo State University (UNESP)
dc.format.extent104-111
dc.identifierhttp://dx.doi.org/10.1016/j.psychres.2017.04.024
dc.identifier.citationPsychiatry Research, v. 254, p. 104-111.
dc.identifier.doi10.1016/j.psychres.2017.04.024
dc.identifier.file2-s2.0-85018356227.pdf
dc.identifier.file
dc.identifier.issn1872-7123
dc.identifier.issn0165-1781
dc.identifier.scopus2-s2.0-85018356227
dc.identifier.urihttp://hdl.handle.net/11449/177000
dc.language.isoeng
dc.relation.ispartofPsychiatry Research
dc.relation.ispartofsjr1,215
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectClinical aspects
dc.subjectCross-cultural psychiatry
dc.subjectObsessive-compulsive disorder
dc.subjectTranscultural psychiatry
dc.titleA cross-cultural clinical comparison between subjects with obsessive-compulsive disorder from the United States and Brazilen
dc.typeArtigo
unesp.author.lattes3837157956819433[2]
unesp.author.orcid0000-0003-1072-5008[2]

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