Level of insight and clinical features of obsessive-compulsive disorder with and without body dysmorphic disorder

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dc.contributor.authorNakata, Ana Cristina Gargano
dc.contributor.authorDiniz, Juliana B.
dc.contributor.authorTorres, Albina Rodrigues [UNESP]
dc.contributor.authorDe Mathis, Maria Alice
dc.contributor.authorFossaluza, Victor
dc.contributor.authorBraganças, Carlos Alberto
dc.contributor.authorFerrão, Ygor
dc.contributor.authorMiguel, Euripedes C.
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionMetodista University Center
dc.date.accessioned2014-05-27T11:22:27Z
dc.date.available2014-05-27T11:22:27Z
dc.date.issued2007-04-01
dc.description.abstractIntroduction: Body dysmorphic disorder (BDD) and obsessive-compulsive disorder (OCD) have several similarities and are included among the obsessive-compulsive spectrum of disorders. However, the content of preoccupations and level of insight of BDD patients differ from OCD patients. Objective: To compare the level of insight regarding obsessive-compulsive symptoms (OCS) and other clinical features in OCD patients with and without comorbid BDD. Methods: We evaluated 103 OCD patients (n=25, comorbid BDD), according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria using the Structured Clinical Interview for DSM-IV, the Yale-Brown Obsessive-Compulsive Scale, the University of Sao Paulo Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, and the Brown Assessment of Beliefs Scale. Resylts: The study groups differed significantly on several clinical features, including level of insight. A worse level of insight regarding OCS was independently associated with the presence of comorbid BDD. Lower educational level, more psychiatric comorbidities, presence of somatic and hoarding obsessions, and presence of intrusive images were associated with BDD comorbidity, even after adjusting for possible confounders. Conclusion: The presence of BDD in OCD patients is associated with poorer insight into obsessional beliefs and higher morbidity, reflected by lower educational levels and higher number of psychiatric comorbid disorders in general.en
dc.description.affiliationDepartment of Psychiatry University of São Paulo Medical School
dc.description.affiliationDepartment of Neurology and Psychiatry Botucatu Medical School
dc.description.affiliationDepartment of Statistics University of São Paulo Mathematical and Statistics Institute
dc.description.affiliationGraduate Department Metodista University Center, Porto Alegre
dc.description.affiliationUniversity of São Paulo Medical School Department of Psychiatry, R Dr O. P. de Campos, 785, 4, andar, São Paulo, SP 05403-010
dc.description.affiliationUnespDepartment of Neurology and Psychiatry Botucatu Medical School
dc.format.extent295-303
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/17426667
dc.identifier.citationCNS Spectrums, v. 12, n. 4, p. 295-303, 2007.
dc.identifier.issn1092-8529
dc.identifier.lattes3837157956819433
dc.identifier.scopus2-s2.0-34248141242
dc.identifier.urihttp://hdl.handle.net/11449/69618
dc.language.isoeng
dc.relation.ispartofCNS Spectrums
dc.relation.ispartofjcr3.504
dc.relation.ispartofsjr1,391
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectadolescent
dc.subjectadult
dc.subjectBeck Anxiety Inventory
dc.subjectBeck Depression Inventory
dc.subjectbody dysmorphic disorder
dc.subjectchild
dc.subjectclinical feature
dc.subjectcomorbidity
dc.subjectcomparative study
dc.subjectconfounding variable
dc.subjectcontrolled study
dc.subjectdiagnostic and statistical manual of mental disorders
dc.subjecteducation
dc.subjecthuman
dc.subjectintrospection
dc.subjectmajor clinical study
dc.subjectmorbidity
dc.subjectobsessive compulsive disorder
dc.subjectpriority journal
dc.subjectpsychiatry
dc.subjectrating scale
dc.subjectstatistical significance
dc.subjectstructured interview
dc.subjectsymptom
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAwareness
dc.subjectBrazil
dc.subjectComorbidity
dc.subjectCulture
dc.subjectDiagnosis, Differential
dc.subjectDiagnostic and Statistical Manual of Mental Disorders
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMental Disorders
dc.subjectMiddle Aged
dc.subjectObsessive-Compulsive Disorder
dc.subjectSomatoform Disorders
dc.titleLevel of insight and clinical features of obsessive-compulsive disorder with and without body dysmorphic disorderen
dc.typeArtigo
unesp.author.lattes3837157956819433[3]
unesp.author.orcid0000-0003-1072-5008[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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