Alvarenga, Pedro Gomes deFloresi, Ana ClaraTorres, Albina Rodrigues [UNESP]Hounie, Ana G.Fossaluza, VictorGentil, Andre F.Pereira, Carlos A. B.Miguel, Euripedes C.2014-05-202014-05-202009-03-01General Hospital Psychiatry. New York: Elsevier B.V., v. 31, n. 2, p. 178-180, 2009.0163-8343http://hdl.handle.net/11449/12456Objective: 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.178-180engObsessive-compulsive disorderRheumatic feverStreptococcal infectionSydenham's choreaArtigo10.1016/j.genhosppsych.2008.11.003WOS:000264468700013Acesso restrito3837157956819433