Curso clínico e prognóstico do transtorno obsessivo-compulsivo

Revista Brasileira de Psiquiatria

Mary A Miranda¹  Isabel A Bordin¹ 

[1] ,Universidade Federal de São Paulo Escola Paulista de Medicina Departamento de PsiquiatriaSão Paulo SP ,Brasil

关键词: Obsessive-compulsive disorder;    Comorbidity;    Clinical evolution;   

DOI  :  10.1590/S1516-44462001000600004

来源: SciELO

【 摘 要 】

The long-term course and prognosis of obsessive-compulsive disorder (OCD) is insufficiently known. To identify predictors of OCD course, follow-up studies of patients with OCD were reviewed and their findings summarized. According to these studies, the following variables were correlated with poor outcome: early onset, severity of OCD symptoms, chronic course, poor social functioning at baseline, lifetime history of comorbid psychiatric and personality disorders, presence of parental Axis I psychiatric diagnosis, and delayed response to serotonin reuptake inhibitors in the beginning of the treatment. Due to the availability of new treatments, most patients with OCD can expect significant improvement, but not complete remission of the disorder. The reviewed follow-up studies support previous reports on the chronicity of OCD.

【 授权许可】

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