Prevalence and clinical characteristics of patients with obsessive-compulsive disorder in first-episode psychosis

BMC Psychiatry

Research Article

Bjarne Hansen¹  Tor Ketil Larsen²  Inge Joa³  Kristen Hagen⁴ 

[1] Department of Psychiatry, Haukeland University Hospital, Bergen, Norway;Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway;Psychiatric Division, Regional Centre for Clinical Research in Psychosis, Stavanger University Hospital, Stavanger, Norway;Psychiatric Division, Regional Centre for Clinical Research in Psychosis, Stavanger University Hospital, Stavanger, Norway;Faculty of Social Sciences, University of Stavanger, Stavanger, Norway;Østmarka Psychiatric Department, St. Olav’s University Hospital, 7441, Trondheim, Norway;NTNU Norwegian University of Science and Technology, 1, 7491, Hogskoleringen, Trondheim, Norway;

关键词: Obsessive-compulsive disorder;    First-episode psychosis;    Schizophrenia;    Prevalence;    Comorbidity;   

DOI  :  10.1186/1471-244X-13-156

 received in 2012-11-30, accepted in 2013-05-07,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundObsessive-compulsive disorder (OCD) in patients with psychotic disorders has been reported to be a frequent co-morbid disorder in patients with psychotic disorders. The aim of the study determine the prevalence of OCD in first-episode psychosis and the relationship with clinical characteristics.MethodsFirst-episode psychosis patients (N = 246) consecutively admitted to a comprehensive early psychosis program were assessed for OCD with the Structured Clinical Interview for DSM-IV. Symptom assessment measures were the Positive and Negative Syndrome Scale, Global Assessment of Functioning, and the Clinician Rating Scale.ResultsTwenty-six patients (10.6%) fulfilled the criteria for OCD. Patients with comorbid OCD were younger, had more depressive symptoms and a higher rate of suicidal plans or attempts at index point compared to patients without OCD. The two groups did not differ with respect to other demographic variables or severity of psychotic symptoms.ConclusionOCD is a significant comorbid disorder in patients with first-episode psychosis. Since treatment procedures are different, systematic screening for OCD is warranted.

【 授权许可】

CC BY   
© Hagen et al.; licensee BioMed Central Ltd. 2013