Artículos de revistas
Bipolar disorder and comorbid obsessive-compulsive disorder is associated with higher rates of anxiety and impulse control disorders
Fecha
2010Registro en:
ACTA NEUROPSYCHIATRICA, v.22, n.2, p.81-86, 2010
0924-2708
10.1111/j.1601-5215.2010.00457.x
Autor
ISSLER, Cilly Klueger
MONKUL, Emel Serap
AMARAL, Jose Antonio de Mello Siqueira
TAMADA, Renata Sayuri
SHAVITT, Roseli Gedanke
MIGUEL, Euripedes C.
LAFER, Beny
Institución
Resumen
Objective: Although bipolar disorder (BD) with comorbid obsessive-compulsive disorder (OCD) is highly prevalent, few controlled studies have assessed this comorbidity. The objective of this study was to investigate the clinical characteristics and expression of comorbid disorders in female BD patients with OCD. Method: We assessed clinically stable female outpatients with BD: 15 with comorbid OCD (BD+OCD group) and 15 without (BD/no-OCD group). All were submitted to the Structured Clinical Interview for DSM-IV, with additional modules for the diagnosis of kleptomania, trichotillomania, pathological gambling, onychophagia and skin picking. Results: The BD+OCD patients presented more chronic episodes, residual symptoms and previous depressive episodes than the BD/no-OCD patients. Of the BD+OCD patients, 86% had a history of treatment-emergent mania, compared with only 40% of the BD/no-OCD patients. The following were more prevalent in the BD+OCD patients than the BD/no-OCD patients: any anxiety disorder other than OCD; impulse control disorders; eating disorders; and tic disorders. Conclusion: Female BD patients with OCD may represent a more severe form of disorder than those without OCD, having more depressive episodes and residual symptoms, and being at a higher risk for treatment-emergent mania, as well as presenting a greater anxiety and impulse control disorder burden.
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Obsessive-compulsive disorder: Influence of age at onset on comorbidity patterns
de Mathis, Maria Alice; do Rosario, Maria Conceição; Diniz, Juliana Belo; Torres, Albina Rodrigues; Shavitt, Roseli Gedanki; Ferrão, Ygor Arzeno; Fossaluza, Victor; de Bragança Pereira, Carlos Alberto; Miguel, Eurípedes Constantino -
Obsessive-compulsive disorder: Influence of age at onset on comorbidity patterns
Universidade de São Paulo (USP); Universidade Estadual Paulista (Unesp); Porto Alegre Institute University Center; Obsessive-Compulsive Disorder Brazilian Consortium (C-TOC) (2008-04-01)Purpose: This study investigates the influence of age at onset of OCS on psychiatric comorbidities, and tries to establish a cut-off point for age at onset. Methods: Three hundred and thirty OCD patients were consecutively ... -
Obsessive-compulsive disorder: Influence of age at onset on comorbidity patterns
Universidade de São Paulo (USP); Universidade Estadual Paulista (Unesp); Porto Alegre Institute University Center; Obsessive-Compulsive Disorder Brazilian Consortium (C-TOC) (2008-04-01)Purpose: This study investigates the influence of age at onset of OCS on psychiatric comorbidities, and tries to establish a cut-off point for age at onset. Methods: Three hundred and thirty OCD patients were consecutively ...