Artículos de revistas
Higher prevalence of obsessive-compulsive spectrum disorders in rheumatic fever
Fecha
2009Registro en:
GENERAL HOSPITAL PSYCHIATRY, v.31, n.2, p.178-180, 2009
0163-8343
10.1016/j.genhosppsych.2008.11.003
Autor
ALVARENGA, Pedro Gomes de
FLORESI, Ana Clara
TORRES, Albina R.
HOUNIE, Ana G.
FOSSALUZA, Victor
GENTIL, Andre F.
PEREIRA, Carlos A. B.
MIGUEL, Euripedes C.
Institución
Resumen
Objective: 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 Inc.