Higher prevalence of obsessive-compulsive spectrum disorders in rheumatic fever.

Abstract:

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.

journal_name

Gen Hosp Psychiatry

authors

de Alvarenga PG,Floresi AC,Torres AR,Hounie AG,Fossaluza V,Gentil AF,Pereira CA,Miguel EC

doi

10.1016/j.genhosppsych.2008.11.003

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

178-80

issue

2

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(08)00217-X

journal_volume

31

pub_type

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