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Towards a post-traumatic subtype of obsessive-compulsive disorder.

Abstract：

:We evaluated whether traumatic events are associated with a distinctive pattern of socio-demographic and clinical features of obsessive-compulsive disorder (OCD). We compared socio-demographic and clinical features of 106 patients developing OCD after post-traumatic stress disorder (PTSD; termed post-traumatic OCD), 41 patients developing OCD before PTSD (pre-traumatic OCD), and 810 OCD patients without any history of PTSD (non-traumatic OCD) using multinomial logistic regression analysis. A later age at onset of OCD, self-mutilation disorder, history of suicide plans, panic disorder with agoraphobia, and compulsive buying disorder were independently related to post-traumatic OCD. In contrast, earlier age at OCD onset, alcohol-related disorders, contamination-washing symptoms, and self-mutilation disorder were all independently associated with pre-traumatic OCD. In addition, patients with post-traumatic OCD without a previous history of obsessive-compulsive symptoms (OCS) showed lower educational levels, greater rates of contamination-washing symptoms, and more severe miscellaneous symptoms as compared to post-traumatic OCD patients with a history of OCS.

journal_name

J Anxiety Disord

journal_title

Journal of anxiety disorders

authors

Fontenelle LF,Cocchi L,Harrison BJ,Shavitt RG,do Rosário MC,Ferrão YA,de Mathis MA,Cordioli AV,Yücel M,Pantelis C,Mari Jde J,Miguel EC,Torres AR

doi

10.1016/j.janxdis.2011.12.001

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

377-83

issue

2

eissn

0887-6185

issn

1873-7897

pii

S0887-6185(11)00188-5

journal_volume

26

pub_type

杂志文章

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