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Obsessive-compulsive symptom severity in schizophrenia: a Janus Bifrons effect on functioning.

Abstract：

:The impact of obsessive-compulsive symptoms on functioning in schizophrenia is still debated. This study investigated the relationship between OC symptoms and functioning along a severity gradient of obsessive-compulsive dimension. Sixty patients affected by schizophrenia completed the SCID-IV, the Positive and Negative Syndrome Scale, the Yale-Brown Obsessive-Compulsive Scale and the Social and Occupational Functioning Assessment Scale. The relationship between functioning and obsessive-compulsive dimension was described by a reverse U-shaped curve; functioning was positively related to the presence of mild obsessive-compulsive symptoms and inversely related to moderate and severe symptoms, after controlling for the severity of positive, negative, disorganization and general psychopathological symptoms. The role of obsessive-compulsive symptoms on social functioning in schizophrenia occurs along a severity continuum with a gradual transition from a positive correlation (from absent to mild symptoms) to an inverse correlation (for symptoms ranging from moderate to severe) and independently from schizophrenia symptom dimensions.

journal_name

Eur Arch Psychiatry Clin Neurosci

journal_title

European archives of psychiatry and clinical neuroscience

authors

Tonna M,Ottoni R,Paglia F,Ossola P,De Panfilis C,Marchesi C

doi

10.1007/s00406-015-0608-y

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

63-9

issue

1

eissn

0940-1334

issn

1433-8491

pii

10.1007/s00406-015-0608-y

journal_volume

266

pub_type

杂志文章

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