Please use this identifier to cite or link to this item:
https://observatorio.fm.usp.br/handle/OPI/1076
Title: | Clinical features of obsessive-compulsive disorder with hoarding symptoms: A multicenter study |
Authors: | TORRES, Albina R.; FONTENELLE, Leonardo F.; FERRAO, Ygor A.; ROSARIO, Maria Conceicao do; TORRESAN, Ricardo C.; MIGUEL, Euripedes C.; SHAVITT, Roseli G. |
Citation: | JOURNAL OF PSYCHIATRIC RESEARCH, v.46, n.6, p.724-732, 2012 |
Abstract: | Background: Factor analyses indicate that hoarding symptoms constitute a distinctive dimension of obsessive-compulsive disorder (OCD), usually associated with higher severity and limited insight. The aim was to compare demographic and clinical features of OCD patients with and without hoarding symptoms. Method: A cross sectional study was conducted with 1001 DSM-IV OCD patients from the Brazilian Research Consortium of Obsessive-Compulsive Spectrum Disorders (CTOC), using several instruments. The presence and severity of hoarding symptoms were determined using the Dimensional Yale-Brown Obsessive-Compulsive Scale. Statistical univariate analyses comparing factors possibly associated with hoarding symptoms were conducted, followed by logistic regression to adjust the results for possible confounders. Results: Approximately half of the sample (52.7%, n = 528) presented hoarding symptoms, but only four patients presented solely the hoarding dimension. Hoarding was the least severe dimension in the total sample (mean score: 3.89). The most common lifetime hoarding symptom was the obsessive thought of needing to collect and keep things for the future (44.0%, n = 440). After logistic regression, the following variables remained independently associated with hoarding symptoms: being older, living alone, earlier age of symptoms onset, insidious onset of obsessions, higher anxiety scores, poorer insight and higher frequency of the symmetry-ordering symptom dimension. Concerning comorbidities, major depressive, posttraumatic stress and attention deficit/hyperactivity disorders, compulsive buying and tic disorders remained associated with the hoarding dimension. Conclusion: OCD hoarding patients are more likely to present certain clinical features, but further studies are needed to determine whether OCD patients with hoarding symptoms constitute an etiologically discrete subgroup. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MPS Artigos e Materiais de Revistas Científicas - HC/IPq Artigos e Materiais de Revistas Científicas - LIM/21 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
art_MIGUEL_Clinical_features_of_obsessive_compulsive_disorder_with_hoarding_2012.PDF Restricted Access | publishedVersion (English) | 210.2 kB | Adobe PDF | View/Open Request a copy |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.