Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/1089
Title: Towards a post-traumatic subtype of obsessive-compulsive disorder
Authors: FONTENELLE, Leonardo F.COCCHI, LucaHARRISON, Ben J.SHAVITT, Roseli G.ROSARIO, Maria Conceicao doFERRAO, Ygor A.MATHIS, Maria Alice deCORDIOLI, Aristides V.YUECEL, MuratPANTELIS, ChristosMARI, Jair de JesusMIGUEL, Euripedes C.TORRES, Albina R.
Citation: JOURNAL OF ANXIETY DISORDERS, v.26, n.2, p.377-383, 2012
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.
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