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Obsessive-compulsive syndromes and disorders : Significance of comorbidity with bipolar and anxiety syndromes

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2005

Autor:innen

Angst, Jules
Gamma, Alex
Hantouche, Elie
Goodwin, Renée
Ajdacic, Vladeta
Eich, Dominique
Rössler, Wulf

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https://doi.org/10.1007/s00406-005-0576-8
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Psychologie: Publikationen
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Published

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European Archives of Psychiatry and Clinical Neuroscience. 2005, 255(1), pp. 65-71. ISSN 0940-1334. eISSN 1433-8491. Available under: doi: 10.1007/s00406-005-0576-8

Zusammenfassung

Objective

To determine the prevalence and clinical characteristics of comorbid obsessive compulsive disorders and syndromes (OCD/OCS), compared with pure OCD/OCS among adults in the community.

Method

Data were drawn from the Zurich Study, a longitudinal cohort study of 591 adults in the canton of Zurich. Comorbid OCD/OCS was compared with pure OCD/OCS groups in terms of distress, impairment, family history, suicide behavior and treatment using multivariable logistic regression analyses.

Results

OCD was significantly comorbid with bipolar I/II and minor bipolar disorders, anxiety states (GAD, repeated panic attacks) and social phobia, whereas there was no clear association between OCD and major depressive disorder or phobias other than social phobia. Results suggest that comorbid OCD/OCS is common among adults in the community, with the majority of those with OCD/OCS having at least one comorbid mood or anxiety disorder with a prevalence of 7.4% compared to 4.8% of remaining OCD/OCS. Comorbidity of OCD/OCS and anxiety states was more common among women (85.6 %) and comorbidity with bipolar spectrum was more common among men (69.6%). Comorbid OCD/OCS was associated with significantly higher levels of treatment seeking, impairment,distress and suicidality compared with pure OCD/OCS. Comorbidity with bipolar disorders significantly increased the risk for alcohol abuse/dependence.

Conclusion

Comorbidity of OCD/OCS with bipolar disorder and bipolar spectrum disorders is common and very probably explains the association between OCD and depression found in other studies. The early recognition of bipolar/cyclothymic OCD/OCS may help to prevent the abuse of/dependence on alcohol.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
150 Psychologie

Schlagwörter

obsessive-compulsive disorder; comorbidity; bipolar disorder; anxiety disorders

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ISO 690ANGST, Jules, Alex GAMMA, Jérôme ENDRASS, Elie HANTOUCHE, Renée GOODWIN, Vladeta AJDACIC, Dominique EICH, Wulf RÖSSLER, 2005. Obsessive-compulsive syndromes and disorders : Significance of comorbidity with bipolar and anxiety syndromes. In: European Archives of Psychiatry and Clinical Neuroscience. 2005, 255(1), pp. 65-71. ISSN 0940-1334. eISSN 1433-8491. Available under: doi: 10.1007/s00406-005-0576-8
BibTex
@article{Angst2005-02Obses-38035,
  year={2005},
  doi={10.1007/s00406-005-0576-8},
  title={Obsessive-compulsive syndromes and disorders : Significance of comorbidity with bipolar and anxiety syndromes},
  number={1},
  volume={255},
  issn={0940-1334},
  journal={European Archives of Psychiatry and Clinical Neuroscience},
  pages={65--71},
  author={Angst, Jules and Gamma, Alex and Endrass, Jérôme and Hantouche, Elie and Goodwin, Renée and Ajdacic, Vladeta and Eich, Dominique and Rössler, Wulf}
}
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