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Published in: BMC Psychiatry 1/2013

Open Access 01-12-2013 | Research article

Prevalence and clinical characteristics of patients with obsessive-compulsive disorder in first-episode psychosis

Authors: Kristen Hagen, Bjarne Hansen, Inge Joa, Tor Ketil Larsen

Published in: BMC Psychiatry | Issue 1/2013

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Abstract

Background

Obsessive-compulsive disorder (OCD) in patients with psychotic disorders has been reported to be a frequent co-morbid disorder in patients with psychotic disorders. The aim of the study determine the prevalence of OCD in first-episode psychosis and the relationship with clinical characteristics.

Methods

First-episode psychosis patients (N = 246) consecutively admitted to a comprehensive early psychosis program were assessed for OCD with the Structured Clinical Interview for DSM-IV. Symptom assessment measures were the Positive and Negative Syndrome Scale, Global Assessment of Functioning, and the Clinician Rating Scale.

Results

Twenty-six patients (10.6%) fulfilled the criteria for OCD. Patients with comorbid OCD were younger, had more depressive symptoms and a higher rate of suicidal plans or attempts at index point compared to patients without OCD. The two groups did not differ with respect to other demographic variables or severity of psychotic symptoms.

Conclusion

OCD is a significant comorbid disorder in patients with first-episode psychosis. Since treatment procedures are different, systematic screening for OCD is warranted.
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Metadata
Title
Prevalence and clinical characteristics of patients with obsessive-compulsive disorder in first-episode psychosis
Authors
Kristen Hagen
Bjarne Hansen
Inge Joa
Tor Ketil Larsen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2013
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-13-156

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