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Published in: BMC Psychiatry 1/2015

Open Access 01-12-2015 | Research article

Psychotic and schizotypal symptoms in non-psychotic patients with obsessive-compulsive disorder

Authors: Stian Solem, Kristen Hagen, Christoffer Wenaas, Åshild T. Håland, Gunvor Launes, Patrick A. Vogel, Bjarne Hansen, Joseph A. Himle

Published in: BMC Psychiatry | Issue 1/2015

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Abstract

Background

Research is scarce with regard to the role of psychotic and schizotypal symptoms in treatment of obsessive-compulsive disorder (OCD). The aim of the current study was to investigate the occurrence and specificity of psychotic and schizotypal symptoms among non-psychotic OCD patients, and to examine whether such symptoms was associated with response to exposure and response prevention (ERP), and whether ERP for OCD had an impact on psychotic and schizotypal symptoms.

Methods

Non-psychotic OCD patients (n = 133) and a general non-psychotic psychiatric outpatient sample (n = 110) were assessed using self-report inventories before and after psychological treatment.

Results

Non-psychotic OCD patients did not report greater degree of psychotic or schizotypal symptoms than the control group. Psychotic and schizotypal symptoms were not associated with OCD symptoms before or after ERP. Psychotic and schizotypal symptom were significantly reduced following ERP.

Conclusions

Psychotic and schizotypal symptoms seem to be equally prevalent among non-psychotic OCD patients and non-psychotic psychiatric controls. These symptoms were more linked to depressive symptoms than OCD symptoms. In non-psychotic OCD patients, ERP seems sufficient in reducing OCD symptoms despite the presence of psychotic- and schizotypal symptoms, and reductions in psychotic- and schizotypal symptoms were observed following ERP.
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Metadata
Title
Psychotic and schizotypal symptoms in non-psychotic patients with obsessive-compulsive disorder
Authors
Stian Solem
Kristen Hagen
Christoffer Wenaas
Åshild T. Håland
Gunvor Launes
Patrick A. Vogel
Bjarne Hansen
Joseph A. Himle
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2015
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-015-0502-1

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