標題: Outcome of Severe Obsessive-compulsive Disorder With Schizotypal Features: A Pilot Study
作者: Huang, Lung-Cheng
Hwang, Tzung-Jeng
Huang, Guan-Hua
Hwu, Hai-Gwo
統計學研究所
Institute of Statistics
關鍵字: long-term outcome;obsessive-compulsive disorder;psychotic disorder;schizophrenia;schizotypal disorder
公開日期: 1-二月-2011
摘要: Background/Purpose: Long-term outcome of patients with severe obsessive-compulsive disorder (OCD) and schizotypal features has been rarely studied. We investigated this issue in this retrospective pilot study. Methods: Twenty-two patients with severe OCD and schizotypal features were identified by chart review. Another 22 ()CD patients without schizotypal features (OCD-NS) served as the comparison group. Those with schizotypal features must not fulfill a diagnosis of schizophrenia or schizotypal disorder. After an average follow-up of 6.6 years, each patient received a re-diagnosis clinical interview. Relevant demographic and clinical data were collected. Patients with schizotypal features were classified into two groups after re-diagnosis: those with schizophrenia or schizotypal disorder (OCD-SS group, n=9) and those with only schizotypal traits (OCD-ST group, n=13) that did not fulfill a well-formed schizophrenia-spectrum disorder. Demographic data, family history, clinical symptoms, and OCD course were compared among the three patient groups. Results: Compared with the OCD-NS group, the OCD-SS group was significantly less educated, less likely to be married or female, and had earlier onset of illness and poorer OCD course (p < 0.05). There was no significant difference in any demographic and clinical variables between the OCD-SS and OCD-ST groups except that the OCD-ST group had a significantly better OCD course (p < 0.01). Conclusion: The findings suggest that a substantial proportion of the patients with severe OCD and schizotypal features evolve into schizophrenia spectrum disorder and are associated with a poor long-term outcome, whereas the OCD-NS group might stay with limited manifestations of schizotypal features and have a better outcome.
URI: http://dx.doi.org/10.1016/S0929-6646(11)60014-4
http://hdl.handle.net/11536/25789
ISSN: 0929-6646
DOI: 10.1016/S0929-6646(11)60014-4
期刊: JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
Volume: 110
Issue: 2
起始頁: 85
結束頁: 92
顯示於類別:期刊論文


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  1. 000288479900004.pdf