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Title: Towards a post-traumatic subtype of obsessive-compulsive disorder
Authors: Fontenelle, Leonardo F.
Cocchi, Luca
Harrison, Ben J.
Shavitt, Roseli G.
Rosario, Maria Conceicao do
Ferrao, Ygor A.
Mathis, Maria Alice de [UNIFESP]
Cordioli, Aristides V.
Yuecel, Murat
Pantelis, Christos
Mari, Jair de Jesus [UNIFESP]
Miguel, Euripedes C.
Torres, Albina R.
Universidade Federal do Rio de Janeiro (UFRJ)
Universidade Federal Fluminense (UFF)
Univ Melbourne
Melbourne Hlth
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Hlth Sci Fed Univ Porto Alegre
Univ Fed Rio Grande do Sul
Keywords: Obsessive-compulsive disorder
Post-traumatic stress disorder
Traumatic stress
Traumatic life-events
Issue Date: 1-Mar-2012
Publisher: Elsevier B.V.
Citation: Journal of Anxiety Disorders. Oxford: Pergamon-Elsevier B.V., 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. (C) 2011 Elsevier B.V. All rights reserved.
ISSN: 0887-6185
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