scholarly journals Obsessive-compulsive disorder in pregnancy and the postpartum period: course of illness and obstetrical outcome

2015 ◽  
Vol 19 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Samuel J. House ◽  
Shanti P. Tripathi ◽  
Bettina T. Knight ◽  
Natalie Morris ◽  
D. Jeffrey Newport ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Postpartum Period ◽  
Obsessive Compulsive ◽  
Course Of Illness ◽  
Compulsive Disorder ◽  
Obstetrical Outcome ◽  
In Pregnancy

scholarly journals Onset and Exacerbation of Obsessive-Compulsive Disorder in Pregnancy and the Postpartum Period

2010 ◽  
Vol 71 (08) ◽  
pp. 1061-1068 ◽  
Author(s):  
Ariadna Forray ◽  
Mariel Focseneanu ◽  
Brian Pittman ◽  
Christopher J. McDougle ◽  
C. Neill Epperson
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Postpartum Period ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
In Pregnancy

scholarly journals Obsessive-Compulsive Disorder in Pregnancy and Postpartum

2021 ◽  
Vol 82 (6) ◽  
Author(s):  
Ester di Giacomo ◽  
Valeria Placenti ◽  
Fabrizia Colmegna ◽  
Massimo Clerici
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

Schizophrenia and obsessive compulsive disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. s844-s844
Author(s):  
K. Vrbova ◽  
J. Prasko ◽  
A. Cinculova ◽  
B. Krnacova ◽  
B. Talova ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Early Recognition ◽  
Obsessive Compulsive ◽  
Course Of Illness ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Additional Information ◽  
Second Generation Antipsychotics ◽  
Competing Interest ◽  
Anxiety Depression

IntroductionA recent reviews of published researchers suggest, that up to 25% of schizophrenia patients suffer from obsessive-compulsive symptoms (OCs) and about 12% fulfill the diagnostic criteria for obsessive-compulsive disorder (OCD). Recently, the interest in this issue has significantly increased, probably due to the finding, that second generation antipsychotics, especially clozapine, might induce or aggravate OCs.ObjectiveThe aim of our study was to investigate and clarify the literature data about the extent to which comorbid OCs affects the severity and course of schizophrenia.MethodsThe articles were identified by the keywords “schizophrenia comorbidity” and “obsessive compulsive disorder”, using the medline and web of science search. Additional information was obtained by studying the references of summaries of relevant articles.ResultsObsessive-compulsive symptoms or fully expressed obsessive-compulsive disorder leads to more severe overall psychopathology and poorer treatment outcomes in patients with schizophrenia. This comorbidity is accompanied by increased neurocognitive impairment, high levels of anxiety, depression, and suicidality, less favorable levels of social and vocational functioning, and greater social and health service utilization.ConclusionsIn clinical practice, schizophrenia patients should be carefully monitored for OCs, which may occur at any time during the schizophrenia disease. Early recognition and targeted treatment of this comorbidity reduce patient's distress; positively influence the course of illness and overall treatment outcome.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Schizophrenia with Co-morbid Obsessive-Compulsive Disorder: A Case Series

2021 ◽  
pp. 69-74
Author(s):  
Prakash B. Behere ◽  
Pooja Raikar ◽  
Debolina Chowdhury ◽  
Aniruddh P. Behere ◽  
Richa Yadav
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Negative Symptoms ◽  
Age Of Onset ◽  
Case Series ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Course Of Illness ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder

The frequency of co-morbidities like Obsessive Compulsive Disorder (OCD) is common in schizophrenia. Some studies have reported earlier age of onset, more positive and negative symptoms, more depressive symptoms, and worse prognosis in such patients. The phenomenology and management of OCD in schizophrenia is understudied. Evidence claims that the course of illness of both schizophrenia and bipolar disorders may be affected by obsessive-compulsive disorder whereas in other cases antipsychotic induced obsessive-compulsive symptoms have been observed. A meta-analysis of of schizophrenia and its co-morbid psychiatric conditions, found a prevalence of 12.1% for obsessive compulsive disorder, 9.8% for panic disorders, 12.4% for post-traumatic stress disorder and 14.9% for social phobia. SGAs like amisulpride and aripiprazole are found to be useful in the treatment of comorbid OCD in schizophrenia due to their negligible serotonergic properties. A combination of selective serotonin reuptake inhibitors (SSRI) with antipsychotics has been recommended by the American Psychiatric Association (APA) for treatment of comorbid OCD in schizophrenia. Escitalopram at a dose of 20 mg/day has been found to be beneficial in such cases while psychosis worsened with the use of fluvoxamine and clomipramine. Below is a series of seven cases of schizophrenia with co-morbid obsessive-compulsive symptoms who are on treatment for their illness from the psychiatric outpatient department of a rural hospital in central India.

Stress Situations of Daily Living in Patients with Obsessive—Compulsive Disorder: A Retrospective Case Note Study

2004 ◽  
Vol 94 (1) ◽  
pp. 139-150 ◽  
Author(s):  
Shin Tarumi ◽  
Nobutada Tashiro
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Daily Living ◽  
Basic Needs ◽  
Case Note ◽  
Global Assessment Of Functioning ◽  
Obsessive Compulsive ◽  
Retrospective Case ◽  
Course Of Illness ◽  
Compulsive Disorder ◽  
Chronic Course

About 40% of patients with obsessive–compulsive disorder (OCD) are said to have treatment-refractory symptoms and chronic course of illness in spite of cognitive-behavior therapy and pharmacotherapy. The present purpose was to investigate factors relevant to OCD patients' chronic course and disturbed daily functions in view of human basic needs based on Maslow's hierarchy of five basic needs. Case notes of 101 outpatients with OCD (47 men and 54 women who were 18 to 55 years old) and seen on a psychiatry unit of a general hospital were studied to explore their stressful situations and identify thwarted basic needs. 84 of the 101 patients had Love Needs, and Esteem Needs ( n = 47) and Safety Needs ( n = 45) were next. The Poor-functioning group mainly had histories with problems of Safety Needs (70.8%), while the Good-functioning group tended to mainly have problems of Esteem Needs (51.5%) rather than Safety Needs (33.3%). 57 patients (23 men and 34 women) who were treated for more than three months were divided into two groups according to their Global Assessment of Functioning score at the final assessment (cut-off point: 61); patients in the Good-functioning group tended to have problems of higher needs.

Gender-related clinical differences in obsessive-compulsive disorder

1999 ◽  
Vol 14 (8) ◽  
pp. 434-441 ◽  
Author(s):  
F. Bogetto ◽  
S. Venturello ◽  
U. Albert ◽  
G. Maina ◽  
L. Ravizza
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Clinical Features ◽  
Age At Onset ◽  
Obsessive Compulsive ◽  
Course Of Illness ◽  
Compulsive Disorder ◽  
History Of ◽  
Axis I ◽  
Dsm Iv ◽  
Chronic Course

SummaryThe purpose of the present study was to investigate the gender-related differences of clinical features in a sample of obsessive-compulsive (OCD) patients. One hundred and sixty outpatients with a principal diagnosis of obsessive-compulsive disorder (DSM-IV, Y-BOCS = 16) were admitted. Patients were evaluated with a semi-structured interview covering the following areas: socio-demographic data, Axis I diagnoses (DSM-IV), OCD clinical features (age at onset of OC symptoms and disorder, type of onset, life events and type of course). For statistical analysis the sample was subdivided in two groups according to gender. We found an earlier age at onset of OC symptoms and disorder in males; an insidious onset and a chronic course of illness were also observed in that group of patients. Females more frequently showed an acute onset of OCD and an episodic course of illness; they also reported more frequently a stressful event in the year preceding OCD onset. A history of anxiety disorders with onset preceding OCD and hypomanic episodes occurring after OCD onset was significantly more common among males, while females showed more frequently a history of eating disorders. We found three gender-related features of OCD: males show an earlier age at onset with a lower impact of precipitant events in triggering the disorder; OCD seems to occur in a relative high proportion of males who already have phobias and/or tic disorders; and a surfeit of chronic course of the illness in males in comparison with females.

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