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Comorbidity Between Obsesive-Compulsive ...

PsihiatrieComorbidity Between Obsesive-Compulsive Disorder and Bipolar Disorder: an Exploration of Clinical Features

Articol din publicatia Timisoara Medical Journal nr. 2/2005
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Ovidiu L. Bumbea
Department of Psychiatry, Alba County Hospital

Correspondence to:
Ovidiu Bumbea, Department of Psychiatry, Alba County Hospital, 1-3 Unirii Street, Alba Iulia
Tel: +40258811661
Email: obumbea@yahoo.co.uk


Objective: The present investigation deals with the clinical characteristics of the interface between obsessive-compulsive disorder (OCD) and bipolar disorder, (BD) as it appears in a setting of routine clinical practice. Material and Methods: The study group comprised 28 inpatients with comorbid OCD and BD according to the DSM-IV-TR criteria. They were assessed with the Structured Clinical Interview for DSM-IV (SCID-IV) and the Yale-Brown Obsessive-Compulsive Rating Scale (Y-BOCS).

Results: 22 patients had BD type II and 6 had type I. The mean current age of patients was 36.5 years. The mean age of onset of BD was 20.2 years and of OCD was 12.6 years. BD preceded OCD in 8 patients. The mean total score in the Y-BOCS was 27.15 at the time of the interview. These BD-OCD patients showed a high rate of sexual and religious obsessions. They also reported a high rate of counting and hoarding compulsions. Aggressive obsessions and obsessions of contamination were rarely observed. At the same time, these patients showed a low rate of checking and ordering rituals. Furthermore, they reported a high frequency of panic attacks and tics. In addition, a trend towards a poor insight was observed in BD-OCD patients.

Conclusions: Comorbidity between OCD and BD is a significant clinical problem, affecting a large number of patients, and has a substantial impact on the clinical characteristics of both disorders.
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