Document Detail


Shared obsessive-compulsive disorder: broadening the concept of shared psychotic disorder.
MedLine Citation:
PMID:  20815674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Folie a deux (shared psychotic disorder) is often described in the context of schizophrenia. In this article we present this syndrome in a non psychotic context.
METHOD: We report a case of induced obsessive-compulsive disorder (OCD) in a married couple. Six months after the deterioration in the patient's OCD, his wife developed the same symptoms with no preceding history of an Axis I disorder. Neither spouse demonstrated psychotic symptomatology. The husband was successfully treated on an outpatient basis with Citalopram and Clonazepam. His wife's OCD spontaneously resolved without medication in parallel with the resolution of her husband's OCD.
RESULTS: We highlight the uncommon phenomenon of shared psychiatric disorder occurring in the context of OCD. In the current psychiatric diagnostic nomenclature, (DSM IV and ICD10), there is no category for a non-psychotic shared psychiatric disorder. We raise the question of broadening the concept of shared disorder so as to include shared OCD and perhaps other shared psychiatric syndromes.
CONCLUSIONS: More controlled studies are required in order to better understand the psychopathology and mechanisms of psychotic and non-psychotic shared disorders in psychiatry. We believe there are important treatment implications of such an understanding.
Authors:
Joseph Mergui; Sol Jaworowski; David Greenberg; Vladimir Lerner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Australian and New Zealand journal of psychiatry     Volume:  44     ISSN:  1440-1614     ISO Abbreviation:  Aust N Z J Psychiatry     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0111052     Medline TA:  Aust N Z J Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  859-62     Citation Subset:  IM    
Affiliation:
Department of Consultation and Liaison Psychiatry, Shaare Zedek Medical Center, Hebrew University, POB: 3235, 91031, Jerusalem, Israel. jmerg@szmc.org.il
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MeSH Terms
Descriptor/Qualifier:
Citalopram / therapeutic use
Clonazepam / therapeutic use
Female
GABA Modulators / therapeutic use
Humans
Male
Obsessive-Compulsive Disorder / diagnosis,  drug therapy,  psychology*
Serotonin Uptake Inhibitors / therapeutic use
Severity of Illness Index
Shared Paranoid Disorder / diagnosis,  drug therapy,  psychology*
Spouses / psychology*
Treatment Outcome
Chemical
Reg. No./Substance:
0/GABA Modulators; 0/Serotonin Uptake Inhibitors; 1622-61-3/Clonazepam; 59729-33-8/Citalopram

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