| The specific pattern of obsessive-compulsive symptoms in patients with bipolar disorder | |
Abstract/OtherAbstract
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BACKGROUND: Some preliminary findings have suggested that patients with bipolar disorder show a disparate pattern of obsessive-compulsive (OC) symptoms. This study aimed to reevaluate this subject on a different sample within a different cultural background.METHODS: The present cross-sectional study was carried out in a clinical non-experimental setting on 78 obsessivecompulsive disorder (OCD) patients; 39 with and 39 without bipolar disorder (BD). Subjects underwent a Structured Clinical Diagnostic Interview for DSM-IV (SCID-I) as well as the Yale-Brown Obsessive-Compulsive Rating Scale (YBOCS).RESULTS: The diagnoses in the non-bipolar group were mostly major depressive disorder (38%) and dysthymic disorder (38%). The mean age of the bipolar group was significantly lower than that of the non-bipolars (P < 0.05). The mean score of the Y-BOCS was not significantly different between the two groups. The mean estimated number of obsessive themes – but not compulsive ones – in the bipolar group was significantly higher than that of the non-bipolars (P < 0.0001). The aggressive (P < 0.01), sexual (P < 0.0001) and religious (P < 0.05) obsessions were significantly more prevalent, and the contamination obsession (P < 0.05) was significantly less prevalent in the bipolar group. Also, in the bipolar group the miscellaneous compulsions (P < 0.01) were significantly more prevalent, and the washing compulsion (P < 0.001) was significantly less prevalent.CONCLUSIONS: The content of OC symptoms which is not traditionally considered a helpful factor for diagnosing a psychiatric disorder might be able to lead the clinician to the diagnosis of bipolarity in a depressed patient with OCD.KEY WORDS: Bipolar disorder, obsessive-compulsive disorder, obsessive-compulsive symptoms. |
Authors
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Amir Shabani; Department of Psychiatry, Faculty of Medicine and Mental Health Research Centre, Iran University of Medical Sciences, Tehran, Iran., Arash Alizadeh; Mental Health Research Centre, Iran University of Medical Sciences, Tehran, Iran. |
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Contributors
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Mental Health Research Centre, Iran University of Medical Sciences. |
Publication Detail
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Publisher : Isfahan University of Medical Sciences Type : - Format : application/pdf |
Date Detail
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2008-04-20 |
Subject
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psychiatry, Bipolar disorder, obsessive-compulsive disorder, obsessive-compulsive symptoms., clinical psychiatry, nosology |
Coverage
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- |
Relation
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- |
Source
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Journal of Research in Medical Sciences; Vol 13, No 2 (2008); 48-54 |
Copyright Information
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<p>Journal of Research in Medical Sciences (JRMS) applies the <a href="http://creativecommons.org/licenses/" target="_blank">Creative Commons Attribution License</a> (CCAL) to all of its published papers. Under the CCAL, authors retain ownership of the copyright for their article, but authors allow anyone to download, reuse, reprint, modify, distribute, and/or copy articles in JRMS, so long as the original authors and source are cited. No permission is required from the authors or the publishers. [ <strong><a href="http://creativecommons.org/licenses/by/3.0/" target="_blank">License summary</a> ] [ </strong><strong><a href="http://creativecommons.org/licenses/by/3.0/legalcode" target="_blank">License full text</a> ]</strong></p> |
Other Details
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Languages : en |
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