Document Detail
The specific pattern of obsessive-compulsive symptoms in patients with bipolar disorder
Abstract/OtherAbstract :
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 &ndash; but not compulsive ones &ndash; 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 :
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 :
Mental Health Research Centre, Iran University of Medical Sciences.
Publication Detail :
Publisher :  Isfahan University of Medical Sciences     Type :  -     Format :  application/pdf    
Date Detail :
2008-04-20
Subject :
psychiatry, Bipolar disorder, obsessive-compulsive disorder, obsessive-compulsive symptoms., clinical psychiatry, nosology
Coverage :
-
Relation :
-
Source :
Journal of Research in Medical Sciences; Vol 13, No 2 (2008); 48-54
Copyright Information :
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Languages :  en    
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