Bipolar disorder comorbidity in patients with a primary diagnosis of OCD.
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| Title: | Bipolar disorder comorbidity in patients with a primary diagnosis of OCD. |
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| Authors: | Saraf, Gayatri (AUTHOR), Paul, Imon (AUTHOR), Viswanath, Biju (AUTHOR), Narayanaswamy, Janardhanan C. (AUTHOR), Math, Suresh Bada (AUTHOR), Reddy, Y. C. Janardhan (AUTHOR) |
| Source: | International Journal of Psychiatry in Clinical Practice. Mar2017, Vol. 21 Issue 1, p70-74. 5p. |
| Subjects: | Diagnosis of obsessive-compulsive disorder, Interviewing, Bipolar disorder, Research methodology, Suicidal behavior, Comorbidity |
| Geographic Terms: | India |
| Abstract: | Objective:Bipolar disorder (BD) is considered to be a common comorbid condition in subjects with obsessive-compulsive disorder (OCD), but there is limited literature on the prevalence of BD and its clinical correlates in those with a primary diagnosis of OCD. Methods:We studied the prevalence of BD in a sample of consecutively registered outpatients attending a specialty OCD clinic in India over a period of 13 months. One hundred and seventy-one patients with a primary diagnosis of OCD were assessed systematically using structured and semi-structured instruments. Results:The prevalence of lifetime BD in OCD was 4%. The OCD + BD group had an episodic course of OCD and higher rate of lifetime suicide attempts. Conclusions:BD may not be as highly prevalent in OCD as reported in literature. Those with OCD seem to have only a marginally higher risk for developing BD than the general population. A diagnosis of BD seems to have a pathoplastic effect on the course of OCD. Patients with OCD-BD comorbidity have to be specifically assessed for suicide risk. [ABSTRACT FROM PUBLISHER] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective:Bipolar disorder (BD) is considered to be a common comorbid condition in subjects with obsessive-compulsive disorder (OCD), but there is limited literature on the prevalence of BD and its clinical correlates in those with a primary diagnosis of OCD. Methods:We studied the prevalence of BD in a sample of consecutively registered outpatients attending a specialty OCD clinic in India over a period of 13 months. One hundred and seventy-one patients with a primary diagnosis of OCD were assessed systematically using structured and semi-structured instruments. Results:The prevalence of lifetime BD in OCD was 4%. The OCD + BD group had an episodic course of OCD and higher rate of lifetime suicide attempts. Conclusions:BD may not be as highly prevalent in OCD as reported in literature. Those with OCD seem to have only a marginally higher risk for developing BD than the general population. A diagnosis of BD seems to have a pathoplastic effect on the course of OCD. Patients with OCD-BD comorbidity have to be specifically assessed for suicide risk. [ABSTRACT FROM PUBLISHER] |
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| ISSN: | 13651501 |
| DOI: | 10.1080/13651501.2016.1233344 |