Obsessive-compulsive spectrum disorders: A comorbidity and family history perspective

Brakoulias, V; Starcevic, V; Sammut, P; Berle, D; Milicevic, D; Moses, K; Hannan, A

Obsessive-compulsive spectrum disorders: A comorbidity and family history perspective

Brakoulias, V Starcevic, V Sammut, P Berle, D

Milicevic, D Moses, K Hannan, A

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Publication Type:: Journal Article
Citation:: Australasian Psychiatry, 2011, 19 (2), pp. 151 - 155
Issue Date:: 2011-04-01

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Field	Value	Language
dc.contributor.author	Brakoulias, V	en_US
dc.contributor.author	Starcevic, V	en_US
dc.contributor.author	Sammut, P	en_US
dc.contributor.author	Berle, D https://orcid.org/0000-0002-4861-2220	en_US
dc.contributor.author	Milicevic, D	en_US
dc.contributor.author	Moses, K	en_US
dc.contributor.author	Hannan, A	en_US
dc.date.issued	2011-04-01	en_US
dc.identifier.citation	Australasian Psychiatry, 2011, 19 (2), pp. 151 - 155	en_US
dc.identifier.issn	1039-8562	en_US
dc.identifier.uri	http://hdl.handle.net/10453/116562
dc.description.abstract	Objective: The concept of obsessive-compulsive spectrum disorders (OCSDs) has become so influential that there are proposals to introduce it into new diagnostic classificatory systems. The aim of this paper was to assess whether rates of comorbidity and family history of OCSDs in patients with obsessive-compulsive disorder (OCD) supported this concept. Method: Comorbidity and family history were assessed in a group of participants with a primary diagnosis of OCD, using structured clinical interviews. Rates of OCSDs and other anxiety disorders (OADs), excluding OCD, were compared. Results: Of the 77 OCD participants assessed, the most prevalent comorbid conditions were OADs: generalized anxiety disorder (34.6%), specific phobia (26.9%), social phobia (21.8%) and panic disorder (19.2%). The proposed OCSDs were less frequently comorbid: tic disorder (12.8%), trichotillomania (5.1%), hypochondriasis (3.8%) and body dysmorphic disorder (BDD) (3.8%). Similar trends were observed for a family history of these disorders. No participant reported a family history of an OCSD without a family history of an OAD. Conclusions: Although the concept of OCSDs has invigorated thinking in this complex diagnostic field, these results support the current association of OCD with OADs rather than with OCSDs. © 2011 The Royal Australian and New Zealand College of Psychiatrists.	en_US
dc.relation.ispartof	Australasian Psychiatry	en_US
dc.relation.isbasedon	10.3109/10398562.2010.526718	en_US
dc.subject.classification	Psychiatry	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Tics	en_US
dc.subject.mesh	Family	en_US
dc.subject.mesh	Anxiety Disorders	en_US
dc.subject.mesh	Obsessive-Compulsive Disorder	en_US
dc.subject.mesh	Panic Disorder	en_US
dc.subject.mesh	Phobic Disorders	en_US
dc.subject.mesh	Trichotillomania	en_US
dc.subject.mesh	Depressive Disorder, Major	en_US
dc.subject.mesh	Hypochondriasis	en_US
dc.subject.mesh	Comorbidity	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Body Dysmorphic Disorders	en_US
dc.title	Obsessive-compulsive spectrum disorders: A comorbidity and family history perspective	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	19	en_US
utslib.for	170106 Health, Clinical and Counselling Psychology	en_US
utslib.for	110319 Psychiatry (incl. Psychotherapy)	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

Objective: The concept of obsessive-compulsive spectrum disorders (OCSDs) has become so influential that there are proposals to introduce it into new diagnostic classificatory systems. The aim of this paper was to assess whether rates of comorbidity and family history of OCSDs in patients with obsessive-compulsive disorder (OCD) supported this concept. Method: Comorbidity and family history were assessed in a group of participants with a primary diagnosis of OCD, using structured clinical interviews. Rates of OCSDs and other anxiety disorders (OADs), excluding OCD, were compared. Results: Of the 77 OCD participants assessed, the most prevalent comorbid conditions were OADs: generalized anxiety disorder (34.6%), specific phobia (26.9%), social phobia (21.8%) and panic disorder (19.2%). The proposed OCSDs were less frequently comorbid: tic disorder (12.8%), trichotillomania (5.1%), hypochondriasis (3.8%) and body dysmorphic disorder (BDD) (3.8%). Similar trends were observed for a family history of these disorders. No participant reported a family history of an OCSD without a family history of an OAD. Conclusions: Although the concept of OCSDs has invigorated thinking in this complex diagnostic field, these results support the current association of OCD with OADs rather than with OCSDs. © 2011 The Royal Australian and New Zealand College of Psychiatrists.

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http://hdl.handle.net/10453/116562