Shabani, A. and Alizadeh, A. (2008) The specific pattern of obsessive-compulsive symptoms in patients with bipolar disorder. Journal of Research in Medical Sciences, 13 (2). pp. 48-54.
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Abstract
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 obsessive-compulsive disorder (OCD) patients; 39 with and 39 without bipolar disorder (BD). Subjects underwent a Structured Clinical Diagnostic Interview for DSM-IV (SCLD-I) as well as the Yale-Brown Obsessive-Compulsive Rating Scale (Y-BOCS). 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.
| Item Type: | Article |
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| Additional Information: | cited By 6 |
| Uncontrolled Keywords: | adult; aggression; article; bipolar disorder; clinical evaluation; comorbidity; compulsion; controlled study; cross-sectional study; cultural factor; diagnostic and statistical manual of mental disorders; dysthymia; female; human; Iran; major clinical study; major depression; male; obsession; obsessive compulsive disorder; prevalence; psychological rating scale; religion; sexual behavior; Structured Clinical Interview for DSM Disorders; Yale Brown Obsessive Compulsive Rating Scale |
| Subjects: | WM Psychiatry |
| Depositing User: | Arezoo Ghasemi siani |
| Date Deposited: | 24 Jan 2021 08:37 |
| Last Modified: | 24 Jan 2021 08:37 |
| URI: | http://eprints.iums.ac.ir/id/eprint/22814 |
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