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OBSESSIVE COMPULSIVE DISORDER WITH PSYCHOTIC FEATURES:
--- A PHENOMENOLOGICAL STUDY
CHRISTODAY R.J. KHESS, JNANAMAY DAS, ARUNANSHU PARIAL, SONIA KOTHARI & THRESIAMMA JOSEPH
SUMMARY
It has been postulated that obsessive compulsive disorder (OCD) lies in a continuum between schizophrenia and the neurotic disorders. Patients of pure OCD develop psychotic symptoms when there is a transient loss of insight or there is emergence of paranoid ideas. Depression is frequently associated with OCD, which could either be a a complication of OCD or could an independent coexisting disorder. In our study, 17 out of 52 OCD patients had psychotic features. Relatively more patients in the psychotic group were found to be single. They had higher scores on YBOCS, BPRS and HDRS (SIGH D) as compared to the OCD patients without psychotic features. 76.47% of the patients with psychotic features also fulfilled the OSM III-R criteria for Major Depressive Disorder. The possible explanation and implication of the findings have been discussed in the light of relevant literature.
INTRODUCTION
Obsessive Compulsive Disorders (OCD) is characterized by recurrent obsessions or compulsions that are significantly distressing or time consuming or that cause significant interference with social or occupational functioning (DSM IIIR, APA, 1987). It has been postulated that obsessive compulsive disorders lies in a continuum between schizophrenia and the neurotic disorders (Goldberg, 1965; Blacker, 1966). Obsessive compulsive symptoms have also been observed in schizophrenia (Stengel, 1945; Rosen, 1957; Fenton & McGlashan, 1990), in whom obsession may precede schizophrenic symptoms. Earlier studies by Rudin (1953), Ingram (1961), and Lo (1967) have shown that 1%-100% of patients with OCD subsequently develop schizophrenia, however Goodwin et al (1969) pointed out that most of these studies had used a broad criteria for the diagnosis of OCD...
http://www.hkjpsych.com/journal_file/9901_P21-25.pdf
burdaki herşeyi yazacaktım ama vazgeçtim çok uzun..
--- A PHENOMENOLOGICAL STUDY
CHRISTODAY R.J. KHESS, JNANAMAY DAS, ARUNANSHU PARIAL, SONIA KOTHARI & THRESIAMMA JOSEPH
SUMMARY
It has been postulated that obsessive compulsive disorder (OCD) lies in a continuum between schizophrenia and the neurotic disorders. Patients of pure OCD develop psychotic symptoms when there is a transient loss of insight or there is emergence of paranoid ideas. Depression is frequently associated with OCD, which could either be a a complication of OCD or could an independent coexisting disorder. In our study, 17 out of 52 OCD patients had psychotic features. Relatively more patients in the psychotic group were found to be single. They had higher scores on YBOCS, BPRS and HDRS (SIGH D) as compared to the OCD patients without psychotic features. 76.47% of the patients with psychotic features also fulfilled the OSM III-R criteria for Major Depressive Disorder. The possible explanation and implication of the findings have been discussed in the light of relevant literature.
INTRODUCTION
Obsessive Compulsive Disorders (OCD) is characterized by recurrent obsessions or compulsions that are significantly distressing or time consuming or that cause significant interference with social or occupational functioning (DSM IIIR, APA, 1987). It has been postulated that obsessive compulsive disorders lies in a continuum between schizophrenia and the neurotic disorders (Goldberg, 1965; Blacker, 1966). Obsessive compulsive symptoms have also been observed in schizophrenia (Stengel, 1945; Rosen, 1957; Fenton & McGlashan, 1990), in whom obsession may precede schizophrenic symptoms. Earlier studies by Rudin (1953), Ingram (1961), and Lo (1967) have shown that 1%-100% of patients with OCD subsequently develop schizophrenia, however Goodwin et al (1969) pointed out that most of these studies had used a broad criteria for the diagnosis of OCD...
http://www.hkjpsych.com/journal_file/9901_P21-25.pdf
burdaki herşeyi yazacaktım ama vazgeçtim çok uzun..
)))))) bu okurken bilmediğimiz terimler ve anlayamadığımız cümleler psikolojimizi yeniden bozdu..
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