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Physical diseases among persons with obsessive compulsive symptoms and disorder : a general population study

Witthauer, Cornelia and T. Gloster, Andrew and Meyer, Andrea Hans and Lieb, Roselind. (2014) Physical diseases among persons with obsessive compulsive symptoms and disorder : a general population study. Social psychiatry and psychiatric epidemiology, 49 (12). pp. 2013-2022.

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Official URL: http://edoc.unibas.ch/dok/A6298921

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Abstract

This study aimed at evaluating the comorbidity between DSM-IV obsessive compulsive disorder (OCD) and subthreshold forms and physical diseases in the general population as well as disability associated with comorbidity.; We used data from the 1998 German Mental Health Survey, a representative survey of the German population. Mental disorders and physical diseases of 4181 subjects (aged 18-65) were cross-sectionally assessed. Mental disorders were diagnosed using the M-CIDI/DIA-X interview. Physical diseases were assessed through a self-report questionnaire and a standardized medical interview. We created three groups of obsessive-compulsive symptoms: (1) no obsessive compulsive symptoms (n = 3,571); (2) obsessive compulsive symptoms (OCS, n = 371; endorsement of OCS (either obsession or compulsion) without fulfilling any core DSM-IV criteria); (3) subthreshold OCD/OCD (n = 239; fulfilling either some or all of the core DSM-IV criteria).; In comparison to subjects without OCS, subjects with subthreshold OCD/OCD showed higher prevalence rates of migraine headaches (OR 1.7; 95 % CI 1.1-2.5) and respiratory diseases (OR 1.7; 95 % CI 1.03-2.7); subjects with OCS showed higher prevalence rates of allergies (OR 1.6; 95 % CI 1.1-2.8), migraine headaches (OR 1.9; 95 % CI 1.4-2.7) and thyroid disorders (OR 1.4; 95 % CI 1.01-2.0). Subjects with both OCS and physical disease reported the highest number of days of disability due to physical or psychological problems during the past 30 days compared to subjects with only OCS, only physical disease or neither of them.; OCD and subthreshold forms are associated with higher comorbidity rates with specific physical diseases and higher disability than subjects without OCS. Possible etiological pathways should be evaluated in future studies and clinicians in primary care should be aware of these associations.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Epidemiologie (Lieb)
UniBasel Contributors:Lieb, Roselind and Witthauer, Cornelia and Gloster, Andrew and Meyer, Andrea Hans
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Springer
ISSN:0933-7954
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:13 Mar 2019 09:00
Deposited On:09 Jan 2015 09:25

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