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Comorbid Obsessive Compulsive Disorder and Social Function in Stable Patients with Chronic Schizophrenia  

Kang, Suk-Hoon (Department of Psychiatry, Chuncheon National Hospital)
Seok, Jung-Ho (Departments of Psychiatry, Yonsei University College of Medicine)
Kim, Chan-Hyung (Departments of Psychiatry, Yonsei University College of Medicine)
Kim, Yoon-Joong (Department of Psychiatry, Chuncheon National Hospital)
Kim, Hyoung-Ju (Department of Psychiatry, Chuncheon National Hospital)
Choi, Jong-Hyuck (Department of Psychiatry, Chuncheon National Hospital)
Publication Information
Anxiety and mood / v.7, no.1, 2011 , pp. 40-47 More about this Journal
Abstract
Objective : This study aimed to investigate the prevalence of obsessive-compulsive disorder (OCD) in schizophrenia, and the relationship among OCD, severity of psychopathology, and social function in stable patients with chronic schizophrenia. Methods : We interviewed 138 symptom-stable inpatients who had been on a constant dose of antipsychotics for at least 1 month prior and diagnosed as chronic schizophrenia. Subsequently, patients were classified according to the existence of OCD as investigated using the Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I) and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Further, all clinical and demographic data was investigated. To investigate potential interrelationships, the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Korea-Positive and Negative Symptom Scale (K-PANSS), and the Korean Personal and Social Performance (K-PSP) were used. An independent ttest and Chi-square test were used to compare groups and a Pearson's correlation coefficient was used to assess the relationship between the Y-BOCS and other clinical rating scales. Results : The prevalence of OCD in schizophrenia patients was 18.1%. Patients with schizophrenia and OCD exhibited significantly earlier onset of schizophrenia, more severe psychiatric symptoms, and lower personal and social performance ability as compared to those without OCD. There was no significant relationship among Y-BOCS, K-PANSS, and K-PSP. Conclusion : We found that comorbid OCD was relatively more frequent in patients with schizophrenia. An investigation involving larger samples of schizophrenia patients with OCD with respect to social function and thus, the effect on quality of life is required.
Keywords
Chronic schizophrenia; Obsessive compulsive-disorder; Social function;
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