Symptom severity and presentation in comorbid OCD and PTSD: A clinical replication.

IF 1 4区 医学 Q4 PSYCHIATRY
Caitlin M Pinciotti, Chad T Wetterneck, Bradley C Riemann
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引用次数: 1

Abstract

Individuals with comorbid obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) experience more severe OCD symptoms and poorer treatment response. Despite some evidence linking OCD symptom domains to trauma, only one study to date has examined typical OCD and PTSD presentations in individuals with OCD+PTSD, and findings were based on a nonclinical sample. The current study sought to replicate findings in a clinical sample of 1,014 patients diagnosed with OCD (n = 928), PTSD (n = 40), and OCD+PTSD (n = 46) in specialty OCD and anxiety treatment programs. Consistent with previous research, patients with OCD+PTSD reported more severe OCD yet similar severity PTSD symptoms and did not evidence a unique phenotypic presentation once symptom overlap and comorbid mood and personality disorders were considered. OCD+PTSD is equally as heterogeneous as OCD and PTSD alone. Implications for the research and treatment of OCD+PTSD are discussed, and assessment and treatment recommendations are provided.

强迫症和创伤后应激障碍共病的症状严重程度和表现:临床重复。
同时患有强迫症(OCD)和创伤后应激障碍(PTSD)的个体会经历更严重的强迫症症状和更差的治疗反应。尽管有一些证据将强迫症症状领域与创伤联系起来,但迄今为止只有一项研究调查了强迫症+PTSD患者的典型强迫症和PTSD表现,而且研究结果是基于非临床样本的。目前的研究试图在1014名诊断为强迫症(n = 928)、创伤后应激障碍(n = 40)和强迫症+创伤后应激障碍(n = 46)的强迫症和焦虑症专业治疗方案的临床样本中复制研究结果。与先前的研究一致,OCD+PTSD患者报告的强迫症更严重,但PTSD症状的严重程度相似,如果考虑到症状重叠和共病的情绪和人格障碍,则没有显示出独特的表型表现。强迫症+创伤后应激障碍与单独的强迫症和创伤后应激障碍一样具有异质性。讨论了强迫症+创伤后应激障碍的研究和治疗意义,并提供了评估和治疗建议。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
30
期刊介绍: The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, attachment theory, developments in cognitive neuroscience and psychopathologies, as well as the integration of different modes of therapy. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic. Topical issues focus on critical subjects such as disordered attachments, panic disorder, trauma, and evidence-based interventions.
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