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Paper Information

Journal:   JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS)   MARCH- APRIL 2008 , Volume 13 , Number 2; Page(s) 48 To 54.
 
Paper: 

THE SPECIFIC PATTERN OF OBSESSIVE-COMPULSIVE SYMPTOMS IN PATIENTS WITH BIPOLAR DISORDER

 
 
Author(s):  SHAABANI AMIR*, ALIZADEH ARASH
 
* DEPARTMENT OF PSYCHIATRY, FACULTY OF MEDICINE AND MENTAL HEALTH RESEARCH CENTRE, IRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
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 (SCID-I) as well as the Yale-Brown Obsessive-Compulsive Rating Scale (YBOCS).
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.

 
Keyword(s): BIPOLAR DISORDER, OBSESSIVE-COMPULSIVE DISORDER, OBSESSIVE-COMPULSIVE SYMPTOMS
 
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