학술논문

Obsessive-Compulsive Disorder with Psychotic Features: Is It a Clinical Entity?
Document Type
article
Source
Healthcare, Vol 10, Iss 10, p 1910 (2022)
Subject
obsessive-compulsive disorder
psychotic disorder
schizophrenia
comorbidity
insight
functioning
Medicine
Language
English
ISSN
2227-9032
Abstract
(1) Background: Even though the comorbidity of obsessive-compulsive disorder (OCD) and a psychotic disorder (PD), such as schizophrenia, is being increasingly recognized, the impact of this comorbidity on the clinical presentation, including insight into obsessive-compulsive symptoms and the functioning of OCD, remains unclear. (2) Methods: To investigate clinical differences between OCD patients with and without PD, 86 Japanese outpatients who met the DSM-IV-TR criteria for OCD were recruited and divided into two groups: 28 OCD patients with PD, and 58 OCD patients without PD. The two groups were cross-sectionally compared in terms of their sociodemographic profiles and clinical characteristics, including the DSM-IV-TR insight specifier and the Global Assessment of Functioning (GAF). (3) Results: The results showed that OCD patients with PD scored lower on both the insight and GAF assessments. (4) Conclusions: The present study suggests that comorbid PD in OCD is a clinical entity.