Fulltext

Obsessive-compulsive disorder in the community: 12-month prevalence, comorbidity and impairment

Adam, Yuki ; Meinlschmidt, Gunther ; Gloster, Andrew ; Lieb, Roselind

In: Social Psychiatry and Psychiatric Epidemiology, 2012, vol. 47, no. 3, p. 339-349

Aggiungi alla tua lista
    Titre
    • Obsessive-compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
    Auteur
    • Adam, Yuki. National Centre of Competence in Research "Swiss Etiological Study of Adjustment and Mental Health (sesam)”, University of Basel, Department of Psychology, Missionsstrasse 60/62, 4055, Basel, Switzerland
    • Meinlschmidt, Gunther. National Centre of Competence in Research "Swiss Etiological Study of Adjustment and Mental Health (sesam)”, University of Basel, Department of Psychology, Missionsstrasse 60/62, 4055, Basel, Switzerland
    • Gloster, Andrew. Institute of Clinical Psychology and Psychotherapy, Technische Universitaet Dresden, Dresden, Germany
    • Lieb, Roselind. National Centre of Competence in Research "Swiss Etiological Study of Adjustment and Mental Health (sesam)”, University of Basel, Department of Psychology, Missionsstrasse 60/62, 4055, Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Social Psychiatry and Psychiatric Epidemiology, 2012, vol. 47, no. 3, p. 339-349. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:319711
    Summary
    Background: Although subthreshold conditions are associated with impairment in numerous disorders, research on obsessive-compulsive disorder (OCD) below the diagnostic threshold of DSM-IV in the general population is limited. Purpose: To estimate the DSM-IV 12-month prevalence, comorbidity and impairment of OCD, subthreshold OCD (i.e., fulfilling some but not all core DSM-IV criteria), and obsessive-compulsive symptoms (OCS) (i.e., endorsement of OCS without fulfilling any core DSM-IV criteria) in a general population sample. Methods: Data from the German National Health Interview and Examination Survey-Mental Health Supplement (N=4181, age 18-65years), based on the standardized diagnostic Munich Composite International Diagnostic Interview. Results: The 12-month prevalence of OCD was 0.7%, subthreshold OCD was 4.5%, and OCS was 8.3%. Subjects in all three groups showed higher comorbidity (odds ratios [ORs]≥3.3), compared to those without OCS. The OCD, subthreshold OCD and OCS were all associated with increased odds of substance abuse/dependence-, mood-, anxiety- and somatoform disorders, with especially strong associations with possible psychotic disorder (ORs≥4.1) and bipolar disorders (ORs≥4.7). Participants in all three groups showed higher impairment (ORs≥3.1) and health-care utilization (ORs≥2.4), compared to those without OCS, even after controlling for covariates. Conclusions: Individuals with subthreshold OCD and OCS, not currently captured by DSM-IV OCD criteria, nevertheless show substantial comorbidity, impairment and health-care utilization. This should be taken into account in future conceptualization and classification of OCD and clinical care