Comorbidity of obsessive-compulsive disorder and substance use disorder: a new heuristic

被引:24
|
作者
Cuzen, Natalie L. [1 ]
Stein, Dan J. [1 ]
Lochner, Christine [2 ]
Fineberg, Naomi A. [3 ,4 ]
机构
[1] Univ Cape Town, Dept Psychiat & Mental Hlth, ZA-7925 Cape Town, South Africa
[2] Univ Stellenbosch, MRC Unit Anxiety & Stress Disorders, Dept Psychiat, ZA-7600 Stellenbosch, South Africa
[3] Univ Fdn Trust, Natl Obsess Compuls Disorders Specialist Serv, Hertfordshire Partnership NHS, Queen Elizabeth II Hosp, Welwyn Garden City, Herts, England
[4] Univ Hertfordshire, Postgrad Med Sch, Hatfield AL10 9AB, Herts, England
关键词
Obsessive-compulsive disorder; substance use disorder; comorbidity; compulsivity; DRUG-ADDICTION; ANXIETY; PREVALENCE; ALCOHOL; ONSET; AGE;
D O I
10.1002/hup.2373
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Obsessive-compulsive disorder (OCD) and substance use disorder share several aspects of phenomenology and may be underpinned by a common mechanism with compulsivity at the core. Despite this overlap, the two disorders show a variable pattern of comorbidity. Here, we review the current evidence for comorbidity across clinical and epidemiological studies, and propose a new heuristic for substance use comorbidity in OCD, based on a hypothetical threshold of OCD severity. Copyright (c) 2013 John Wiley & Sons, Ltd.
引用
收藏
页码:89 / 93
页数:5
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