Obsessive compulsive symptoms in individuals at clinical risk for psychosis: Association with depressive symptoms and suicidal ideation

被引:44
作者
DeVylder, Jordan E. [1 ,2 ]
Oh, Amy J. [2 ]
Ben-David, Shelly [2 ]
Azimov, Neyra [2 ]
Harkavy-Friedman, Jill M. [2 ,3 ]
Corcoran, Cheryl M. [2 ]
机构
[1] Columbia Univ, Sch Social Work, New York, NY 10027 USA
[2] Columbia Univ, New York State Psychiat Inst, Div Cognit Neurosci, Ctr Prevent & Evaluat, New York, NY 10032 USA
[3] Amer Fdn Suicide Prevent, New York, NY 10005 USA
关键词
Clinical high risk; Schizophrenia; OCD; Suicidal ideation; Psychosis; Obsessions; ULTRA-HIGH RISK; COGNITIVE-BEHAVIORAL THERAPY; DISORDER; SCHIZOPHRENIA; PREVALENCE; SCALE; REPLICATION; ADOLESCENTS; RELIABILITY; PREVENTION;
D O I
10.1016/j.schres.2012.07.009
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Obsessive-compulsive symptoms, particularly aggressive obsessions, are prevalent in schizophrenia patients and associated with other symptomseverity, suicidal ideation and functional impairment. In a psychosis-risk cohort, obsessive-compulsive diagnosis and symptoms were assessed in terms of prevalence and content, and for associations with clinical measures. Obsessive-compulsive symptoms were prevalent in the CHR cohort, as was suicidal ideation. The presence and severity of aggressive obsessions were associated with depression, suicidal ideation and social impairment. The high prevalence of aggressive obsessions and associated suicidal ideation in a clinical high risk cohort, and their relationship to depression, is relevant for risk assessment and treatment strategies. (C) 2012 Elsevier B. V. All rights reserved.
引用
收藏
页码:110 / 113
页数:4
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