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Incidence of obsessive-compulsive phenomena in the course of acute schizophrenia and schizoaffective disorder

Published online by Cambridge University Press:  16 April 2020

K. Fabisch ,
H. Fabisch ,
G. Langs ,
H.P. Huber  and
H.G. Zapotoczky
K. Fabisch*
Affiliation:
University Clinic of Psychiatry, Auenbruggerplatz 22, A-8036Graz, Austria
H. Fabisch
Affiliation:
University Clinic of Psychiatry, Auenbruggerplatz 22, A-8036Graz, Austria
G. Langs
Affiliation:
Psychosomatische Klinik Bad Bramstedt/Hamburg, Germany
H.P. Huber
Affiliation:
Institute of Psychology, Dept. of Clinical Psychology, University of Graz, Austria
H.G. Zapotoczky
Affiliation:
University Clinic of Psychiatry, Auenbruggerplatz 22, A-8036Graz, Austria
*
* Correspondence and reprints.
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Summary

Studies examining OC phenomena in schizophrenic and schizoaffective disorders have shown a prevalence of such phenomena in 1 to 60% of schizophrenic or schizoaffective patients. In this prospective study, about 10% of 150 male patients suffering from acute psychotic disorders (fulfilling DSM-IV criteria for Schizophrenia or Schizoaffective Disorder) were found to have OC symptoms. These symptoms showed no correlation to the type and severity of psychosis. As only 19% of the patients with obsessions and compulsions during acute psychosis showed an obsessive-compulsive personality disorder prior to their psychotic episodes, it may be concluded that there is no clear linkage between intrapsychotic OC phenomena and premorbid anancastic personality traits.

Keywords

compulsiveobsessiveschizophrenia
Type
Original Article
Information
European Psychiatry , Volume 16 , Issue 6 , September 2001 , pp. 336 - 341
Copyright
Copyright © 2001 Éditions scientifiques et médicales Elsevier SAS. All rights reserved

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References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th Ed. DSM-IV. Washington, DC: APA; 1994.Google Scholar
Berman, IKalinowski, ABerman, STMLengua, JGreen, AI.Obsessive and compulsive symptoms in chronic schizophrenia. Compr Psychiatry 1995; 36: 6–10.CrossRefGoogle ScholarPubMed
Bland, RCNewman, SCOrn, H.Schizophrenia: lifetime comorbidity in a community sample. Acta Psychiatr Scand 1987; 75: 383–91.CrossRefGoogle Scholar
Eisen, JLBeer, DAPato, MTVenditto, TARasmussen, STA.Obsessive-ompulsive disorder in patients with schizophrenia or schizoaffective disorder. Am J Psychiatry 1997; 154: 271–3.Google ScholarPubMed
Fenton, WSMcGlashan, T.The prognostic significance of obsessive-compulsive symptoms in schizophrenia. Am J Psychiatry 1986; 143: 437–41.Google Scholar
Fydrich, TRenneberg, BSchmitz, BWittchen, HU.Strukturiertes Klinisches Interview für DSM-IV Achse II: Persönlichkeitsstörungen. SKID-II. Göttingen: Hogrefe; 1997.Google Scholar
Goodman, WPrice, LHRasmussen, SMazure, CFleischmann, RLHill, CL., et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry 1989; 46: 1006–11.CrossRefGoogle ScholarPubMed
Goodman, WPrice, LHRasmussen, SMazure, CFleischmann, RLDelago, P., et al. The Yale-Brown Obsessive Compulsive Scale. II. Validity. Arch Gen Psychiatry 1989; 46: 1012–6.CrossRefGoogle ScholarPubMed
Goodman, WRasmussen, SPrice, LMazure, LHenniger, GCharney, D.Yale-Brown Obsessive Compulsive Scale. (Autorisierte deutsche Übersetzung und Bearbeitung Büttner-Westphal H & Hand I). Verhaltenstherapie 1991; 1: 226–33.CrossRefGoogle Scholar
Gross, GHuber, GKlosterkötter, JLinz, M.BSABS. Bonner Skala für die Beurteilung von Basissymptomen. Berlin: Springer; 1987.Google Scholar
Harrowes, WM.The significance of a neurotic reaction as a precursor of schizophrenias. J Ment Sci 1931; 77: 375–97.CrossRefGoogle Scholar
Huber, GGross, GSchüttler, R.Schizophrenie. Verlaufs- und sozialpsychiatrische Langzeituntersuchungen an den1945 bis1959 in Bonn hospitalisierten schizophrenen Kranken. Monographien aus dem Gesamtgebiete der Psychiatrie. Bd 21. Berlin: Springer; 1979.Google Scholar
Insel, TR.Obsessive-compulsive disorder: five clinical questions and a suggested approach. Compr Psychiatry 1982; 24: 241–51.CrossRefGoogle Scholar
Insel, TRAkiskal, HS.Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis. Am J Psychiatry 1986; 143: 1527–33.Google ScholarPubMed
Jahrreiß, W.Über Zwangsvorstellungen im Verlauf der Schizophrenie. Arch Psychiatr Nervenkr 1926; 77: 740–89.CrossRefGoogle Scholar
Kay, STRFiszbein, AOpler, LA.The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia. Schizophr Bull 1987; 13: 261–76.CrossRefGoogle Scholar
Kay, STR.Positive and Negative Syndromes in schizophrenia. Assessment and research. New York: Brunner/Mazel; 1991.Google Scholar
Porto, LBermanzohn, PCPollack, SMorrissey, RSiris, .G.A profile of obsessive-compulsive symptoms in schizophrenia. CNS Spectrums 1997; 1: 21–5.CrossRefGoogle Scholar
Rosen, I.The clinical significance of obsessions in schizophrenia. J Ment Sci 1957; 103: 773–85.CrossRefGoogle Scholar
Schneider, K.Klinische Psychopathologie. (8. Aufl). Stuttgart: Thieme; 1967.Google Scholar
Solyom, LDinocala, VFPhil, MSookman, DLuchins, D.Is there an obsessive psychosis? Aetiological and prognostic factors of an atypical form of obsessive-compulsive neurosis. Can J Psychiatry 1985; 30: 372–80.CrossRefGoogle ScholarPubMed
Süllwold, LHerrlich, J.Die Abgrenzung der reinen Zwangskrankheit. Süllwold, LHerrlich, JVolk, S.T, Eds.; Zwangskrankheiten. Psychobiologie, Verhaltenstherapie, Pharmakotherapie. Stuttgart: Kohlhammer; 1994. 31–48.Google Scholar
Weiss, AARobinson, SWinnik, HZ.‘Obsessive psychosis’ – psychodiagnostic findings. Isr Ann Psychiatr Relat Discip 1969; 7: 175–8.Google Scholar
Weiss, AARobinson, SWinnik, HZ.Obsessive psychosis – a cross validation study. Isr Ann Psychiatr Relat Discip 1975; 13: 137–41.Google ScholarPubMed
Zohar, J.Is there room for a new diagnostic subtype – the schizo-obsessive subtype?. CNS Spectrums 1997; 1: 49–50.CrossRefGoogle Scholar
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