@article{ref1,
title="Pre-traumatic vs post-traumatic OCD in PTSD patients: are differences in comorbidity rates and functional health status related to childhood abuse?",
journal="Comprehensive psychiatry",
year="2018",
author="Araújo, Alexandre Xavier Gomes de and Fontenelle, Leonardo F. and Berger, William and Luz, Mariana Pires da and Pagotto, Luiz Felipe Araújo da Costa and Marques-Portella, Carla and Figueira, Ivan and Mendlowicz, Mauro Vitor",
volume="87",
number="",
pages="25-31",
abstract="OBJECTIVE: The goal of this study was to compare the clinical and functional status and the trauma-related characteristics of PTSD patients with comorbid OCD whose onset predated the index traumatic event (pre-traumatic OCD) with those of PTSD patient whose comorbid OCD only emerged after the exposure to the traumatic event (post-traumatic OCD). <br><br>METHODS: Sixty-three individuals with PTSD and comorbid OCD were evaluated with the Structured Clinical Interview for DSM-IV AXIS I Disorders and completed the Posttraumatic Stress Disorder Checklist - Civilian Version, the Beck Depression Inventory, the Beck Anxiety Inventory, the Trauma History Questionnaire and the 36-Item Short-Form Health Survey. <br><br>RESULTS: A history of childhood abuse was significantly more frequent among PTSD patients with pre-traumatic OCD (45.2%) than among their counterparts with post-traumatic OCD (16%). PTSD patients with pre-traumatic OCD had higher rates of psychiatric comorbidity in general and showed a lower functional health status in a physical domain (SF-36 Role Limitation due to Physical Health). In contrast, PTSD patients with post-traumatic OCD had a decreased functional health status in a psychological domain (SF-36 Emotional Well Being). The effect sizes were in the medium to large range. <br><br>CONCLUSIONS: A history of child abuse may be an important, but often neglected, factor accounting for clinical, functional, and trauma-related differences between pre-traumatic and posttraumatic OCD in PTSD patients.<br><br>Copyright © 2018. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0010-440X",
doi="10.1016/j.comppsych.2018.08.012",
url="http://dx.doi.org/10.1016/j.comppsych.2018.08.012"
}