TY  - JOUR
PY  - 2018//
TI  - Pre-traumatic vs post-traumatic OCD in PTSD patients: are differences in comorbidity rates and functional health status related to childhood abuse?
JO  - Comprehensive psychiatry
A1  - Araújo, Alexandre Xavier Gomes de
A1  - Fontenelle, Leonardo F.
A1  - Berger, William
A1  - Luz, Mariana Pires da
A1  - Pagotto, Luiz Felipe Araújo da Costa
A1  - Marques-Portella, Carla
A1  - Figueira, Ivan
A1  - Mendlowicz, Mauro Vitor
SP  - 25
EP  - 31
VL  - 87
IS  - 
N2  - 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>
LA  - en
SN  - 0010-440X
UR  - http://dx.doi.org/10.1016/j.comppsych.2018.08.012
ID  - ref1
ER  -