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Journals / Marmara Medical Journal / 2012 / Cilt: 25 - Sayı: 1

Comparison of Clinical Features and Affective Temperaments between Obsessive Compulsive Disorder with and without Comorbid Bipolar Disorder

Bipolar bozukluğu olan ve olmayan Obsesif bozukluk hastalarının klinik ve Afektif mizaç özelliklerinin karşılaştırılması

Nurhan FISTIKÇI
Münevver HACIOĞLU
Şakire EREK
Ömer SAATÇİOĞLU
Abdülkadir TABO
Pages
26–31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: The results showed significantly high rates of BD comorbidity (38.6), especially bipolar II, in patients with OCD.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: In this study, we investigated the differences and similarities between bipolar disorder (BD) positive and BD negative obsessive- compulsive disorder (OCD) groups in terms of clinical characteristics and the affective temperaments.
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Key Findings & Data:Results: The results showed significantly high rates of BD comorbidity (38.6), especially bipolar II, in patients with OCD.
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Conclusion & Impact:Affective temperamental differences should be investigated on large samples in the bipolar and non-bipolar OCD patients. (Marmara Medical Journal 2012;25:26-31)
🔬Design:Survey & Empirical Study
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In this study, we investigated the differences and similarities between bipolar disorder (BD) positive and BD negative obsessive- compulsive disorder (OCD) groups in terms of clinical characteristics and the affective temperaments. Patients and Method: Forty-four patients admitted to Bakırköy Prof Dr. Mazhar Osman Hospital of Psychiatry and Neurology with the diagnosis of OCD were enrolled to the study. Patients were assessed by interview with patients (SCID I), applying sociodemographic form, Hamilton depression scale (HAM-D), Yale Brown OCD scale(Y-BOCS), and TEMPS- A affective temperament questionnaire. Results: The results showed significantly high rates of BD comorbidity (38.6), especially bipolar II, in patients with OCD. Seasonal course of OCD was prominent in patients with BD comorbidity (70%). The number of lifetime major depressive episodes and hospitalization rate was also higher in BD comorbid patients. Depressive (23.4%), anxious (17.6%) and cyclothymic (11.8%) temperament was predominant among bipolar OCD patients. There were no significant differences in scores of the affective temperaments between bipolar and non-bipolar OCD groups. Conclusion: We conclude that there are obvious clinical influences of bipolar disorder on OCD patients. Affective temperamental differences should be investigated on large samples in the bipolar and non-bipolar OCD patients. (Marmara Medical Journal 2012;25:26-31)

Özet

Amaç: Bu çalışmada bipolar bozukluk ek tanısı bulunan obsesif kompulsif bozukluk (OKB) hastalarının, bipolar bozukluk ek tanısı bulunmayan OKB hastalarına göre klinik ve afektif mizaç farklılıkları araştırılmıştır. Hastalar ve Yöntem: Sekiz aylık dönem içerisinde Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesinde DSM IV ölçütlerine göre OKB tanısı almış 44 OKB hastası çalışmaya alındı. Hastalara sosyodemografik form yanında, SCID I incelemesi, Hamilton depresyon Ölçeği (HAM-D), Yale Brown OKB ölçeği (Y-BOCS), TEMPS-A mizaç değerlendirme ölçeği uygulandı. Bulgular: OKB hastalarında çoğunluğu bipolar II olmak üzere, %38,6 oranında bipolar bozukluk ek tanısı mevcuttu. Bipolar bozukluk ek tanısı bulunan hastaların OKB belirtilerinin mevsimsel seyir izlediği (%70,6) belirlendi. Bipolar bozukluk ek tanılı hastalarda majör depresif atak sayıları daha yüksekti ve hastaneye yatış sayıları daha fazla idi. Bipolar bozukluk ek tanılı hastalar arasında depresif mizaç (%23,4), siklotimik (%11,8) ve endişeli mizaç (%17,6) en baskın afektif mizaç tipleri idi. Bipolar bozukluğu olan ve olmayan OKB hastalarının afektif mizaç puanları arasında anlamlı farklılık saptanmadı. Sonuç: Bipolar bozukluğu OKB hastalarında klinik farklılıklara sebep olmaktadır. Afektif mizaç tipleri açısından her iki grup arasında anlamlı farklılık saptanmamıştır. Bipolar bozukluğu olan ve olmayan OKB hastalarının afektif mizaç özellikleri geniş örneklemlerle araştırılmalıdır. (Marmara Üniversitesi Tıp Fakültesi Dergisi 2012;25:26-31)

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Cite This Article

FISTIKÇI, N., HACIOĞLU, M., EREK, Ş., SAATÇİOĞLU, Ö., TABO, A. (2012). Comparison of Clinical Features and Affective Temperaments between Obsessive Compulsive Disorder with and without Comorbid Bipolar Disorder. Marmara Medical Journal, Cilt: 25 - Sayı: 1, 26–31. https://ajindex.com/articles/284002

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