PMID: 9167511Jun 1, 1997Paper

Stability of diagnosis of obsessive-compulsive disorder in the Epidemiologic Catchment Area study

The American Journal of Psychiatry
E Nelson, J Rice

Abstract

This study examined the 1-year temporal stability of a National Institute of Mental Health Diagnostic Interview Schedule (DIS) lifetime diagnosis of obsessive-compulsive disorder in the Epidemiologic Catchment Area (ECA) study. In that study, 20,862 individuals, aged 18 years and over, at five sites were evaluated by lay interviewers using the DIS (wave 1). All of those who were available 12 months later were reinterviewed (wave 2). In the present study, the temporal stability of wave 1 obsessive-compulsive disorder diagnoses at wave 2 was examined, as well as relationships with comorbid diagnoses. The consistency of reports of "new-onset" illness was also examined. Factors contributing to these measures were evaluated. The temporal stability of the diagnosis of obsessive-compulsive disorder was very low. Subjects with a stable diagnosis of obsessive-compulsive disorder had a higher rate of both obsessions and compulsions, an earlier age at onset, and more comorbid anxiety, affective, and alcohol abuse/dependence disorders at initial assessment. The originally reported 1-year incidence estimates for obsessive-compulsive disorder primarily reflect data from subjects at wave 2 who reported the onset of symptoms as preceding the w...Continue Reading

Citations

Aug 2, 2006·The British Journal of Psychiatry : the Journal of Mental Science·Petros SkapinakisRicardo Araya
Mar 4, 1998·The Australian and New Zealand Journal of Psychiatry·J Ellard
Oct 15, 2005·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Albina Rodrigues Torres, Maria Cristina Pereira Lima
Nov 30, 2011·International Journal of Psychiatry in Clinical Practice·Joris VeldhuisDamiaan Denys
Jul 20, 2007·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Hermano Tavares, Valentim Gentil
May 2, 2000·The Australian and New Zealand Journal of Psychiatry·D J Castle, A Groves

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