Long-term stability in obsessive thoughts and compulsive behavior in the general population: a longitudinal study in Sweden.

Autor: Hogstedt C; Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Forsell Y; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Hayes JF; Division of Psychiatry, University College London, London, UK., Torgén M; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Svartengren M; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Lundin A; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Nordic journal of psychiatry [Nord J Psychiatry] 2023 Aug; Vol. 77 (6), pp. 574-580. Date of Electronic Publication: 2023 Apr 08.
DOI: 10.1080/08039488.2023.2191991
Abstrakt: Objective: Obsessive thoughts and compulsive behavior and their related disorder Obsessive-Compulsive Disorder (OCD) commonly occur in the general population. Clinical populations indicate a high level of stability, although there are few longitudinal studies in the general population. The recommended drug treatments are SSRIs/TCAs. However, there are few long-term follow up studies. The goal of this study was to 1) examine the occurrence and stability of obsessions, compulsions, and OCD in a longitudinal population-based survey, 2) investigate the use of SSRI and TCA and the potential effect on symptoms.
Methods: A ten-year longitudinal general population in Stockholm was used (2000 and 2010, n  = 5650) Obsessional washing, checking, intrusive unpleasant thoughts and the level of suffering due to these symptoms were measured by self-report. Information on use of SSRIs and TCAs by these individuals was obtained from registers. Stability was examined using contingency tables and multinomial logistic regression.
Results: At baseline, 2.1, 11.7 and 11.9% reported obsessional washing, checking and intrusive thoughts. A total of 5% reported considerable suffering from these (i.e. OCD). Based on psychiatric interview only 0.4% had OCD. Ten years later a quarter of OCD cases were still classified as having OCD, one quarter reported any obsessive or compulsive symptom and half were classified as symptom-free. Treatment receipt was low and controlling for medication did not change the stability.
Conclusion: Obsessive thoughts and compulsive behavior are common and stable. While this group is potentially undertreated, there is no indication that those treated display a different pattern of recovery.
Databáze: MEDLINE
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