Thematic content of obsessive and compulsive symptoms and conversion to psychosis in a clinical high-risk cohort
| Autor: | Tyler Pia, Ragy R. Girgis, Melanie M. Wall, Allegra Califano, Hannah Hesson, Brooke Lundgren, Qing Xu, Leda Kennedy, Michael D. Masucci, Pablo H. Goldberg, Gabriella Dishy, Gary Brucato |
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| Rok vydání: | 2020 |
| Předmět: |
Psychiatric Status Rating Scales
Psychosis Obsessive-Compulsive Disorder Adolescent business.industry Comorbidity medicine.disease 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health Young Adult 0302 clinical medicine Psychotic Disorders Cohort medicine Compulsive Behavior Humans Pshychiatric Mental Health Young adult Content (Freudian dream analysis) business 030217 neurology & neurosurgery Biological Psychiatry Clinical psychology |
| Zdroj: | Early intervention in psychiatryREFERENCES. 15(5) |
| ISSN: | 1751-7893 |
| Popis: | Aim We sought to explore the complex phenomenological overlap between obsessive and compulsive symptoms (OCS), and attenuated positive symptoms among 156 young people at clinical high-risk (CHR) for psychosis. Methods In order to explore the hypothesis that OCS of an implausible nature might optimally predict future transition to syndromal psychosis, ideas associated with obsessive and compulsive experiences elicited by clinical measures were thematically categorized as "plausible" or "implausible." Results While OCS were found to be common in our CHR sample, we did not find that implausible OCS themes were predictive of conversion. Conclusion Given the absence of qualitative differences between OCS and early psychotic symptoms, we propose that clinicians encountering adolescent or young adult patients with new-onset OCD or OCS in the past year should monitor such symptoms for a minimum of 2 years to assess for the possible emergence of psychosis. |
| Databáze: | OpenAIRE |
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