OBSESSIVE-COMPULSIVE DISORDER IN A BIRTH COHORT OF 18-YEAR-OLDS - PREVALENCE AND PREDICTORS

OBSESSIVE-COMPULSIVE DISORDER IN A BIRTH COHORT OF 18-YEAR-OLDS - PREVALENCE AND PREDICTORS
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DOI:
10.1097/00004583-199511000-00008
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发表时间:
1995-11-01
影响因子:
13.3
通讯作者:
SILVA, P
SILVA, P
中科院分区:
医学1区
文献类型:
--
作者:
DOUGLASS, HM;MOFFITT, TE;SILVA, P

文献摘要

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目的:报告930名18岁男性和女性未选择出生队列中强迫症(OCD)的描述性流行病学信息。方法:对18岁青少年自我报告强迫症的流行病学调查,并对强迫症的预测因素进行纵向分析。结果:使用诊断访谈表,作者发现1年患病率为4%,男女比例为0.7:1。大多数强迫症病例符合合并症的标准,最常见的是抑郁症(62%),社交恐惧症(38%)和物质依赖(酒精24%,大麻19%)。结论:从出生到18岁收集的数据表明,文献中提出的许多童年危险因素并不能预测该样本的强迫症。然而,抑郁史和药物使用是强迫症的潜在危险因素。
Objective: To report descriptive epidemiological information on obsessive-compulsive disorder (OCD) in an unselected birth cohort of 930 males and females, aged 18 years. Method: An epidemiological study of the prevalence of self-reported OCD at age 18, and a longitudinal analysis of the prospective predictors of OCD. Results: Using the Diagnostic interview Schedule, the authors found a I-year prevalence rate of 4%, with a male-female ratio of 0.7:1. The majority of OCD cases met criteria for a comorbid disorder, most commonly depression (62%), social phobia (38%), and substance dependence (alcohol 24%, marijuana 19%). Conclusions: Data collected on the sample from birth to age 18 years indicated that many childhood risk factors theorized in the literature did not predict OCD in this sample. However, a history of depression and substance use were prospective risk factors for OCD.