Does anti-obsessional pharmacotherapy treat so-called comorbid depressive and anxiety states?

Autor(es)

Valerio, Carolina ^[1] ; Diniz, Juliana Belo ^[1] ; Fossaluza, Victor ^[2] ; de Mathis, Maria Alice ^[1] ; Belotto-Silva, Cristina ^[1] ; Joaquim, Marines Alves ^[1] ; Miguel Filho, Euripedes Constantino ^[1] ; Shavitt, Roseli Gedanke ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Fac Med, Hosp Clin, Dept & Inst Psychiat, BR-05403010 Sao Paulo - Brazil

^[2] Univ Sao Paulo, Inst Math & Stat, BR-05403010 Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Journal of Affective Disorders; v. 139, n. 2, p. 187-192, JUL 2012.
• Citações Web of Science: 4

Resumo

Background: Obsessive-compulsive disorder (OCD) is a chronic condition that normally presents high rates of psychiatric comorbidity. Depression, tic disorders and other anxiety disorders are among the most common comorbidities in OCD adult patients. There is evidence that the higher the number of psychiatric comorbidities, the worse the OCD treatment response. However, little is known about the impact of OCD treatment on the outcome of the psychiatric comorbidities usually present in OCD patients. The aim of this study was to investigate the impact of exclusive, conventional treatments for OCD on the outcome of additional psychiatric disorders of OCD patients, detected at baseline. Methods: Seventy-six patients with primary OCD admitted to the treatment protocols of the Obsessive-Compulsive Spectrum Disorders Program between July 2007 and December 2009 were evaluated at pre-treatment and after 12 months. Data were analyzed to verify possible associations between,OCD treatment response and the outcome of psychiatric comorbidities. Results: Results showed a significant association between OCD treatment response and improvement of major depression and dysthymia (p-value = 0.002), other anxiety disorders (generalized anxiety disorder, social phobia, specific phobia, posttraumatic stress disorder, panic disorder, agoraphobia and anxiety disorder not otherwise specified) (p-value = 0.054) and tic disorders (p-value = 0.043). Limitations: This is an open, non-blinded study, without rating scales for comorbid conditions. Further research is necessary focusing on the possible mechanisms by which OCD treatment could improve these specific disorders. Conclusions: Our results suggest that certain comorbid disorders may benefit from OCD-targeted treatment. (C) 2012 Elsevier B.V. All rights reserved. (AU)

• Processo FAPESP: 08/57598-7 - Trajetória das comorbidades no transtorno obsessivo-compulsivo
• Beneficiário: Maria Alice Simões de Mathis
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 08/55855-2 - Impacto do tratamento do transtorno obsessivo-compulsivo nas comorbidades psiquiátricas no curto e médio prazos
• Beneficiário: Carolina Valerio
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 08/57896-8 - O Instituto Nacional da Psiquiatria do Desenvolvimento: uma nova abordagem para a psiquiatria tendo como foco as nossas crianças e o seu futuro
• Beneficiário: Eurípedes Constantino Miguel Filho
• Modalidade de apoio: Auxílio à Pesquisa - Temático