Poyurovsky Michael, Faragian Sarit, Pashinian Artashez, Heidrach Lilah, Fuchs Camil, Weizman Ronit, Koran Lorrin
Research Unit, Tirat Carmel Mental Health Center, Tirat Carmel, Israel.
Psychiatry Res. 2008 May 30;159(1-2):254-8. doi: 10.1016/j.psychres.2007.02.019. Epub 2008 Apr 18.
In this study we compared 15 patients with DSM-IV obsessive-compulsive disorder (OCD) and schizotypal personality disorder (SPD) and 31 non-SPD OCD patients. OCD-SPD patients had poorer insight, more negative symptoms, lower functioning, more antipsychotic augmentation and more first-degree relatives with schizophrenia-spectrum disorders. A distinct clinical phenotype of OCD associated with SPD should be considered when investigating etiopathogenetic mechanisms.
在本研究中,我们比较了15例患有DSM-IV强迫症(OCD)和分裂型人格障碍(SPD)的患者以及31例非SPD的OCD患者。OCD-SPD患者的自知力较差、阴性症状较多、功能较低、抗精神病药物增效治疗较多,且有精神分裂症谱系障碍的一级亲属较多。在研究病因发病机制时,应考虑与SPD相关的OCD的独特临床表型。