Berg C Z, Rapoport J L, Whitaker A, Davies M, Leonard H, Swedo S E, Braiman S, Lenane M
J Am Acad Child Adolesc Psychiatry. 1989 Jul;28(4):528-33. doi: 10.1097/00004583-198907000-00010.
A 2-year prospective follow-up of a community-based sample of adolescents previously diagnosed as having obsessive compulsive disorder (OCD) or "obsessive compulsive spectrum" disorder and a control sample was completed by clinicians experienced with OCD but blind to prior diagnosis. An initial diagnosis of OCD or "other psychiatric disorder with OC features" was most likely to predict a diagnosis of OCD at follow-up. Subclinical OCD at baseline did not strongly predict continuing psychopathology. A prior diagnosis of obsessive-compulsive personality predicted continued obsessive-compulsive symptoms but its relationship to OCD remains obscure.
由熟悉强迫症但对先前诊断不知情的临床医生，对一个曾被诊断患有强迫症（OCD）或“强迫谱系”障碍的青少年社区样本以及一个对照样本进行了为期两年的前瞻性随访。强迫症或“具有强迫特征的其他精神障碍”的初始诊断最有可能预测随访时的强迫症诊断。基线时的亚临床强迫症并不能有力地预测持续的精神病理学状况。先前的强迫型人格诊断可预测持续的强迫症状，但其与强迫症的关系仍不明确。
