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Obsessive–compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
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Obsessive–compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
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Obsessive–compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
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Journal Article
Obsessive–compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
2012
Overview
Background
Although subthreshold conditions are associated with impairment in numerous disorders, research on obsessive–compulsive disorder (OCD) below the diagnostic threshold of DSM-IV in the general population is limited.
Purpose
To estimate the DSM-IV 12-month prevalence, comorbidity and impairment of OCD, subthreshold OCD (i.e., fulfilling some but not all core DSM-IV criteria), and obsessive–compulsive symptoms (OCS) (i.e., endorsement of OCS without fulfilling any core DSM-IV criteria) in a general population sample.
Methods
Data from the German National Health Interview and Examination Survey–Mental Health Supplement (
N
= 4181, age 18–65 years), based on the standardized diagnostic Munich Composite International Diagnostic Interview.
Results
The 12-month prevalence of OCD was 0.7%, subthreshold OCD was 4.5%, and OCS was 8.3%. Subjects in all three groups showed higher comorbidity (odds ratios [ORs] ≥ 3.3), compared to those without OCS. The OCD, subthreshold OCD and OCS were all associated with increased odds of substance abuse/dependence-, mood-, anxiety- and somatoform disorders, with especially strong associations with possible psychotic disorder (ORs ≥ 4.1) and bipolar disorders (ORs ≥ 4.7). Participants in all three groups showed higher impairment (ORs ≥ 3.1) and health-care utilization (ORs ≥ 2.4), compared to those without OCS, even after controlling for covariates.
Conclusions
Individuals with subthreshold OCD and OCS, not currently captured by DSM-IV OCD criteria, nevertheless show substantial comorbidity, impairment and health-care utilization. This should be taken into account in future conceptualization and classification of OCD and clinical care.
Publisher
Springer-Verlag,Springer,Springer Nature B.V
Subject
/ Adult
/ Adult and adolescent clinical studies
/ Aged
/ Biological and medical sciences
/ Female
/ Humans
/ Male
/ Medicine
/ Obsessive compulsive disorder
/ Obsessive-Compulsive Disorder - diagnosis
/ Obsessive-Compulsive Disorder - epidemiology
/ Obsessive-Compulsive Disorder - physiopathology
/ Obsessive-Compulsive Disorder - psychology
/ Obsessive-compulsive disorders
/ Psychology. Psychoanalysis. Psychiatry
/ Surveys
