PMID- 15332201 OWN - NLM STAT- MEDLINE DCOM- 20041221 LR - 20151119 IS - 0010-440X (Print) IS - 0010-440X (Linking) VI - 45 IP - 5 DP - 2004 Sep-Oct TI - Patients with obsessive-compulsive disorder and hoarding symptoms: a distinctive clinical subtype? PG - 375-83 AB - We investigated whether patients with obsessive-compulsive disorder (OCD) and hoarding symptoms can be differentiated from their counterparts with other types of obsessions and compulsions in terms of sociodemographic and clinical features. Ninety-seven patients with OCD were assessed with a sociodemographic and clinical questionnaire, the Structured Clinical Interview for DSM-IV (SCID-I), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Beck Depression Inventory (BDI), the Hamilton Rating Scale for Depression (HDRS), and the Global Assessment of Functioning (GAF). Fifteen patients who reported hoarding symptoms in the Y-BOCS checklist (15.6% of the total sample) were compared and contrasted with 82 patients without those symptoms using the Mann-Whitney U test for continuous variables and the Pearson's goodness-of-fit chi-square test for categorical ones; Fisher's exact test was employed when indicated. Hoarders were characterized by (1) higher educational levels (chi(2) = 7.49; df = 2; P =.02); (2) earlier age at onset (Z = -2.99; P =.003); (3) higher rates of symmetry obsessions (chi(2) = 7.03; df = 1; P =.01); (4) greater frequency of ordering (chi(2) = 10.08; df = 1; P =.004); (5) rituals repetition (chi(2) = 4.42; df = 1; P =.03); (6) counting compulsions (chi(2) = 5.92; df = 1; P =.02); and (7) significantly higher rates of comorbidity with bipolar II disorder (chi(2) = 10.62; df = 1; P =.02) and (8) with eating disorders (chi(2) = 7.42; df = 1; P =.02). In conclusion, patients with OCD exhibiting hoarding feature a distinctive sociodemographic and clinical profile. It remains to be investigated whether these phenotypical characteristics are underlined by specific neurobiological mechanisms. FAU - Fontenelle, Leonardo F AU - Fontenelle LF AD - Anxiety and Depression Research Program, Institute of Psychiatry of the Federal University of Rio de Janiero, Brazil. FAU - Mendlowicz, Mauro V AU - Mendlowicz MV FAU - Soares, Isabela D AU - Soares ID FAU - Versiani, Marcio AU - Versiani M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Compr Psychiatry JT - Comprehensive psychiatry JID - 0372612 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Comorbidity MH - Compulsive Behavior/diagnosis/*epidemiology MH - Demography MH - Depressive Disorder, Major/diagnosis/epidemiology MH - Diagnostic and Statistical Manual of Mental Disorders MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mood Disorders/epidemiology MH - Obsessive-Compulsive Disorder/diagnosis/*epidemiology MH - Personality Disorders/epidemiology MH - Severity of Illness Index MH - Surveys and Questionnaires EDAT- 2004/08/28 05:00 MHDA- 2004/12/22 09:00 CRDT- 2004/08/28 05:00 PHST- 2004/08/28 05:00 [pubmed] PHST- 2004/12/22 09:00 [medline] PHST- 2004/08/28 05:00 [entrez] AID - S0010440X04000410 [pii] AID - 10.1016/j.comppsych.2004.03.005 [doi] PST - ppublish SO - Compr Psychiatry. 2004 Sep-Oct;45(5):375-83. doi: 10.1016/j.comppsych.2004.03.005.