PMID- 20644358 OWN - NLM STAT- MEDLINE DCOM- 20101215 LR - 20100720 IS - 1538-1145 (Electronic) IS - 1527-4160 (Linking) VI - 16 IP - 4 DP - 2010 Jul TI - Obsessive-compulsive symptoms in schizophrenia: their relationship with clinical features and pharmacological treatment. PG - 235-42 LID - 10.1097/01.pra.0000386909.84289.ee [doi] AB - OBJECTIVES: The aim of this study was to evaluate (1) the frequency of obsessive-compulsive symptoms (OCS) in patients with schizophrenia, (2) the impact of OCS on clinical features of schizophrenia, and (3) the association between type of antipsychotic treatment and presence of OCS. METHODS: OCS were evaluated using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) in 70 patients with schizophrenia. The patients were then divided into two subgroups: those with at least a moderate level of OCS and those with mild or absent OCS. The two subgroups were compared using scores on the Scale for the Assessment of Positive Symptoms (SAPS), the Scale for the Assessment of Negative Symptoms (SANS), and the Global Assessment of Functioning Scale (GAF). RESULTS: Of the 70 patients with schizophrenia who were evaluated, 36 (51.4%) had at least moderate OCS (Y-BOCS score >16). SAPS subscale scores for hallucinations and delusions and GAF scores were found to be significantly higher among patients with at least moderate OCS, compared with those with mild or absent OCS. A significant relationship between at least moderate OCS and treatment with conventional antipsychotics was also observed. CONCLUSIONS: The presence of OCS seems to have the potential to affect clinical outcomes in schizophrenia and treatment with conventional antipsychotics appears to be correlated with the presence of OCS. FAU - Nolfe, Giovanni AU - Nolfe G AD - Psychiatric Operative Unit 24, Department of Mental Health Naples 1, Via Monte di Dio 25, Naples, Italy. giovanni.nolfe@virgilio.it FAU - Milano, Walter AU - Milano W FAU - Zontini, Gemma AU - Zontini G FAU - Petrella, Claudio AU - Petrella C FAU - De Rosa, Michele AU - De Rosa M FAU - Rundle-Smith, Sarah AU - Rundle-Smith S FAU - Nolfe, Giuseppe AU - Nolfe G LA - eng PT - Journal Article PL - United States TA - J Psychiatr Pract JT - Journal of psychiatric practice JID - 100901141 RN - 0 (Antipsychotic Agents) SB - IM MH - Adult MH - Antipsychotic Agents/*therapeutic use MH - Compulsive Behavior/diagnosis/*drug therapy/epidemiology/*psychology MH - Delusions/psychology MH - Female MH - Hallucinations/psychology MH - Humans MH - Male MH - Middle Aged MH - Obsessive Behavior/diagnosis/*drug therapy/epidemiology/*psychology MH - Psychiatric Status Rating Scales MH - Schizophrenia/diagnosis/*drug therapy MH - *Schizophrenic Psychology MH - Severity of Illness Index MH - Treatment Outcome EDAT- 2010/07/21 06:00 MHDA- 2010/12/16 06:00 CRDT- 2010/07/21 06:00 PHST- 2010/07/21 06:00 [entrez] PHST- 2010/07/21 06:00 [pubmed] PHST- 2010/12/16 06:00 [medline] AID - 00131746-201007000-00004 [pii] AID - 10.1097/01.pra.0000386909.84289.ee [doi] PST - ppublish SO - J Psychiatr Pract. 2010 Jul;16(4):235-42. doi: 10.1097/01.pra.0000386909.84289.ee.