Zink, M., Schirmbeck, F., Rausch, F., Eifler, S., Elkin, H., Solojenkina, X., Englisch, S., Wagner, M., Maier, W., Lautenschlager, M., Heinz, A., Gudlowski, Y., Janssen, B., Gaebel, W., Michel, T. M., Schneider, F., Lambert, M., Naber, D., Juckel, G., Krueger-Oezguerdal, S., Wobrock, T., Hasan, A., Riedel, M., Mueller, H., Klosterkoetter, J. and Bechdolf, A. (2014). Obsessive-compulsive symptoms in at-risk mental states for psychosis: associations with clinical impairment and cognitive function. Acta Psychiatr. Scand., 130 (3). S. 214 - 227. HOBOKEN: WILEY. ISSN 1600-0447

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Abstract

Objective: Obsessive-compulsive symptoms (OCS) constitute a major comorbidity in schizophrenia. Prevalence estimations of OCS for patients with at-risk mental states (ARMS) for psychosis vary largely. It is unclear how ARMS patients with or without comorbid OCS differ regarding general psychosocial functioning, psychotic and affective symptoms and neurocognitive abilities. Method: At-risk mental states patients (n = 233) from the interventional trial PREVENT (Secondary Prevention of Schizophrenia) were stratified according to the presence or absence of comorbid OCS and compared on several clinical variables. Results: Patients, who fulfilled the criteria for obsessive-compulsive disorder (OCD) or presented with subclinical OCS (ARMSposOCS sample), did not significantly differ from patients without OCS (ARMSnegOCS) with regard to gender, age, premorbid verbal intelligence and levels of education. Furthermore, similar severity of depressive syndromes, basic cognitive, attenuated psychotic and brief limited intermittent psychotic symptoms were found. However, ARMSposOCS patients showed more impairment of psychosocial functioning and higher general psychopathology. In contrast, they scored higher in cognitive tasks measuring working memory and immediate verbal memory. Conclusion: Findings extend upon previous results due to the multidimensional assessment. Subsequent longitudinal studies might elucidate how comorbid OCS influence differential treatment response, especially to cognitive behavioural interventions and the transition rates to psychosis.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Zink, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schirmbeck, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rausch, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eifler, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Elkin, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Solojenkina, X.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Englisch, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wagner, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maier, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lautenschlager, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heinz, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gudlowski, Y.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Janssen, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gaebel, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michel, T. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schneider, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lambert, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Naber, D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Juckel, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krueger-Oezguerdal, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wobrock, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hasan, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Riedel, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klosterkoetter, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bechdolf, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-429960
DOI: 10.1111/acps.12258
Journal or Publication Title: Acta Psychiatr. Scand.
Volume: 130
Number: 3
Page Range: S. 214 - 227
Date: 2014
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1600-0447
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ULTRA-HIGH-RISK; RANDOMIZED CONTROLLED-TRIAL; 1ST-EPISODE SCHIZOPHRENIA; ATYPICAL ANTIPSYCHOTICS; PRODROMAL SYMPTOMS; BASIC SYMPTOMS; YOUNG-PEOPLE; DISORDER; CLOZAPINE; INDIVIDUALSMultiple languages
PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/42996

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