정신분열병과 강박장애

Abstract

Co-occurrence of psychotic and obsessive compulsive symptoms was first reported nearly 70 years ago. This paper reviews published reports from the perspectives : psychotic disorder with obsessive compulsive (OC) symptoms or disorder. Older investigations´, reported a low rate of comorbidity between these two disorders, but more-recent studies, in whichsystemic diagnostic criteria have been used, have suggested that the rate of co-occurrence of symptoms is higher than was previously thought. The difficulty in diagnosing patients with obsessive-compulsive disorder (OCD) and psychotic symptoms is reviewed, and the importance of this distinction for treatment and prognosis is discussed. Although; the comorbid diagnosis of schizophrenia and OCD or of OCD and psychotic feature, seems to portend a worse prognosis than for either illness alone, the available data suggest that some patients with schizophrenia and OC symptoms may improve with antiobsessional treatment.