Article1998

Incidence of Obsessive-Compulsive Disorder in Adults

Gerald Nestadt · Oscar Joseph Bienvenu · Guojun Cai · JACK F. SAMUELS · William W. Eaton

103 citations0/0 files storedThe Journal of Nervous and Mental Disease

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Obsessive-Compulsive Spectrum Disorders Psychoanalysis and Psychopathology Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

This study addressed the incidence of obsessive-compulsive disorder (OCD) in adults in the general population. The Baltimore cohort of 3481 subjects, originally sampled during the 1981 multisite Epidemiologic Catchment Area Study, was traced. From 1993 to 1996, 1920 people were reinterviewed using the Diagnostic Interview Schedule. The incidence of DSM-III-R obsessive-compulsive disorder in adults was estimated at .55 per 1000 person-years. There was a relatively high rate of new cases in elderly women. It appeared that there were two peaks of onset of OCD over the life span, both of which occur later in female subjects. Subjects with adult incidence OCD often presented for psychiatric treatment, though they did not specify obsessive-compulsive symptoms as the reason. The difference in diagnostic criteria between DSM-III and DSM-III-R substantially influenced the threshold for new case identification.

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References

1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1988The Epidemiology of Obsessive-Compulsive Disorder in Five US Communities 1992The Epidemiology and Clinical Features of Obsessive Compulsive Disorder 1985Comparison of the Lay Diagnostic Interview Schedule and a Standardized Psychiatric Diagnosis 1997Natural History of Diagnostic Interview Schedule/ DSM-IV Major Depression 1991Clomipramine in the Treatment of Patients With Obsessive-Compulsive Disorder 1989The incidence of specific DIS/DSM‐III mental disorders: data from the NIMH Epidemiologic Catchment Area Program

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2007Obsessive-Compulsive Disorder and Obsessive-Compulsive Spectrum Disorders: Diagnostic and Dimensional Issues 2004Use of factor analysis to detect potential phenotypes in obsessive-compulsive disorder 2000Late-Onset Obsessive-Compulsive Disorder

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