Originalarbeit · Original Article
Der frühe Beginn der Zwangsstörung: Einfluss auf Symptomatik und SchweregradJänsch P.a · Zaudig M.a · Röper G.b · Hauke W.a · Piesbergen C.b · Butollo W.b
aPsychosomatische Klinik Windach am Ammersee, bDepartment Psychologie, Klinische Psychologie und Psychotherapie, Ludwig-Maximilians-Universität, München, Deutschland
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This study investigates if obsessive compulsive disorder with early onset differs in severity and symptomatology from that with late onset. Patients and Methods: A sample of 370 patients with obsessive compulsive disorder (OCD; ICD 10 F42) who received in-patient treatment at the psychosomatic clinic of Windach between 1998 and 2002 were divided into an early-onset group (onset = 15 years) and a late-onset group (onset = 16 years). Groups were compared regarding ICD-10 diagnosis and Y-BOCS scores. Results: Considering severity of the disorder 20.5% of the early-onset group but merely 8.7% of the late-onset group suffered from an extreme form of OCD. With respect to symptomatology, the early-onset group was diagnosed with ‘obsessions and compulsions, mixed’ (76.9%) more often than the lateonset group (61.8%). Also, the early-onset group reported a wider variety of symptoms both for the present and for the past than the late-onset group (present 8,2 vs 7.0; past 5.5 vs 3.9 types of symptoms). There were also differences in the content of rumination and types of compulsive rituals. Conclusions: Patients with early-onset OCD seem to be more frequently affected by an extreme form of OCD and to experience a higher variety of symptoms than patients with late-onset OCD. If early-onset OCD can be considered a distinct subtype could not be answered unequivocally by the results of this study. This question needs additional research.
The Early Onset of Obsessive-Compulsive Disorder and Its Impact on Symptomatology and Severity
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