S. Bellino, F. Bogetto, P. Vaschetto, S. Ziero, L. Ravizza - Vol. 5 Settembre 1999, n.3
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Objective: the relationship between obsessive-compulsive disorder (OCD) and psychotic disorders can be described according to three different modalities:
comorbidity between obsessive-compulsive symptoms or OCD and Schizophrenia or other Psychotic Disorders;
OCD with poor insight;
OCD with concomitant Schizotypal Personality Disorder (SPD).
We focused on the last condition, in order to define its psychopathological features.
The aim of this study was to determine the mean number and type of Basic Symptoms (Gross e Coll., 1987) in a group of patients with a diagnosis of OCD-SPD compared with two control groups: subjects with OCD without personality disorders; subjects with paranoid schizophrenia in remission.
Methods: the patients were interviewed using the Structural Clinical Interview for DSM-III-R (SCID) for Axis I and II diagnosis and the Bonn Schedule for the Assessment of Basic Sympotms (BSABS). Statistical analysis was performed with Students t-test with Bonferronis correction.
Results: according to our data on number and type of Basic Symptoms, OCD-SPD patients have intermediate features between OCD without axis II codiagnosis and paranoid schizophrenia in remission.
Conclusions: these findings support the hypothesis that this group of patients present a peculiar psychopatological condition.