Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences
Abstract Introduction Although post-traumatic stress disorder and obsessive-compulsive disorder have distinct diagnostic criteria, some psychopathological phenomena seem to be shared, which may lead to misdiagnosis and erroneous treatment decisions. This scoping review explores the psychopathologi...
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| Format: | Article |
| Language: | English |
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Associação de Psiquiatria do Rio Grande do Sul
2023-05-01
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| Series: | Trends in Psychiatry and Psychotherapy |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892023000100301&lng=en&tlng=en |
| _version_ | 1827938806296215552 |
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| author | Ygor Arzeno Ferrão Rodrigo Bolsson Radins João Vítor Bueno Ferrão |
| author_facet | Ygor Arzeno Ferrão Rodrigo Bolsson Radins João Vítor Bueno Ferrão |
| author_sort | Ygor Arzeno Ferrão |
| collection | DOAJ |
| description | Abstract Introduction Although post-traumatic stress disorder and obsessive-compulsive disorder have distinct diagnostic criteria, some psychopathological phenomena seem to be shared, which may lead to misdiagnosis and erroneous treatment decisions. This scoping review explores the psychopathological similarities and differences between these two disorders. Method The review complies with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and included articles published in Portuguese, English, or Spanish in the last 50 years indexed in the PubMed database. Case-reports were excluded. Results Fifty-three studies with different designs were included (30 [56.5%] were cross-sectional studies; eight [15.1%] were case-control studies; one [1.9%] was a cohort study; three [5.7%] were clinical trials; nine [17%] were reviews/systematic reviews; and two [3.8%] were meta-analyses). The main psychopathological aspects described by the studies included were flashbacks x obsessions; avoidant behavior (AB); depressive, anxious, and somatic symptoms; sexuality, sleep, and appetite; psychiatric comorbidities; and suicidality. The intersection between clinical features seems to occur in the extrinsic psychopathological dimension. Conclusion The disorders’ core psychopathological symptoms (intrinsic characteristics) are distinctly different, since flashbacks and obsessions are consequences of different predominant defective mental functions: the former derives from defective memory, the latter from defective thought. Along the same lines, the ABs observed in the two disorders are products of different purposes and inner necessities. |
| first_indexed | 2024-03-13T08:43:20Z |
| format | Article |
| id | doaj.art-a24ab943e4b94658ad1d38ca54893378 |
| institution | Directory Open Access Journal |
| issn | 2238-0019 |
| language | English |
| last_indexed | 2024-03-13T08:43:20Z |
| publishDate | 2023-05-01 |
| publisher | Associação de Psiquiatria do Rio Grande do Sul |
| record_format | Article |
| series | Trends in Psychiatry and Psychotherapy |
| spelling | doaj.art-a24ab943e4b94658ad1d38ca548933782023-05-30T07:40:53ZengAssociação de Psiquiatria do Rio Grande do SulTrends in Psychiatry and Psychotherapy2238-00192023-05-014510.47626/2237-6089-2021-0370Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differencesYgor Arzeno Ferrãohttps://orcid.org/0000-0003-3770-5912Rodrigo Bolsson RadinsJoão Vítor Bueno FerrãoAbstract Introduction Although post-traumatic stress disorder and obsessive-compulsive disorder have distinct diagnostic criteria, some psychopathological phenomena seem to be shared, which may lead to misdiagnosis and erroneous treatment decisions. This scoping review explores the psychopathological similarities and differences between these two disorders. Method The review complies with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and included articles published in Portuguese, English, or Spanish in the last 50 years indexed in the PubMed database. Case-reports were excluded. Results Fifty-three studies with different designs were included (30 [56.5%] were cross-sectional studies; eight [15.1%] were case-control studies; one [1.9%] was a cohort study; three [5.7%] were clinical trials; nine [17%] were reviews/systematic reviews; and two [3.8%] were meta-analyses). The main psychopathological aspects described by the studies included were flashbacks x obsessions; avoidant behavior (AB); depressive, anxious, and somatic symptoms; sexuality, sleep, and appetite; psychiatric comorbidities; and suicidality. The intersection between clinical features seems to occur in the extrinsic psychopathological dimension. Conclusion The disorders’ core psychopathological symptoms (intrinsic characteristics) are distinctly different, since flashbacks and obsessions are consequences of different predominant defective mental functions: the former derives from defective memory, the latter from defective thought. Along the same lines, the ABs observed in the two disorders are products of different purposes and inner necessities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892023000100301&lng=en&tlng=enPost-traumatic stress disorderobsessive-compulsive disorderpsychopathologyscoping review |
| spellingShingle | Ygor Arzeno Ferrão Rodrigo Bolsson Radins João Vítor Bueno Ferrão Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences Trends in Psychiatry and Psychotherapy Post-traumatic stress disorder obsessive-compulsive disorder psychopathology scoping review |
| title | Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences |
| title_full | Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences |
| title_fullStr | Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences |
| title_full_unstemmed | Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences |
| title_short | Psychopathological intersection between obsessive-compulsive disorder and post-traumatic stress disorder: scoping review of similarities and differences |
| title_sort | psychopathological intersection between obsessive compulsive disorder and post traumatic stress disorder scoping review of similarities and differences |
| topic | Post-traumatic stress disorder obsessive-compulsive disorder psychopathology scoping review |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892023000100301&lng=en&tlng=en |
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