Obsessive-compulsive symptoms in adults with history of rheumatic fever, Sydenham's chorea and type I diabetes mellitus: preliminary results

Objective:  Rheumatic fever (RF) associated with Sydenham's chorea (a neurological variant of RF), but not RF without chorea, has been acutely related to obsessive–compulsive symptomatology/disorder (OCS/OCD). This study investigated the presence of OCS in adults who had RF with or without chor...

Full description

Saved in:
Bibliographic Details
Published in:Acta psychiatrica Scandinavica 2005-02, Vol.111 (2), p.159-161
Main Authors: Asbahr, F. R., Ramos, R. T., Costa, A. N., Sassi, R. B.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Chorea - epidemiology
Comorbidity
Diabetes
diabetes mellitus
Diabetes Mellitus, Type 1 - epidemiology
Female
Humans
Infections
Male
Medical sciences
Neuroses
obsessive-compulsive disorder
Obsessive-Compulsive Disorder - diagnosis
Obsessive-Compulsive Disorder - epidemiology
Obsessive-Compulsive Disorder - psychology
Organic mental disorders. Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Rheumatic fever
Rheumatic Fever - epidemiology
Severity of Illness Index
Surveys and Questionnaires
Sydenham's chorea
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective:  Rheumatic fever (RF) associated with Sydenham's chorea (a neurological variant of RF), but not RF without chorea, has been acutely related to obsessive–compulsive symptomatology/disorder (OCS/OCD). This study investigated the presence of OCS in adults who had RF with or without chorea in childhood. Method:  The Yale‐Brown Obsessive–Compulsive Scale (Y‐BOCS) was used to evaluate OCS in 38 adults with history of RF (13 with chorea; 25 without chorea) or diabetes (controls; n = 19). Results:  The OCS was similar in both groups, although the intensity of symptoms was not clinically relevant. Moreover, subjects with RF with or without chorea did not score differently in the Y‐BOCS. Conclusion:  The similar occurrence of OCS in patients with history of RF and diabetes suggests that the development of this symptomatology, triggered by group A β‐haemolytic streptococcus infections, is restricted to the RF acute phase, occurred during infancy, and did not seem to predispose the appearance of OCS in adulthood.
ISSN:0001-690X
1600-0447
DOI:10.1111/j.1600-0447.2004.00455.x