精神病理学
精神分裂症谱
精神病
精神科
心理学
精神分裂症(面向对象编程)
病理学
临床心理学
心理治疗师
医学
作者
Andreas Rosén Rasmussen,Andrea Raballo
出处
期刊:Current Opinion in Psychiatry
[Ovid Technologies (Wolters Kluwer)]
日期:2023-01-16
卷期号:36 (3): 166-171
被引量:1
标识
DOI:10.1097/yco.0000000000000853
摘要
Purpose of review Schizophrenia-spectrum disorders (SSD) frequently involve symptoms that usually are ascribed to nonpsychotic disorder spectra, such as obsessive-compulsive symptoms (OCS). These symptoms can cause differential diagnostic challenges, particularly in early illness stages, and must be considered in treatment planning. In this review, we provide an overview of recent literature within the field of OCS in SSD, with a focus on psychopathology research. Recent findings OCS are seen in approximately a quarter of patients with SSD or at-risk mental state of psychosis. They are associated with more severe clinical features and specific temporal patterns of OCS may be linked with different clinical trajectories. However, the current definitions of OCS have been criticized for their overinclusive nature, which is a limiting step for differential diagnosis and more precise prognostic stratification. Specific phenomenological features, including a link with experiential anomalies (disorders of basic self), have been suggested to provide clinically relevant distinctions. Summary The presence of OCS in SSD is associated with more severe clinical features and invites a higher clinical attention and perspectival monitoring. Some findings suggest that more fine-grained psychopathological distinctions might be a viable clinical and research strategy to advance the field in the direction of precision psychiatry.
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