The schizo-obsessive disorder: a case report
Curr Probl Psychiatry 2016; 17(4): 314-318
© 2016 Medical University of Lublin. This is an open access article distributed under the Creative Commons Attribution-NonComercial-No Derivs licence (http://creativecommons.org/licenses/by-nc-nd/3.0/)
Anna Urbańska1, Agnieszka Lis1, Mateusz Sołowiej2,
Aneta Perzyńska-Starkiewicz1, Diana Szymczuk1, Marcin Olajossy1
1 II Department of Psychiatry and Psychiatric Rehabilitation of the Medical University in Lublin
2 Neuropsychiatric Hospital in Lublin
Purpose: A case of schizophrenia with coexisting obsessive-compulsive symptoms is reported.
Case: The frequency of obsessive-compulsive disorder (OCD) and obsessive-compulsive symptoms (OCS) occurrence among pa-tients suffering from schizophrenia is considerably higher in comparison to general population. The results of some studies show that schizo-obsessive disorder is characterized by higher intensity of negative and depressive symptoms. Patients with comorbid schizo-phrenia and obsessive-compulsive disorder show greater level of social dysfunction and they exhibit suicidal behaviours more often than patients diagnosed with schizophrenia. We present a 33-year-old female with obsessive-compulsive symptoms with onset in her early teens with no satisfactory response to treatment, in spite of her good intellect and insight into illness and cooperation.
Comment: There is some evidence suggesting that patients with “schizo-obsessive disorder” have a worse prognosis com-pared to the group of patients suffering only from schizophrenia, but the effect of OCD on schizophrenia symptom profile is unclear.
schizophrenia, obsessive-compulsive disorder, schizo-obsessions, schizo-obsessive disorder, case history