Literature DB >> 21714825

Co-occurrence of obsessive-compulsive disorder and substance use disorder in the general population.

Rianne M Blom1, Maarten Koeter, Wim van den Brink, Ron de Graaf, Margreet Ten Have, Damiaan Denys.   

Abstract

AIM: Very little is known about the relationship between obsessive-compulsive disorder (OCD) and substance use disorder (SUD). The aim of this study is to compare the co-occurrence of OCD with SUD to the co-occurrence of SUD with other psychiatric disorders in a representative community sample.
DESIGN: In order to examine the association of SUD and OCD, logistic regression analyses were used generating odds ratios and 95% confidence intervals for life-time prevalence and 12-month prevalence. SETTING AND PARTICIPANTS: Cross-sectional data were derived from the Netherlands Mental Health Survey and Incidence Study (NEMESIS), a large representative sample of the Dutch population (n = 7076). MEASUREMENTS: The Composite International Diagnostic Interview (CIDI) 1.1 was used to assess Diagnostic and Statistical Manual of Mental Disorders Axis I criteria for psychiatric disorders.
FINDINGS: The life-time and 12-month odds of being diagnosed with SUD in subjects with OCD are significantly higher than the odds of SUD for people without a psychiatric disorder. In men, the co-occurrence of substance dependence and OCD is significantly higher than the co-occurrence of substance dependence and other psychiatric disorders, whereas in women this co-occurrence does not differ significantly.
CONCLUSIONS: The co-occurrence of substance dependence in obsessive-compulsive disorder is higher than the co-occurrence of substance dependence in other non-obsessive-compulsive disorder DSM disorders, especially in men.
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

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Year:  2011        PMID: 21714825     DOI: 10.1111/j.1360-0443.2011.03559.x

Source DB:  PubMed          Journal:  Addiction        ISSN: 0965-2140            Impact factor:   6.526


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