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TRANSTORNO OBSESSIVO-COMPULSIVO: LIMITES DIAGNOSTICOS

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Neste trabalho, descrevemos os resultados de nossos estudos sobre os limites internos (subtipos) e externos (fronteiras) do transtorno obsessivo-compulsivo (TOC)
fontenelle9.jpg Autor:
Leonardo Fontenelle,
Columnista Experto de SIIC

Institución:


Artículos publicados por Leonardo Fontenelle,
Recepción del artículo
22 de Marzo, 2004 		Primera edición
17 de Junio, 2004 		Segunda edición, ampliada y corregida
7 de Junio, 2021

TRANSTORNO OBSESSIVO-COMPULSIVO: LIMITES DIAGNOSTICOS

Resumen
Diversos estudos têm enfatizado a heterogeneidade clínica e prognóstica do transtorno obsessivo-compulsivo (TOC). Neste trabalho, descrevemos os resultados de nossos estudos sobre os limites internos (subtipos) e externos (fronteiras) do TOC. Pudemos constatar a existência de is subgrupos do TOC baseados, por exemplo, no gênero, na idade de início, na presença de acumulação e de transtornos de controle dos impulsos e, finalmente, na resposta favorável ao tratamento farmacológico. As fronteiras do TOC com os transtornos de controle dos impulsos, da imagem corporal, e alguns transtornos neurológicos (considerados por alguns pesquisadores como parte de um hipotético "espectro obsessivo-compulsivo"), são tênues e devem ser reavaliadas. Nós descrevemos casos de pacientes que repousam sobre esses limites virtuais e discutimos algumas limitações. Em síntese, nossos trabalhos apoiam a visão do TOC como uma rede de síndromes heterogêneas que só recentemente começa a ter sua complexidade desvendada.

Palabras clave
Transtorno obsessivo-compulsivo, psicopatologia, fenótipos, diagnóstico, comportamento impulsivo


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OBSESSIVE-COMPULSIVE DISORDER: DIAGNOSTIC LIMITS

Abstract
Several studies have emphasized the clinical and prognostic heterogeneity of obsessive-compulsive disorder (OCD). In this article, we describe the results of several of our studies about the internal (subtypes) and external (frontiers) of OCD. We were able to identify some potential subtypes based on gender, age of onset, presence of hoarding and impulsive control disorders; and on the presence of favorable treatment response. OCD has tenuous frontiers with impulse control disorders, body image disorders and some neurological disorders (which belong to the so-called obsessive-compulsive spectrum). We describe cases of patients that seem to be within those virtual limits and suggest that their validity may need to be reassessed. In synthesis, our work supports the view of OCD as a net of heterogeneous syndromes that, only recently, has begun to have its complexity fully disentangled.

Key words
Obsessive-compulsive disorder, psychopathology, phenotypes, diagnosis, impulsive behavior

Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Farmacología, Salud Mental
Relacionadas: Atención Primaria, Medicina Farmacéutica, Medicina Interna, Neurología



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Bibliografía del artículo
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