Register-based study of the incidence, comorbidities and demographics of obsessive-compulsive disorder in specialist healthcare

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http://hdl.handle.net/10138/179369

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Rintala , H , Chudal , R , Leppämäki , S , Leivonen , S , Hinkka-Yli-Salomaki , S & Sourander , A 2017 , ' Register-based study of the incidence, comorbidities and demographics of obsessive-compulsive disorder in specialist healthcare ' , BMC Psychiatry , vol. 17 , 64 . https://doi.org/10.1186/s12888-017-1224-3

Title: Register-based study of the incidence, comorbidities and demographics of obsessive-compulsive disorder in specialist healthcare
Author: Rintala, Hanna; Chudal, Roshan; Leppämäki, Sami; Leivonen, Susanna; Hinkka-Yli-Salomaki, Susanna; Sourander, Andre
Contributor: University of Helsinki, Department of Psychiatry
University of Helsinki, Children's Hospital
Date: 2017-02-10
Language: eng
Number of pages: 8
Belongs to series: BMC Psychiatry
ISSN: 1471-244X
URI: http://hdl.handle.net/10138/179369
Abstract: Background: Incidence of obsessive-compulsive disorder (OCD) has been suspected to increase but nationwide epidemiological studies are limited. This study aims to examine sex-specific incidence time trends and characterize psychiatric and neurodevelopmental comorbidities and sociodemographic risk factors of OCD in specialist healthcare in Finland. Methods: A nationwide register-based study using data from four Finnish registers identified 3372 OCD cases and 13,372 matched controls (1: 4). Cumulative incidence in subjects born between 1987 and 2001 was estimated at ages of 10, 15, 20 and 23 years. Conditional logistic regression was used to examine the sociodemographic factors. Results: The cumulative incidence of OCD was 0.4% by age 23. Incidence by age 15 among three cohorts increased from 12.4 to 23.7 /10000 live born males and 8.5 to 28.0 /10000 live born females. 73% of the sample had a comorbid condition. Males were significantly more comorbid with psychotic and developmental disorders; females were more comorbid with depressive and anxiety disorders (p <0.001). Higher maternal SES was associated with an increased risk of OCD (OR 1.4; 95% CI 1.1-1.6). Conclusions: These findings suggest that incidence of treated OCD in specialist healthcare has increased. The reason may be increased awareness and rate of referrals but a true increase cannot be ruled out. Further research on risk factors of OCD is warranted.
Subject: Obsessive-compulsive disorder
Time trends of incidence
Comorbidity
Mental health services
Register-based study
AUTISM SPECTRUM DISORDERS
QUALITY-OF-LIFE
MENTAL-HEALTH
TREATMENT SEEKING
RISK-FACTORS
NEUROPSYCHIATRIC DISORDERS
FUNCTIONAL IMPAIRMENT
TOURETTE-SYNDROME
TIC DISORDERS
SERVICE USE
3124 Neurology and psychiatry
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