Prevalence of obsessive-compulsive disorder in schizophrenia and significance of motor symptoms

J Neuropsychiatry Clin Neurosci. 2000 Winter;12(1):16-24. doi: 10.1176/jnp.12.1.16.

Abstract

To investigate the differences between schizophrenic subjects with and without obsessive-compulsive disorder (OCD), the authors systematically assessed 76 schizophrenic subjects for OCD. Subjects with and without OCD were then compared with regard to motor symptoms, including catatonia, and several measures of psychopathology. Treatment strategies were evaluated retrospectively. The 12 subjects with OCD (15.8%) had more motor symptoms, including catatonia, than non-OCD schizophrenic subjects. Some differences were found with regard to psychopathological symptoms. Treatment strategies also differed in the two groups. The high prevalence of motor symptoms in these subjects supports the hypothesis of a basal ganglia-frontal lobe connection linking OCD with schizophrenia.

MeSH terms

  • Adult
  • Basal Ganglia / physiopathology
  • Basal Ganglia Diseases / diagnosis*
  • Basal Ganglia Diseases / physiopathology
  • Basal Ganglia Diseases / psychology
  • Cross-Sectional Studies
  • Dyskinesia, Drug-Induced / diagnosis
  • Dyskinesia, Drug-Induced / physiopathology
  • Dyskinesia, Drug-Induced / psychology
  • Female
  • Frontal Lobe / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Neural Pathways
  • Obsessive-Compulsive Disorder / diagnosis*
  • Obsessive-Compulsive Disorder / physiopathology
  • Obsessive-Compulsive Disorder / psychology
  • Psychomotor Disorders / diagnosis*
  • Psychomotor Disorders / physiopathology
  • Psychomotor Disorders / psychology
  • Schizophrenia / diagnosis*
  • Schizophrenia / physiopathology
  • Schizophrenia, Catatonic / diagnosis
  • Schizophrenia, Catatonic / physiopathology
  • Schizophrenia, Catatonic / psychology
  • Schizophrenic Psychology*