loading page

Overlap of Obsessive Compulsive and Psychosis Risk Symptoms in a Specialized Clinic
  • +3
  • Michelle West,
  • James Green,
  • Madison Barber,
  • Shadi Sharif,
  • Victoria Lisowski,
  • Michelle Friedman-Yakoobian
Michelle West
University of Colorado - Anschutz Medical Campus
Author Profile
James Green
Beth Israel Deaconess Medical Center
Author Profile
Madison Barber
Metropolitan State University of Denver
Author Profile
Shadi Sharif
University of Colorado Anschutz Medical Campus School of Medicine

Corresponding Author:shadi.sharif@ucdenver.edu

Author Profile
Victoria Lisowski
Author Profile
Michelle Friedman-Yakoobian
Harvard Medical School
Author Profile

Abstract

Aim: Psychotic disorders and obsessive-compulsive disorder (OCD) commonly co-occur. Likewise, subthreshold psychosis symptoms (clinical high risk for psychosis; CHR-p) and obsessive-compulsive symptoms (OCS) commonly overlap and may be difficult to differentiate. Previous work suggests some notable differences between OCS and psychosis include insight and the content of thoughts and experiences. Methods: The current study explored the overlap between OCS and psychosis symptoms in a CHR-p sample. Results: Results demonstrated 13.5% of the sample experienced co-morbid OCD and CHR-p. Individuals with comorbid OCD and CHR-p experienced no other significant differences in presenting concerns, including psychosis symptoms, social or role functioning, anxiety, or depression. Exploratory factor analyses conducted on the CFOCI-A revealed two subtype factors: 1) checking and counting, and 2) intrusive thoughts and images of harm/guilt. The checking and counting factor was significantly correlated with depression and social anxiety. The intrusive thoughts and images of harm/guilt factor was significantly correlated with unusual thought content, suspiciousness and persecutory ideas, attenuated positive symptoms, and social anxiety. Conclusions: These findings suggest individuals who experience intrusive thoughts and images may be more likely to rate on positive symptoms, while individuals with checking and counting symptoms may not rate on positive symptoms, though may experience greater levels of depression.
11 May 2023Submitted to Early Intervention in Psychiatry
09 Jun 2023Submission Checks Completed
09 Jun 2023Assigned to Editor
09 Jun 2023Review(s) Completed, Editorial Evaluation Pending
16 Jun 2023Reviewer(s) Assigned
27 Mar 2024Editorial Decision: Revise Major
10 Jun 20241st Revision Received
11 Jun 2024Submission Checks Completed
11 Jun 2024Assigned to Editor
11 Jun 2024Review(s) Completed, Editorial Evaluation Pending
11 Jun 2024Reviewer(s) Assigned
10 Jul 2024Editorial Decision: Accept