2004
DOI: 10.1590/s0101-81082004000300004
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Características clínicas e história familiar em pacientes ambulatoriais com transtorno obsessivo-compulsivo

Abstract: INTRODUÇÃO: A ocorrência familiar do transtorno obsessivo-compulsivo permite-nos especular sobre diferenças clínicas entre indivíduos com história familiar de TOC (HF+) e sem história familiar de TOC (HF-). Este estudo investigou a associação entre história familiar de TOC e algumas características clínicas. MATERIAL E MÉTODOS: Foram estudados retrospectivamente 111 pacientes através de revisão de prontuários de atendimento no Hospital Materno-Infantil Presidente Vargas de Porto Alegre, no período de julho de … Show more

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Cited by 3 publications
(3 citation statements)
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“…This fact was also evidenced in a study by Ferrão et al (2004), in which the mean age of onset of treatment was lower in the group, with a family history (28.6 years) than in the group with no family history (30.6 years). They also noticed that, although patients with a family history of OCD had onset of symptoms at an earlier age, they took an average of 2 years longer than patients without a family history to seek medical help, evidencing the environmental influence on maintaining symptoms.…”
Section: Discussionsupporting
confidence: 55%
“…This fact was also evidenced in a study by Ferrão et al (2004), in which the mean age of onset of treatment was lower in the group, with a family history (28.6 years) than in the group with no family history (30.6 years). They also noticed that, although patients with a family history of OCD had onset of symptoms at an earlier age, they took an average of 2 years longer than patients without a family history to seek medical help, evidencing the environmental influence on maintaining symptoms.…”
Section: Discussionsupporting
confidence: 55%
“…In a Brazilian study, Ferrão et al . 7 show that patients with OCD and a positive family history present the onset of symptoms earlier, present them with a greater severity and with a greater therapeutic complexity, not to mention there are more patients that practice hoarding. In childhood, the peak incidence for OCD is at age 11, and approximately 50% of adults with OCD showed symptoms before the age of 18.…”
Section: Introductionmentioning
confidence: 99%
“…A influência familiar pode conduzir positiva ou negativamente a evolução e o tratamento do sujeito com TOC; esta última por meio de mecanismos de acomodação 5,[8][9][10][11] (participação do familiar nos sintomas, favorecendo a realização da compulsão, terminando por, sem se aperceber, reforçar os sintomas do indivíduo) e de hostilização 5,11 (percebida pelo doente em relação a como os seus familiares lidam com seu problema), que podem contribuir para aumentar o grau de desgaste familiar 5 apesar de os esforços dos familiares serem na tentativa de reduzir o desconforto emocional do paciente e o tempo gasto em rituais. A presença do diagnóstico nos familiares, ou a presença de sintomas ou traços do transtorno neles, pode levá-los a simpatizarem e até a encorajarem comportamentos obsessivo-compulsivos.…”
Section: Introductionunclassified