Negative Outcome After IMeurosurgery for Refractory Obsessive ... [PDF]

Department of Psychiatry, North Shore University Hospital, Manhasset, NY. USA lnstituto de Psiquiatria Biologica Integra

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The World Journal of Biological Psychiatry

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Original Article

Negative Outcome After IMeurosurgery for Refractory Obsessive-compulsive Spectrum Disorder José A. Yaryura-Tobias Fugen Neziroglu

, Kevin P. Stevens, Ricardo Pérez-Rivera, Oscar E. Boullosa &

Pages 197-203 | Published online: 12 Jul 2009

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https://doi.org/10.3109/15622970009150592

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Abstract Translator disclaimer

Summary: Objective: The authors sought to determine the long-term outcome of patients with severe and refractory obsessive-compulsive disorder spectrum (OCDS) following neurosurgery. Method: Five patients who underwent neurosurgery as a last-resort treatment for refractory OCDS were evaluated. On all patients, posttest data was obtained from the Yale-Brown Obsessive-Compulsive Scale, The Overvalued Ideas Scale, the Beck Depression Inventory and the Beck Anxiety Inventory. Pretest scores were available on three patients as well. Results: All patients failed to maintain initial improvements after surgery and relapsed. In addition, they became depressed with suicidal ideation or attempt. Conclusion: Complications of neurosurgery are discussed, notably relapse and depression. Key Words: OCD, neurosurgery, depression, suicidality, relapse.

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