Comorbidity of obsessive-compulsive disorder in recovered inpatients with bipolar disorder.
OBJECTIVE
To determine the frequency of obsessive-compulsive disorder (OCD) in inpatient subjects with bipolar disorder (BD) and to examine the clinical characteristics of BD subjects with OCD.


METHODS
The sample consisted of 143 inpatient subjects with DSM-III-R BD-I and BD-NOS (BD-II), recovered from a current episode of either depression or mania. Demographic and clinical variables were obtained on the day of admission. Current comorbid conditions including OCD were determined by the Structured Clinical Interview for DSM-III-R Ifollowing recovery from the acute affective episode.


RESULTS
The frequency of current OCD was 7% (N = 10). All BD subjects with OCD were BD-II, were male, and had a diagnosis of current dysthymia. They had fewer episodes and a higher incidence of prior suicide attempts than bipolar subjects without OCD. None of the bipolar subjects with OCD fulfilled criteria for cyclothymia.


CONCLUSIONS
Our findings suggest that BD-II, OCD, dysthymia, and suicidality cluster together in some subjects with BD. We discuss the clinical implications of our findings.
Centre for Addiction and Mental Health, Clarke Institute of Psychiatry, Mood and Anxiety Disorders Division, University of Toronto, Ontario, Canada. stephaniekrueger@compuserve.com
S
S
Krüger
P
P
Bräunig
R G
RG
Cooke
D000328:Adult; D001714:Bipolar Disorder / Q000150:complications* / Q000453:epidemiology / Q000534:rehabilitation; D015897:Comorbidity; D003289:Convalescence; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications* / Q000453:epidemiology; D017678:Sex Distribution