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From Obsessivity to Bipolarity and Vice Versa. A Literature Review

Published online by Cambridge University Press:  23 March 2020

P. Cano Ruiz ,
S. Cañas Fraile ,
A. Gómez Peinado  and
P. Sanmartin Salinas
P. Cano Ruiz*
Affiliation:
HNSPS, Psychiatric, Albacete, Spain
S. Cañas Fraile
Affiliation:
HNSPS, Psychiatric, Albacete, Spain
A. Gómez Peinado
Affiliation:
HNSPS, Psychiatric, Albacete, Spain
P. Sanmartin Salinas
Affiliation:
Universidad de Alcalá, Systems Biology, Alcalá de Henares, Spain
*
* Corresponding author.

Abstract

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Introduction

The prevalence of obsessive symptoms in bipolar patients is currently under discussion. Last years, different cases of antidepressant-induced mania and hypomania in patients with OCD have been described.

Several authors have reported that patients with OCD and bipolar disorder have more depressive episodes than patients with only OCD.

Objective

To know the relationship between OCD and other bipolar spectrum disorders.

Method

Bibliographical review on comorbidity between obsessive symptoms and bipolarity.

Results

Some longitudinal analysis have shown that patients firstly diagnosed with OCD have an increased risk for subsequent diagnosis of all other conditions, especially for bipolar and schizoaffective disorder, for those whose risk is of up to 13 times higher. The handling of a patient with bipolar disorder and OCD implies some difficulty, because of the main treatment of anxiety disorders, the antidepressants, alters the course of manic-depressive illness, accelerating cycles.

Conclusions

OCD is etiologically related to bipolar spectrum disorders and schizophrenia. Therefore, it is necessary to continue the investigation of possible involved genes and approaches for clinical practice.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV832
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S494
Copyright
Copyright © European Psychiatric Association 2016

References

Further readings

Cederlöf, M Lichtenstein, P Larsson, H Boman, M Rück, C Landén, M, & Mataix-Cols, D (2014). Obsessive-compulsive disorder, psychosis, and bipolarity: a longitudinal cohort and multigenerational family study. Schizophrenia bulletin, sbu169.Google Scholar
Vega Davila, D (2010). La complejidad de la comorbilidad: Trastorno Bipolar y Trastorno Obsesivo Compulsivo. Psiquiatria. com, 14.Google Scholar
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