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Heart of the matter

The internal and external boundaries of obsessive–compulsive disorder

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Pages 249-255 | Received 11 Aug 1999, Accepted 08 Dec 1999, Published online: 07 Aug 2009
 

Abstract

Objective: This study aims to explore the internal and external boundaries of obsessive–compulsive disorder (OCD).

Method: Selected literature is reviewed.

Results: Prevalence and incidence estimates for OCD vary markedly according to diagnostic criteria applied. External boundaries of the disorder are permeable, with a large degree of overlap with other psychiatric disorders, and an association with certain neurological disorders. Some cases of OCD appear to have a neurodevelopmental origin.

Conclusions: Further delineation of disorders characterised by obsessional and compulsive symptoms can inform models of aetiology, pathophysiology and treatment.

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