Obsessive-compulsive symptoms and personal recovery in patients with schizophrenia spectrum disorders: A cross-sectional study

Background - Obsessive-compulsive symptoms (OCS) frequently co-occur in patients with Schizophrenia Spectrum Disorders (SSD). Patients with SSD and OCS experience increased clinical and social challenges, including diminished quality of life and subjective well-being. However, it is unknown whether...

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Main Authors: Jelsma, Auke (Author) , Schirmbeck, Frederike (Author) , van der Pluijm, M. (Author) , Simons, C. (Author) , Vellinga, A. (Author) , de Koning, M. (Author) , de Haan, L. (Author)
Format: Article (Journal)
Language:English
Published: 21 January 2025
In: Schizophrenia research
Year: 2025, Volume: 276, Pages: 24-30
ISSN:1573-2509
DOI:10.1016/j.schres.2025.01.008
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.schres.2025.01.008
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0920996425000167
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Author Notes:A. Jelsma, F. Schirmbeck, M. van der Pluijm, C. Simons, A. Vellinga, M. de Koning, L. de Haan
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Summary:Background - Obsessive-compulsive symptoms (OCS) frequently co-occur in patients with Schizophrenia Spectrum Disorders (SSD). Patients with SSD and OCS experience increased clinical and social challenges, including diminished quality of life and subjective well-being. However, it is unknown whether co-morbid OCS are associated with personal recovery. - Aim - To investigate whether the presence and severity of OCS in patients with SSD is associated with lower self-reported personal recovery. - Methods - A cross-sectional design was employed, examining 527 patients with SSD. Group comparisons between patients with and without OCS for self-reported personal recovery (assessed with the Recovery Assessment Scale (RAS-24)) were conducted using analysis of covariance, adjusting for positive, negative and general symptoms. Multiple regression analyses were performed in 133 patients with co-occurring OCS to assess the additional explained variance in personal recovery by OCS severity after adjusting for the same covariates in the first block of the model. - Results - Group comparisons demonstrated that the presence of co-morbid OCS was associated with lower scores in personal recovery. Multiple hierarchical regression analyses showed that OCS severity was significantly associated with personal recovery by explaining an additional 3.0 % of variance in personal recovery. - Conclusion - Our findings suggest that co-occurring OCS in patients with SSD are relevant for personal recovery and that treatment should also address OCS.
Item Description:Gesehen am 22.09.2025
Physical Description:Online Resource
ISSN:1573-2509
DOI:10.1016/j.schres.2025.01.008