Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Cross-Cultural Comparison of Patients with OCD

Psychiatry Res; ePub 2017 Apr 13; Medeiros, et al

In the largest direct cross-cultural comparison to date in the obsessive-compulsive disorder (OCD) field, it was discovered that Brazilian participants with OCD endorsed significantly greater rates of generalized anxiety disorder and post-traumatic stress disorder, whereas US subjects were significantly more likely to endorse a lifetime history of addiction (alcohol-use and substance-use disorders). This clinical comparison of OCD patients consisted of 1,187 adult treatment-seeking OCD outpatients from the US (n=236) and Brazil (n=951). Researchers found:

  • With regards to the demographics, US participants with OCD were older, more likely to identify themselves as Caucasian, had achieved a higher educational level, and were less likely to be partnered when compared to Brazilians.
  • Concerning the clinical variables after controlling for demographics, the 2 samples presented largely similar profiles.
  • These results provide much needed insight regarding the development of culture-sensitive treatments.

Citation:

Medeiros GC, Torres AR, Boisseau CL, et al. A cross-cultural clinical comparison between subjects with obsessive-compulsive disorder from the United States and Brazil. [Published online ahead of print April 13, 2017]. Psychiatry Res. doi:10.1016/j.psychres.2017.04.024.