Patterns of obsessive-compulsive symptoms and social functioning in schizophrenia; a replication study

Marije Swets; Floor A. van Dijk; Frederike Schirmbeck; Jaap Peen; Lieuwe de Haan; Behrooz Z. Alizadeh; Therese van Amelsvoort; Agna A. Bartels-Velthuis; Nico J. van Beveren; Richard Bruggeman; Wiepke Cahn; Philippe Delespaul; Jurjen J. Luykx; Inez Myin-Germeys; Rene S. Kahn; Claudia J. P. Simons; Neeltje E. van Haren; Jim van Os; Ruud van Winkel

doi:10.1016/j.psychres.2018.11.071

Patterns of obsessive-compulsive symptoms and social functioning in schizophrenia; a replication study

Marije Swets^*, Floor A. van Dijk, Frederike Schirmbeck, Jaap Peen, Lieuwe de Haan, Behrooz Z. Alizadeh, Therese van Amelsvoort, Agna A. Bartels-Velthuis, Nico J. van Beveren, Richard Bruggeman, Wiepke Cahn, Philippe Delespaul, Jurjen J. Luykx, Inez Myin-Germeys, Rene S. Kahn, Claudia J. P. Simons, Neeltje E. van Haren, Jim van Os, Ruud van Winkel

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Research has found that Obsessive Compulsive Symptoms (OCS) in schizophrenia are associated with either more or less negative symptoms and either better or poorer cognitive functioning. In order to explain these contradictory results, (Lysaker et al., 2004), performed a cluster analysis resulting in 2 OCS positive (OCSpos) clusters, one with higher functioning (HF) and one with poorer functioning (PF) compared to 2 OCS negative (OCSneg) clusters. The OCSpos/HF cluster had less negative symptoms compared to all other clusters, while the OCSpos/PF cluster showed poorer executive functioning. We performed a replication study, in an almost 10 times larger, representative sample, using both a longitudinal and cross-sectional design. Similar to Lysaker et al., we found a group with mild OCS and HF (OCSmild/HF) showing less negative symptoms compared to the PF groups. We also found an OCSmild/PF group, which did not significantly differ in executive functioning from the other groups. Moreover, we did not find evidence for a better prognosis in the OCSmild/HF group, and thus found no support for the assumption that for some patients OCS might be an effective coping mechanism.

Original language	English
Pages (from-to)	421-427
Number of pages	7
Journal	Psychiatry Research
Volume	271
DOIs	https://doi.org/10.1016/j.psychres.2018.11.071
Publication status	Published - Jan 2019

Keywords

SCALE
PSYCHOSIS
DISORDER
IMPAIRMENT
PREVALENCE
INSTRUMENT
DIMENSIONS
SEVERITY
VALIDITY
QUALITY

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10.1016/j.psychres.2018.11.071

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Swets, M., van Dijk, F. A., Schirmbeck, F., Peen, J., de Haan, L., Alizadeh, B. Z., van Amelsvoort, T., Bartels-Velthuis, A. A., van Beveren, N. J., Bruggeman, R., Cahn, W., Delespaul, P., Luykx, J. J., Myin-Germeys, I., Kahn, R. S., Simons, C. J. P., van Haren, N. E., van Os, J., & van Winkel, R. (2019). Patterns of obsessive-compulsive symptoms and social functioning in schizophrenia; a replication study. Psychiatry Research, 271, 421-427. https://doi.org/10.1016/j.psychres.2018.11.071

@article{6825300f05da474191b29edabe7a0871,

title = "Patterns of obsessive-compulsive symptoms and social functioning in schizophrenia; a replication study",

abstract = "Research has found that Obsessive Compulsive Symptoms (OCS) in schizophrenia are associated with either more or less negative symptoms and either better or poorer cognitive functioning. In order to explain these contradictory results, (Lysaker et al., 2004), performed a cluster analysis resulting in 2 OCS positive (OCSpos) clusters, one with higher functioning (HF) and one with poorer functioning (PF) compared to 2 OCS negative (OCSneg) clusters. The OCSpos/HF cluster had less negative symptoms compared to all other clusters, while the OCSpos/PF cluster showed poorer executive functioning. We performed a replication study, in an almost 10 times larger, representative sample, using both a longitudinal and cross-sectional design. Similar to Lysaker et al., we found a group with mild OCS and HF (OCSmild/HF) showing less negative symptoms compared to the PF groups. We also found an OCSmild/PF group, which did not significantly differ in executive functioning from the other groups. Moreover, we did not find evidence for a better prognosis in the OCSmild/HF group, and thus found no support for the assumption that for some patients OCS might be an effective coping mechanism.",

keywords = "SCALE, PSYCHOSIS, DISORDER, IMPAIRMENT, PREVALENCE, INSTRUMENT, DIMENSIONS, SEVERITY, VALIDITY, QUALITY",

author = "Marije Swets and {van Dijk}, {Floor A.} and Frederike Schirmbeck and Jaap Peen and {de Haan}, Lieuwe and Alizadeh, {Behrooz Z.} and {van Amelsvoort}, Therese and Bartels-Velthuis, {Agna A.} and {van Beveren}, {Nico J.} and Richard Bruggeman and Wiepke Cahn and Philippe Delespaul and Luykx, {Jurjen J.} and Inez Myin-Germeys and Kahn, {Rene S.} and Simons, {Claudia J. P.} and {van Haren}, {Neeltje E.} and {van Os}, Jim and {van Winkel}, Ruud",

note = "Funding Information: The infrastructure for the GROUP study is funded through the Geestkracht programme of the Dutch Health Research Council (Zon-Mw, grant number 10-000-1001), and matching funds from participating pharmaceutical companies (Lundbeck, AstraZeneca, Eli Lilly, Janssen Cilag) and universities and mental health care organizations (Amsterdam: Academic Psychiatric Centre of the Academic Medical Center and the mental health institutions: GGZ Ingeest, Arkin, Dijk en Duin, GGZ Rivierduinen, Erasmus Medical Centre, GGZ Noord Holland Noord. Groningen: University Medical Center Groningen and the mental health institutions: Lentis, GGZ Friesland, GGZ Drenthe, Dimence, Mediant, GGNet Warnsveld, Yulius Dordrecht and Parnassia psycho-medical center The Hague. Maastricht: Maastricht University Medical Centre and the mental health institutions: GGzE, GGZ Breburg, GGZ Oost-Brabant, Vincent van Gogh voor Geestelijke Gezondheid, Mondriaan, Virenze riagg, Zuyderland GGZ, MET ggz, Universitair Centrum Sint-Jozef Kortenberg, CAPRI University of Antwerp, PC Ziekeren Sint-Truiden, PZ Sancta Maria Sint-Truiden, GGZ Overpelt, OPZ Rekem. Utrecht: University Medical Center Utrecht and the mental health institutions Altrecht, GGZ Centraal and Delta). We are grateful for the generosity of time and effort by the patients, their families and healthy subjects. Furthermore we would like to thank all research personnel involved in the GROUP project, in particular: Joyce van Baaren, Erwin Veermans, Ger Driessen, Truda Driesen, Karin Pos, Erna van {\textquoteright}t Hag, Jessica de Nijs and Atiqul Islam. Publisher Copyright: {\textcopyright} 2018",

year = "2019",

month = jan,

doi = "10.1016/j.psychres.2018.11.071",

language = "English",

volume = "271",

pages = "421--427",

journal = "Psychiatry Research",

issn = "0165-1781",

publisher = "Elsevier Ireland Ltd",

}

Swets, M, van Dijk, FA, Schirmbeck, F, Peen, J, de Haan, L, Alizadeh, BZ, van Amelsvoort, T, Bartels-Velthuis, AA, van Beveren, NJ, Bruggeman, R, Cahn, W, Delespaul, P, Luykx, JJ, Myin-Germeys, I, Kahn, RS, Simons, CJP, van Haren, NE, van Os, J & van Winkel, R 2019, 'Patterns of obsessive-compulsive symptoms and social functioning in schizophrenia; a replication study', Psychiatry Research, vol. 271, pp. 421-427. https://doi.org/10.1016/j.psychres.2018.11.071

TY - JOUR

T1 - Patterns of obsessive-compulsive symptoms and social functioning in schizophrenia; a replication study

AU - Swets, Marije

AU - van Dijk, Floor A.

AU - Schirmbeck, Frederike

AU - Peen, Jaap

AU - de Haan, Lieuwe

AU - Alizadeh, Behrooz Z.

AU - van Amelsvoort, Therese

AU - Bartels-Velthuis, Agna A.

AU - van Beveren, Nico J.

AU - Bruggeman, Richard

AU - Cahn, Wiepke

AU - Delespaul, Philippe

AU - Luykx, Jurjen J.

AU - Myin-Germeys, Inez

AU - Kahn, Rene S.

AU - Simons, Claudia J. P.

AU - van Haren, Neeltje E.

AU - van Os, Jim

AU - van Winkel, Ruud

N1 - Funding Information: The infrastructure for the GROUP study is funded through the Geestkracht programme of the Dutch Health Research Council (Zon-Mw, grant number 10-000-1001), and matching funds from participating pharmaceutical companies (Lundbeck, AstraZeneca, Eli Lilly, Janssen Cilag) and universities and mental health care organizations (Amsterdam: Academic Psychiatric Centre of the Academic Medical Center and the mental health institutions: GGZ Ingeest, Arkin, Dijk en Duin, GGZ Rivierduinen, Erasmus Medical Centre, GGZ Noord Holland Noord. Groningen: University Medical Center Groningen and the mental health institutions: Lentis, GGZ Friesland, GGZ Drenthe, Dimence, Mediant, GGNet Warnsveld, Yulius Dordrecht and Parnassia psycho-medical center The Hague. Maastricht: Maastricht University Medical Centre and the mental health institutions: GGzE, GGZ Breburg, GGZ Oost-Brabant, Vincent van Gogh voor Geestelijke Gezondheid, Mondriaan, Virenze riagg, Zuyderland GGZ, MET ggz, Universitair Centrum Sint-Jozef Kortenberg, CAPRI University of Antwerp, PC Ziekeren Sint-Truiden, PZ Sancta Maria Sint-Truiden, GGZ Overpelt, OPZ Rekem. Utrecht: University Medical Center Utrecht and the mental health institutions Altrecht, GGZ Centraal and Delta). We are grateful for the generosity of time and effort by the patients, their families and healthy subjects. Furthermore we would like to thank all research personnel involved in the GROUP project, in particular: Joyce van Baaren, Erwin Veermans, Ger Driessen, Truda Driesen, Karin Pos, Erna van ’t Hag, Jessica de Nijs and Atiqul Islam. Publisher Copyright: © 2018

PY - 2019/1

Y1 - 2019/1

N2 - Research has found that Obsessive Compulsive Symptoms (OCS) in schizophrenia are associated with either more or less negative symptoms and either better or poorer cognitive functioning. In order to explain these contradictory results, (Lysaker et al., 2004), performed a cluster analysis resulting in 2 OCS positive (OCSpos) clusters, one with higher functioning (HF) and one with poorer functioning (PF) compared to 2 OCS negative (OCSneg) clusters. The OCSpos/HF cluster had less negative symptoms compared to all other clusters, while the OCSpos/PF cluster showed poorer executive functioning. We performed a replication study, in an almost 10 times larger, representative sample, using both a longitudinal and cross-sectional design. Similar to Lysaker et al., we found a group with mild OCS and HF (OCSmild/HF) showing less negative symptoms compared to the PF groups. We also found an OCSmild/PF group, which did not significantly differ in executive functioning from the other groups. Moreover, we did not find evidence for a better prognosis in the OCSmild/HF group, and thus found no support for the assumption that for some patients OCS might be an effective coping mechanism.

AB - Research has found that Obsessive Compulsive Symptoms (OCS) in schizophrenia are associated with either more or less negative symptoms and either better or poorer cognitive functioning. In order to explain these contradictory results, (Lysaker et al., 2004), performed a cluster analysis resulting in 2 OCS positive (OCSpos) clusters, one with higher functioning (HF) and one with poorer functioning (PF) compared to 2 OCS negative (OCSneg) clusters. The OCSpos/HF cluster had less negative symptoms compared to all other clusters, while the OCSpos/PF cluster showed poorer executive functioning. We performed a replication study, in an almost 10 times larger, representative sample, using both a longitudinal and cross-sectional design. Similar to Lysaker et al., we found a group with mild OCS and HF (OCSmild/HF) showing less negative symptoms compared to the PF groups. We also found an OCSmild/PF group, which did not significantly differ in executive functioning from the other groups. Moreover, we did not find evidence for a better prognosis in the OCSmild/HF group, and thus found no support for the assumption that for some patients OCS might be an effective coping mechanism.

KW - SCALE

KW - PSYCHOSIS

KW - DISORDER

KW - IMPAIRMENT

KW - PREVALENCE

KW - INSTRUMENT

KW - DIMENSIONS

KW - SEVERITY

KW - VALIDITY

KW - QUALITY

U2 - 10.1016/j.psychres.2018.11.071

DO - 10.1016/j.psychres.2018.11.071

M3 - Article

C2 - 30537664

SN - 0165-1781

VL - 271

SP - 421

EP - 427

JO - Psychiatry Research

JF - Psychiatry Research

ER -