Abstract

CASTILLO JOO, Joaquín  and  CORLAY NORIEGA, Irma. Comorbilidad entre esquizofrenia y trastorno obsesivo compulsivo: ¿Dos entidades diferentes o un mismo espectro entre los dos trastornos?. Salud Ment [online]. 2011, vol.34, n.3, pp.279-286. ISSN 0185-3325.

Through the study of human psychopathology found in complex cases, where in many cases, psychiatric symptoms of various mental disorders closely coexist in the same patient. In the case of schizophrenia and obsessive compulsive disorder has been found a clear association between OCD symptoms and psychotic symptoms which in many cases difficult distinction between obsessions and delusions. For this situation currently observed in recognition than-expected rates of comorbidity and observation of development or exacerbation of obsessive compulsive symptoms during periods of exacerbation of schizophrenia. Patients with schizophrenia and OCD comorbidity may represent a special category among patients with schizophrenia, it is proposed to call it schizophrenia, schizoaffective disorder or obsessive, which established more than a clinical challenge, a challenge semiological, trying to identify and accept a new concept of obsessive idea that could involve lack of awareness of disease where the idea is not considered obsessive and excessive. We describe the case of an adult 28 years old who presents initially negative symptoms alternating with positive symptoms characteristic of schizophrenia, obsessive ideas subsequently presenting with compulsive behaviors characteristic of OCD.

Keywords : Schizophrenia; obsessive compulsive disorder; schizo-obsessive disorder; delusions; obsessions.