Long-term follow-up study of patients with refractory obsessive-compulsive disorder

J Neuropsychiatry Clin Neurosci. 2008 Fall;20(4):450-7. doi: 10.1176/jnp.2008.20.4.450.

Abstract

The authors prospectively followed patients with treatment-resistant obsessive-compulsive disorder (OCD). Between 1988 and 1995, 56 patients with a history of inadequate response to oral clomipramine received 14 infusions of intravenous clomipramine. The follow-up period ranged from 4 to 11 years after treatment. Of the 44 subjects interviewed at follow-up, 70.5% had current OCD and 29.5% had sub-threshold OCD. Almost half reported feeling much improved or very much improved compared to their state prior to treatment with intravenous clomipramine.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Antidepressive Agents, Tricyclic / administration & dosage
  • Antidepressive Agents, Tricyclic / therapeutic use
  • Clomipramine / administration & dosage
  • Clomipramine / therapeutic use
  • Drug Resistance
  • Female
  • Follow-Up Studies
  • Humans
  • Injections, Intravenous
  • Interview, Psychological
  • Male
  • Mental Disorders / complications
  • Mental Disorders / psychology
  • Middle Aged
  • Obsessive-Compulsive Disorder / drug therapy*
  • Obsessive-Compulsive Disorder / psychology*
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Antidepressive Agents, Tricyclic
  • Clomipramine