caa a22 4500 388095008 CHVBK 20180307125302.0 cr unu---uuuuu 161130e199905 xx s 000 0 eng 10.1017/S1092852900007355 doi S1092852900007355 pii (NATIONALLICENCE)cambridge-10.1017/S1092852900007355 Black Donald W. Epidemiology of Obsessive-Compulsive Disorder: Cross Culture and Economy [Elektronische Daten] [Donald W. Black] This manuscript summarizes the presentations of an international panel of experts, representing France, Hungary, India, South Africa, and the United States, on obsessive-compulsive disorder (OCD). OCD is culturally universal but probably heterogeneous. New data presented concern a follow-up study from a joint Yale-Brown clinical project; a prevalence study in Hungary; a molecular genetics study from South Africa; a comorbidity study from India; a clinical study from Paris comparing OCD with subclinical OCD; a discussion of compulsive buying as a cross-cultural phenomenon; and survey results showing the impact of OCD on quality of life and economic variables. A roundtable discussion led to a consensus that researchers must continue to: (1) investigate the prevalence of OCD in non Western samples and in less developed countries; (2) collect clinical data on OCD in child and adolescent samples, as well as in off-spring of adults with OCD; (3) refine the concept of age of onset; (4) study the impact of OCD on quality of life and the economy; (5) investigate the validity of the obsessive-compulsive spectrum in epidemiologic and clinical samples and develop appropriate instruments for its assessment; (6) study personality disorder and how it affects treatment response, and examine its prevalence in epidemiologic samples; (7) explore the concept of OCD heterogeneity, which may reflect differing etiologies but may also suggest differential treatment strategies; (8) conduct follow-up studies, particularly now that effective treatments may alter course of illness; and, finally, (9) investigate treatment response and whether certain subtypes demand unique approaches. Copyright © Cambridge University Press 1999 CNS Spectrums Cambridge University Press 4/S3(1999-05), 6-12 1092-8529 4:S3<6 1999 4 CNS https://doi.org/10.1017/S1092852900007355 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S1092852900007355 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Black Donald W. NATIONALLICENCE 773 0- CNS Spectrums Cambridge University Press 4/S3(1999-05), 6-12 1092-8529 4:S3<6 1999 4 CNS CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge