Trauma na infância e transtorno obsessivo compulsivo : um estudo caso-controle

Abstract

Objective: To investigate the relationship between childhood trauma and obsessive compulsive disorder (OCD) in individuals from 18 to 60 years old, in Pelotas-RS. Method: Case-control nested in a longitudinal study of patients with OCD. The method of matching was used to make cases and controls comparable on gender, age and residing in the same geographical location. To diagnose OCD or any other disorder, MINI Plus was used. The perception of childhood trauma was assessed by CTQ. ASSIST was used to evaluate the use of substances, and only alcohol abuse was used in data analysis. Results: 57 cases and 57 controls were analyzed, 71.9% women with mean age of 35.7 years (SD ± 11.7) and 35.6 years (SD ± 11.7), respectively. There was no difference between the proportions of cases and controls in relation to marital status, psychological or psychiatric treatment, use of psychiatric medication and drug abuse (p< 0.001). In adjusted analysis, OCD remained associated with physical neglect and emotional neglect (p< 0.001). Relationship was found between physical abuse and low socioeconomic class. Conclusion: The identification of early factors, such as childhood trauma, can contribute to the development of prevention methods for OCD