Salud Mental

Overlap of obsessive and posttraumatic symptoms: A systematic review

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José Carlos Medina Rodríguez
Elia Mireya Solís Villegas

Resumen

Antecedentes. La literatura médica sugiere la existencia de una superposición sintomática entre el trastorno por estrés postraumático (TEPT) y el trastorno obsesivo-compulsivo (TOC), situación que puede comprometer el tratamiento de esta población clínica.

Objetivo. El objetivo clave de este trabajo consiste en ofrecer una visión general de estudios empíricos y observacionales sobre la superposición entre ambas psicopatologías.

Método. Dos autores independientes buscaron en las bases de datos PubMed, PsycINFO y Web of Science entre abril y julio de 2020 utilizando DeCS relevantes. Se realizó una revisión sistemática exploratoria de acuerdo con la Declaración PRISMA-ScR para identificar todas las publicaciones relevantes sobre esta superposición sintomática. Se incluyeron estudios revisados por pares publicados en cualquier idioma que aportaron datos cuantitativos o cualitativos, que abordaron la relación entre los síntomas de TOC y TEPT. Se excluyeron los artículos no revisados por pares, aquellos que no abordaron este fenómeno de interés y la literatura gris. Esta revisión no se registró en el Registro Prospectivo Internacional de Revisiones Sistemáticas, ya que acorde al Instituto Nacional de Investigación en Salud, las revisiones sistemáticas exploratorias no son elegibles para su registro en PROSPERO.

Resultados. Se incluyeron 25 estudios relevantes (11 estudios transversales, 5 estudios longitudinales-prospectivos, 4 series de casos, 4 estudios de casos y 1 estudio retrospectivo). No se realizó ningún análisis estadístico debido a la diversidad de los estudios incluidos, por lo que se procedió a realizar una síntesis temática.

Discusión y conclusión. Existe una superposición sintomática entre ambas comorbilidades y esta relación puede obstaculizar el tratamiento.
Palabras clave:
Humanos, comorbilidad, trastorno obsesivo-compulsivo, trastorno por estrés postraumático

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