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Comorbidity of obsessive-compulsive disorder and substance use disorder: a new heuristic
Natalie L Cuzen1, Dan J Stein, Christine Lochner
1Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Abstract:
Obsessive-compulsive disorder (OCD) and substance use disorder share several aspects of phenomenology and may be underpinned by a common mechanism with compulsivity at the core. Despite this overlap, the two disorders show a variable pattern of comorbidity. Here, we review the current evidence for comorbidity across clinical and epidemiological studies, and propose a new heuristic for substance use comorbidity in OCD, based on a hypothetical threshold of OCD severity.
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