{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:15:38Z","timestamp":1791850538449,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T00:00:00Z","timestamp":1526860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001700","name":"Ministry of Education, Culture, Sports, Science and Technology","doi-asserted-by":"publisher","award":["15K09845"],"award-info":[{"award-number":["15K09845"]}],"id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Obsessive\u2013compulsive disorder (OCD) is a well\u2010known chronic illness. This study retrospectively investigated 10\u2010year outcomes and associated clinical factors in Japanese OCD patients. We focused on the impact of several sociocultural factors, including medical expenses and insurance systems specific to each country, on the differences or biases in follow\u2010up procedures of OCD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010nine patients diagnosed with OCD who received a standardized combination of treatments for 10 continuous years were divided into three groups according to their improvement rates on the Yale\u2013Brown Obsessive\u2013Compulsive Scale after 10\u2009years of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A survival analysis revealed that the rate of patients achieving full remission increased every year. Following 10\u2009years of treatment, 56% of OCD patients experienced \u2018full remission\u2019 for at least 1\u2009year. Consequently, 48% exhibited full remission, and 37% exhibited partial remission at the end\u2010point of this study. We identified several factors that were predictive of poorer outcomes, including lower Global Assessment of Functioning Scale scores and the presence of hoarding symptoms or involvement behaviors. In addition, improvement rates after 1\u2009year significantly predicted better 10\u2010year outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings highlight the transcultural nature of long\u2010term outcomes of OCD treatment, which appear to be independent of sociocultural differences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pcn.12661","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T10:23:41Z","timestamp":1523615021000},"page":"502-512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Ten\u2010year follow\u2010up study of Japanese patients with obsessive\u2013compulsive disorder"],"prefix":"10.1111","volume":"72","author":[{"given":"Akihiro","family":"Nakajima","sequence":"first","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Matsuura","sequence":"additional","affiliation":[{"name":"Special Education Course, Faculty of Education Mie University  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichiro","family":"Mukai","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyosuke","family":"Yamanishi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensei","family":"Maebayashi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Hayashida","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3724-3722","authenticated-orcid":false,"given":"Hisato","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,21]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","first-page":"5","article-title":"Practice guideline for the treatment of patients with obsessive\u2010compulsive disorder","volume":"164","author":"Koran LM","year":"2007","journal-title":"Am. 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