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If they create a new category for the OC spectrum they will need to determine its breadth. The OC spectrum's boundaries have expanded or contracted according to the views of the investigator concerned. Typically, such evidence might include comparisons of phenomenology, natural history, family history, biological markers, and treatment response. Currently classified in DSM-IV-TR 10 as an anxiety disorder, OCD is independent of other anxiety disorders in the International Classification of Diseases ICD system,12 and a strong rationale has been presented by Zohar et al13 for its separation from these disorders.
First, OCD often begins in childhood, whereas other anxiety disorders typically have a later age of onset. OCD has a nearly equal gender distribution, unlike the other anxiety disorders, which are more common in women.
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