Symptoms Analysis of Obsessive–Compulsive Disorder in Adolescents and Adults in a Teaching Hospital

Authors

  • Bharat Kumar Goit Department of Psychiatry, National Medical College, Parsa, Birgunj, Nepal.
  • Shree Ram Ghimire Department of Psychiatry, National Medical College, Parsa, Birgunj, Nepal.

DOI:

https://doi.org/10.31729/jnma.2730

Keywords:

compulsion; obsession; obsessive-compulsive disorder.

Abstract

Introduction: Obsessive-compulsive disorder has a broadly diverse clinical expression that reflects heterogeneity. Several studies have identified consistent symptom dimensions of obsessivecompulsive disorder. The purpose of this study was to conduct an exploratory symptoms analysis of obsessive-compulsive symptoms in adolescents and adults with obsessive-compulsive disorder.

Methods: This was a cross-sectional study conducted in the Department of Psychiatry, National Medical College. This study examined lifetime occurrence of obsessive-compulsive symptoms included in the 13 symptom categories of the Yale–Brown Obsessive Compulsive Scale. Symptoms analysis was performed on 60 patients with obsessive-compulsive disorder. Eight categories of obsessions and six categories of compulsions from Yale–Brown Obsessive Compulsive Scale were included in the analyses. SPSS software package (version 16) was used to analyze the data and shown in the table.

Results: Of 60 adolescents and adults, female and male were in the ratio of 1.2:1. Contamination was the most common occurring obsession followed by aggressive obsession. The most common occurring compulsion was checking followed by washing. Only a minority of patients (13.33%) presented predominantly with obsessions however 18.33% patients presented predominantly with compulsions. Certain obsessions and compulsions co-occur to form a cluster.

Conclusions: In adolescents and adults, obsessive-compulsive disorder is a multidimensional disorder. Symptom dimensions are predominantly congruent with those described in similar studies of adults with obsessive-compulsive disorder.

Keywords: compulsion; obsession; obsessive-compulsive disorder.

References

1. Steketee G, Barlow D. Obsessive-compulsive disorder. In: Barlow DH, editor. Anxiety and its disorders. 2nd ed. New York: Guilford; 2002. p. 516-50. 2. Gelder MG, Andreasen NC, Lopez-Ibor JJ, Geddes JR. New oxford textbook of psychiatry. UK: Oxford University Press; 2009. p. 1. 3. Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock’s comprehensive textbook of psychiatry. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association; 2000.
5. Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR et al. The Yale-Brown Obsessive Compulsive Scale. II. Validity. Arch Gen Psychiatry. 1989 Nov;46(11):1012-6. 6. Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989 Nov;46(11):1006-11. 7. Bienvenu OJ, Samuels JF, Riddle MA, Hoehn-Saric R, Liang KY, Cullen BA et al. The relationship of obsessive-compulsive disorder to possible spectrum disorders: results from a family study. Biol Psychiatry. 2000 Aug 15;48(4):287-93.

Downloads

Published

2014-06-30

How to Cite

Goit, B. K., & Ghimire, S. R. (2014). Symptoms Analysis of Obsessive–Compulsive Disorder in Adolescents and Adults in a Teaching Hospital. Journal of Nepal Medical Association, 52(194), 780–784. https://doi.org/10.31729/jnma.2730

Issue

Section

Original Article