A Comparative Study of Socio Demographic and Clinical Profiles in Patient with Obsessive Compulsive Disorder and Depression
American Journal of Psychiatry and Neuroscience
Volume 6, Issue 4, December 2018, Pages: 99-103
Received: Sep. 8, 2018;
Accepted: Oct. 4, 2018;
Published: Oct. 23, 2018
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Jaisingh Raman, Department of Psychiatry, SRM Medical College & Research Centre, Tamilnadu, India
Sivabalan Elangovan, Department of Psychiatry, SRM Medical College & Research Centre, Tamilnadu, India
Thirunavukarasu Manickam, Department of Psychiatry, SRM Medical College & Research Centre, Tamilnadu, India
Introdution: Most often patients suffering from OCD also have depressive symptoms, which might be secondary to the OCD and its burden to the quality of life, or it might be independent to OCD. The same way Depression also has some obsessive manifestation. The presence of depressive symptoms is the important factors, which make patient with OCD as suicidal. Suicidal tendencies in OCD always correlated with severity of depressive symptoms. But in clinical settings, we most often missed to evaluate suicidal tendencies and other comorbidities of OCD. So this study mainly focuses on various socio demographic differences and clinical profiles of patient with OCD and depression. Materials and Methods: This is a case control study, 30 consecutive patients with OCD as well as 30 consecutive patients with depression, attending psychiatry department of Stanley Medical College Hospital included in this study as cases and controls. Then both cases and controls analyzed for socio demographic profile and clinical profile. RESULTS: Compared with patients with major depression, OCD patients are young (p=0.017), predominantly males (p=0.019), more educated (p=0.003) and more often associated with suicidal ideation (p=0.024) Conclusion: Obsessive-compulsive disorder most often has depressive manifestations. The comorbid depressive symptoms make patients with OCD with suicidal ideations. It is essential to look for depressive symptoms in OCD in order to prevent suicidal attempts.
A Comparative Study of Socio Demographic and Clinical Profiles in Patient with Obsessive Compulsive Disorder and Depression, American Journal of Psychiatry and Neuroscience.
Vol. 6, No. 4,
2018, pp. 99-103.
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, DSM-5, American Psychiatric Association, Arlington, tex, USA, 5th edition, 2013.
Fontenelle LF1, Hasler G. The analytical epidemiology of obsessive-compulsive disorder: risk factors and correlates; Prog Neuropsychopharmacol Biol Psychiatry. 2008 Jan 1;32(1):1-15. Epub 2007 Jul 3.
Fontenelle LF et al, Trans-cultural aspects of obsessive-compulsive disorder: a description of a Brazilian sample and a systematic review of international clinical studies. J Psychiatr Res. 2004 Jul-Aug;38(4):403-11.
Angelakis, P. Gooding, N. Tarrier, and M. Panagioti, “Suicidality in obsessive compulsive disorder (OCD): A systematic review and meta-analysis,” Clinical Psychology Review, vol. 39, pp. 1–15, 2015.
L. Fernandez de la Cruz, M. Rydell, B. Runeson et al., “Suicide ´ in obsessive–compulsive disorder: a population-based study of 36 788 Swedish patients,” Molecular Psychiatry, 2016.
P. Velloso, C. Piccinato, Y. Ferrao et al., “The suicidality ~ continuum in a large sample of obsessive–compulsive disorder (OCD) patients,” European Psychiatry, vol. 38, pp. 1–7, 2016.
R. Torres, A. T. A. Ramos-Cerqueira, Y. A. Ferrao, L. F. ~ Fontenelle, M. C. Do Rosario, and E. C. Miguel, “Suicidality ´ in obsessive-compulsive disorder: Prevalence and relation to symptom dimensions and comorbid conditions,” Journal of Clinical Psychiatry, vol. 72, no. 1, pp. 17–26, 2011.
P. Alonso, C. Segalas, E. Real et al., “Suicide in patients treated ` for obsessive-compulsive disorder: A prospective follow-up study,” Journal of Affective Disorders, vol. 124, no. 3, pp. 300–308, 2010.
P. Kamath, Y. C. J. Reddy, and T. Kandavel, “Suicidal behavior in obsessive-compulsive disorder,” Journal of Clinical Psychiatry, vol. 68, no. 11, pp. 1741–1750, 2007.
G. Gupta, A. Avasthi, S. Grover, and S. M. Singh, “Factors associated with suicidal ideations and suicidal attempts in patients with obsessive compulsive disorder,” Asian Journal of Psychiatry, vol. 12, no. 1, pp. 140–146, 2014.
J. E. DeVylder, A. J. Oh, S. Ben-David, N. Azimov, J. M. HarkavyFriedman, and C. M. Corcoran, “Obsessive compulsive symptoms in individuals at clinical risk for psychosis: Association with depressive symptoms and suicidal ideation,” Schizophrenia Research, vol. 140, no. 1-3, pp. 110–113, 2012.
L. F. Fontenelle, L. Cocchi, B. J. Harrison et al., “Towards a posttraumatic subtype of obsessive-compulsive disorder,” Journal of Anxiety Disorders, vol. 26, no. 2, pp. 377–383, 2012.
Vivekananda Rachamallu, Et al, Obsessive-Compulsive Disorder with Suicide Obsessions in a First Responder without Previous Diagnosis of OCD or History of Suicide Attempts, Case Rep Psychiatry. 2017; 2017: 4808275. Published online 2017 Oct 2.
F. Al-Zaben, “Suicidal Obsessions in a Patient with Obsessive Compulsive Disorder: A Case Report,” Journal of King Abdulaziz University-Medical Sciences, vol. 19, no. 4, pp. 121–127, 2012.
Foa, E. B., Kozak, M. J., Goodman, W. K., Hollander, E., et al. (1995). "DSM-IV field trial: Obsessive-compulsive disorder": Correction. The American Journal of Psychiatry, 152(4), 654.
Cassin SE et al, Quality of life in treatment-seeking patients with obsessive-compulsive disorder with and without major depressive disorder. Can J Psychiatry. 2009 Jul;54(7):460-7.