Functional Impairment and Quality of Life in Patients with Obsessive Compulsive Disorder

Sahoo, Puspita; Sethy, Rati Ranjan; Ram, Daya

doi:10.4103/ijpsym.ijpsym_53_17

Cited by 16 publications

(10 citation statements)

References 26 publications

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“…Obsedantně kompulzivní porucha je doprovázena četnými omezeními v osobním a mezilidském fungování (4). Snižuje kvalitu života (5-7) a vede ke zhoršení v oblastech mezilidských vztahů a profesního postavení (8). Často mívá závažný, invalidizující průběh (9,10).…”

Section: úVodunclassified

Obsessive compulsive disorder and attachment

Hodny¹,

Praško²,

Ocisková³

et al. 2020

Psychiatr. pro Praxi

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Úvod: Citová vazba vzniká v raném dětství mezi dítětem a primární pečující osobou a zásadním způsobem ovlivňuje sebehodnocení dítěte a jeho vnímání světa jako bezpečného místa. Cílem této přehledové studie je představit současný stav poznání týkající se vztahu mezi vazbou a obsedantně kompulzivní poruchou (OCD), průběhem poruchy a účinností léčby. Metoda: Průzkum literatury byl proveden pomocí databází PubMed, Web of Science, Google Scholar a ScienceDirect za pomoci klíčových vyhledávacích termínů. Vědecké texty byly extrahovány za období od ledna 1990 do konce března 2020. Výsledky: Nejistá vazba snižuje osobní pocit vlastní hodnoty a může vést k perfekcionismu a nutkavému chování, které se stává prostředkem ke snaze zajistit si a stabilizovat hodnotu sebepojetí a kontrolovat okolní dění. Obě charakteristiky jsou u pacientů s OCD časté. Nejistá vazba je dále spojená s maladaptivními kognitivními procesy (jako jsou nadměrný smysl pro odpovědnost, perfekcionismus a kontrola myšlenek), které také souvisí s OCD. Ze dvou dimenzí, které nejistou vazbu v dospělosti definují (úzkostná a vyhýbavá), má větší souvislost s OCD vazebná úzkost. V námi nalezených článcích nebyl popsán žádný výzkum dokazující přímou souvislost mezi vazbou a závažností OCD. Výzkum mezi vazbou a OCD komplikuje častá komorbidní deprese. Závěry: Nejistá citová vazba je u pacientů s OCD častá a prolíná se se základní OCD symptomatologií. Z tohoto pohledu mohou být v léčbě OCD významné strategie, které podporují pocity bezpečí, přijetí a ocenění v rámci terapeutického vztahu.Klíčová slova: obsedantně kompulzivní porucha, averzivní zážitky v dětství, trauma v dětství, citová vazba. Obsessive compulsive disorder and attachmentIntroduction: Emotional attachment arises between the child and the primary caregiver in early childhood and fundamentally affects the child's self-esteem and their perception of the world as a safe place. The aim of this review is to present the current state of knowledge about the relationship between attachment and obsessive-compulsive disorder (OCD), the course of the disorder and the effectiveness of the treatment. Method: A literature search was performed using PubMed, Web of Science, Google Scholar, and ScienceDirect databases using key search terms. Scientific texts were extracted for the period from January 1990 to the end of March 2020. Results: An insecure attachment reduces a personal sense of self-worth and can lead to perfectionism and compulsive behavior, which becomes a means of trying to secure and stabilize the value of self-concept and control the surrounding events. Both characteristics are common in patients with OCD. Uncertain attachment is further associated with maladaptive cognitive processes (such as excessive sense of responsibility, perfectionism, and mind control), which are also associated with OCD. Of the two dimensions that define uncertain adulthood attachment (anxiety and avoidance), attachment anxiety is more closely related to OCD. No research has been described in the articles we found to prove...

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Section: úVodunclassified

Obsessive compulsive disorder and attachment

Hodny¹,

Praško²,

Ocisková³

et al. 2020

Psychiatr. pro Praxi

View full text Add to dashboard Cite

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“…New studies have shown a 4-14% prevalence rate among Patients with OCD. (10,11) Considering the clinical importance, high prevalence, and high disability rates, new diagnostic and therapeutic approaches, and lack of previous studies in different cultures about delusional OCD, this study was designed to determine the frequency of this condition, specify various types of delusions and other psychotic experiences in patients with OCD, and identify the demographic and clinical characteristics of these patients. Previous studies have mainly focused on delusion and lack of insight; however, this study focused on other positive or negative psychotic symptoms too.…”

Section: Introductionmentioning

confidence: 99%

Psychotic experiences in patients with obsessive compulsive disorder. A cross sectional clinical study

Ghoreishizadeh

Herizchi

Farhang

et al. 2021

PJMHS

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Background: Obsessive-compulsive disorder (OCD) is associated with heterogeneous and diverse symptoms. A diagnosis is challenging when patients experience psychotic symptoms. This study aimed to evaluate the pattern of psychotic symptoms in patients with OCD. Methods: Using semi-structured clinical interviews, 185 patients meeting the DSM-IV diagnostic criteria for OCD were selected. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the Scale for the Assessment of Positive/Negative Symptoms (SAPS/SANS) were used to measure the OCD severity and insight levels and the pattern of psychotic symptoms, respectively. Characteristics of patients with and without psychotic experiences were compared. Results: A total of 38 patients (20.5%) displayed psychotic symptoms. Delusions were observed in 63.2% of these patients, while in 13.2% of them, delusions were accompanied with negative symptoms. Men, those aged between 18 and 34 years, less educated, and singles displayed significantly higher rates of psychotic symptoms. The mean Y-BOCS score (26.42±5.07) was significantly higher in patients with psychotic symptoms than in those without (24.97±6.38). Conclusion: The results showed that in OCD patients, psychotic symptoms are more common in young (<30 years), single, less educated, and those with severe OCD. Keywords: obsessive-compulsive disorder; psychosis; insight.

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“…bsessive-Compulsive Disorder (OCD) is a disabling neuropsychiatric condition with very serious impairments and prevalence of 1%-3% [1,2]. Studies indicated an association between OCD and various functional impairments and decreased quality of life [3]. OCD could lead to functional impairments in multiple ways [4]; it has adverse consequences, such as personal, interpersonal, and quality of life problems for patients [5,6].…”

Section: Introductionmentioning

confidence: 99%

Symptom Dimensions and Brain-Derived Neurotrophic Factor Val66Met Polymorphism in Obsessive-compulsive Disorder

Hoveyda

Khalatbari

Peymani

et al. 2020

Caspian J Neurol Sci

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Background: Obsessive-Compulsive Disorder (OCD) is a serious neuropsychiatric disorder. The clinical prominence of the OCD symptoms dimensions and Brain-Derived Neurotrophic Factor (BDNF) Val66Met polymorphism are of significant importance. Objectives: The present study aimed to investigate the symptom dimensions and BDNF val66Met polymorphism genotype in Iranian patients with OCD. Materials and Methods: A total of 83 patients diagnosed with OCD according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM5) criteria, and 83 matched controls were included this case-control study. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was used to investigate symptom dimensions. In addition, BDNF val66Met polymorphism was genotyped using Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCRRFLP) method. Results: The obtained data indicated that the most prevalent obsession was contamination (62.6%) and the most prevalent compulsion was cleanliness (69.8%). Furthermore, there was a significant relationship between the genotypes of BDNF val66Met polymorphism in OCD (P<0.01). Besides, carrying the” T” allele confers increased the risk for the presence of OCD [χ2=4.7, P=0.003; OR (95%) 1.93 (1.24-2.99)]. Conclusion: The symptoms dimensions of OCD in the Iranian sample were similar to other populations. Moreover, the findings suggested an association between BDNF val66Met polymorphism genotype and OCD in the explored Iranian sample. The inheritance hypothesis for the TT genotype was the recessive model.

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Functional Impairment and Quality of Life in Patients with Obsessive Compulsive Disorder

Cited by 16 publications

References 26 publications

Obsessive compulsive disorder and attachment

Obsessive compulsive disorder and attachment

Psychotic experiences in patients with obsessive compulsive disorder. A cross sectional clinical study

Symptom Dimensions and Brain-Derived Neurotrophic Factor Val66Met Polymorphism in Obsessive-compulsive Disorder

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