Obsessive–compulsive disorder in a dermatology outpatient clinic

Demet, Mehmet Murat; Deveci, Artuner; Taşkın, Ergün; Ermertcan, Aylin Türel; Yurtsever, Fatma; Deniz, Filiz; Bayraktar, Dilek; Öztürkcan, Serap

doi:10.1016/j.genhosppsych.2005.04.006

Cited by 30 publications

(24 citation statements)

References 24 publications

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“…Consistently, Sukan and Maner [28] found 22% prevalence rate of this disorder in outpatients with CU. Moreover, several studies reported that frequency of obsessive-compulsive disorder among patients attending a dermatology outpatient clinic was 14-24.7% [29,30]. Contrary to our results, in patients with CU, dysthymic disorder was most prevalent psychiatric diagnosis with prevalence rate of 46% in study by Sukan and Maner [28].…”

Section: Discussioncontrasting

confidence: 99%

“…Our results suggest that a considerable rate of patients with CIU attending a dermatological outpatient clinic have personality disorder. In addition, frequencies of obsessive-compulsive and avoidant personality disorders detected by our in patients with CIU are higher than estimated in general population (0.9-7.88% for obsessive-compulsive personality disorder, 1.8-5.2% for avoidant personality disorder) [30][31][32][33].…”

Section: Discussionmentioning

confidence: 58%

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Axis I and Axis II diagnoses in patients with chronic idiopathic urticaria

Uğuz

Engın

Yılmaz

2008

Journal of Psychosomatic Research

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 58%

Axis I and Axis II diagnoses in patients with chronic idiopathic urticaria

Uğuz

Engın

Yılmaz

2008

Journal of Psychosomatic Research

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“…In this study, the most frequently seen obsessions were contamination fears (61%), pathological doubting (53.7%) and need for symmetry (51.2%), and the most common compulsions were excessive washing (61%), checking (51.2%) and orderliness (41.5%). Of the various dermatological diagnoses such as sebaceous gland diseases (eg., rosacea, acne) eczema, pruritis, urticaria, and psoriasis, there were no statistical differences between the OCD and non-OCD groups in the frequency of dermatological illnesses except sebaceous gland diseases which appears unrelated to most OCD symptoms except the potential of being exacerbated by stress ( 263 ). Perhaps this fi nding has more to do with proposed immune dysfunction in patients with OCD.…”

Section: Medical Consequences Of Ocdmentioning

confidence: 88%

Obsessive Compulsive Disorder

Murphy¹,

Stewart²,

Obregon³

2016

The Medical Basis of Psychiatry

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OCD is the fourth most common neuropsychiatric disorder with lifetime prevalence estimates of 0.4-3.5%. Family and twin studies suggest a strong genetic component, and molecular genetic studies are being carried out to identify genes contributing risk to OCD. It is postulated as a frontal-striatal disorder and functional neuroimaging studies provide a strong support for the dysfunction of cortico-striatal-thalamic-cortical neurocircuit. OCD can be secondary to a variety of medical conditions that range from deteriorative neurological illness, to head injury, and to autoimmune disorders. Few reports and no controlled studies exist in the treatment of acquired/secondary OCD. Both CBT and pharmacotherapy are effective fi rst-line treatment modalities for OCD. Brain stimulation and/or psychosurgery have been tried with varying success in treatment of refractory OCD. Environmental, genetic, and clinical factors interact in a complex fashion in the individual patient. This chapter will examine OCD from the medical perspective.Keywords Obsessive compulsive disorder · Cortical-striatal-thalamo-cortical circuit · Genetics · Neuroimaging · Autoimmune · Treatment IntroductionAs defi ned in DSM-5, obsessive compulsive disorder (OCD) is characterized by obsessions (recurrent, unwanted, and distressing thoughts, images, or impulses) and/or compulsions (complex, repetitive, rule-governed behaviors that the patient feels driven to perform). Patients usually try to actively dismiss obsessions or neutralize them by seeking reassurance, avoiding situational triggers, or engaging in compulsions. Obsessions and compulsions are maladaptive, and lead to impaired functioning. They typically center on four themes: contamination, sexual/aggressive/checking, and ordering and symmetry. Common compulsions include excessive cleaning, checking behaviors, ordering and arranging rituals, counting, and repeating routine activities. Compulsions usually involve observable behaviors (e.g., hand-washing) but may also consist of covert mental rituals (e.g., counting, or ritualized performance of mental math). Symptom themes can vary over the course of the illness but those without a personal or family history of tics are more likely to have more frequent contamination themes. In the DSM-5, hoarding has been categorized as a distinct disorder, and is no longer considered a specifi c form of OCD. The addition of a separate diagnosis is supported by extensive research suggesting that, although the two disorders can co-occur, patients with symptoms of hoarding have a number of signifi cant phenomenological differences than those with OCD, including distinct cognitive processes, reinforcement patterns, and response to treatments commonly used to address symptoms of OCD ( 1 ).The proposed lifetime prevalence of OCD in the pediatric and adult population ranges from 0.4 to 3.5% in national and international epidemiological samples ( 2 -7 ). Approximately half of all OCD patients fi rst present in childhood, before age 15 ( 8 ) with biphasic symptom p...

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“…Daha önceki araflt›rmalarda her ne kadar fazla olmad›¤› belirtilse de OKB dermatolojik hastalarda düflünülenin aksine yük-sek oranda görülmektedir. Ayaktan dermatoloji hastalar›nda yap›lan çal›flmalarda %20-25 oran›nda OKB oldu¤u bunlar›n büyük k›sm›n›n daha önce OKB tan›s› almad›¤›, hastalar›n ço-¤unun birden çok semptomu oldu¤u, bunlar aras›nda kontaminasyon, kontrol etme ve y›kama obsesyonlar›n›n yo¤un oldu¤u görülmüfltür 54,55 . olabilir.…”

Section: Obsesif Kompulsif Bozuklukunclassified

Deri Hastalıklarının Psikojenik Sonuçları ve Komorbiditeler

Mercan¹

2012

Turkderm

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Obsessive–compulsive disorder in a dermatology outpatient clinic

Cited by 30 publications

References 24 publications

Axis I and Axis II diagnoses in patients with chronic idiopathic urticaria

Axis I and Axis II diagnoses in patients with chronic idiopathic urticaria

Obsessive Compulsive Disorder

Deri Hastalıklarının Psikojenik Sonuçları ve Komorbiditeler

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