Prevalence of obsessive compulsive symptoms among patients with schizophrenia

Hemrom, Smita; Pushpa,; Prasad, Divya; Jahan, Masroor; Singh, Amool Ranjan; Kenswar, D K

doi:10.4103/0972-6748.62263

Cited by 12 publications

(9 citation statements)

References 12 publications

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“…This finding may be consistent with studies in the literature reporting a high proportion of obsessive compulsive symptoms in depressed patients [11]. About schizophrenia, instead, the presence of obsessive symptoms appears to be more relevant in this study than in the literature (54% v s. 10-26%) [17,18]. It may be due to differences in measuring sexual obsessions between studies.…”

Section: Discussionsupporting

confidence: 89%

“…In schizophrenia, obsessive compulsive symptoms were reported by 10% [17] to 26.7% of patients, the frequent obsessions being that of contamination, sexual and aggressive thoughts [18]. Although OCD co-occurs in a substantial proportion of schizophrenia patients [19], the rate of occurrence and the clinical effect of sexual obsessions have been scarcely investigated in these patients.…”

Section: Introductionmentioning

confidence: 99%

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Sexual obsessions and suicidal behaviors in patients with mood disorders, panic disorder and schizophrenia

et al. 2012

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BackgroundThe topic of sexual obsessions as a psychiatric symptom has not been well investigated. The aim of this study was twofold: 1) to explore the presence of sexual obsessions in patients with mood disorders (n=156), panic disorder (n=54) and schizophrenia (n=79), with respect to non-psychiatric subjects (n=100); 2) to investigate the relationship between sexual obsessions and suicidal behaviors, taking into account socio-demographic variables ad mental disorders.Methods289 psychiatric patients with mood disorders, panic disorder or schizophrenia, were recruited at the Italian University departments of psychiatry along with 100 non-psychiatric subjects, who presented for a routine eye exam at the ophthalmology department of the same Universities. The assessments included: the Structured Clinical Interview for DSM-IV-TR, the Brief Psychiatric Rating Scale (BPRS), the Obsessive-Compulsive Spectrum Self-Report (OBS-SR), for sexual obsession, and the Mood Spectrum-Self Report lifetime version (MOODS-SR). Suicidality was assessed by means of 6 items of the MOODS-SR.ResultsSexual obsessions were more frequent in schizophrenia (54.4%), followed by mood disorders (35.9%). Among schizophrenia patients, males reported more sexual obsessions than females (P<0.01). Subjects who were more likely to report suicidal behaviors (suicidal ideation, plans and attempts) were female (adjusted OR=1.99), patients with mental disorders, specifically mood disorders (adjusted OR=11.5), schizophrenia (adjusted OR=3.7) or panic disorder (adjusted OR=2.9), and subjects who reported lifetime sexual obsessions (adjusted OR= 3.6). Sexual obsessions remained independently associated with all aspects of suicidal behaviors. Age, education, marital and employment status were not related to suicidal behaviors.ConclusionsSpecial attention should be given to investigate and establish effective strategies of treatment for sexual obsessions, especially those with comorbid mood disorders or schizophrenia.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Sexual obsessions and suicidal behaviors in patients with mood disorders, panic disorder and schizophrenia

et al. 2012

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“…This contradicts the findings of Devi and Wehbe, who found no influence on the QOL. 5,37 One reason for the initial results implying a poor QOL in this study could be the severe symptoms seen in schizophrenia patients with OCS. Another reason could be that OCS often compound other symptoms or are signs of a specific pathophysiologic pathway intimately associated with maladaptive or lack of adaptive behavior.…”

Section: Discussionmentioning

confidence: 87%

“…However, it should be noted that the recent report by Devi et al did not reveal any differences in the severity of schizophrenia symptoms between schizophrenia patients with and without OCS, warranting the need for large-scale, prospective research on this topic. 5,25,37 Some studies have also suggested that discrepancies in diagnosing obsessions in the presence of delusions could contribute to a positive association between OCS and positive symptoms, pointing towards the need for a consensus definition for diagnosis and research in this area. 34 In this study, OCS were associated with higher degrees of impairment in general functioning and QOL.…”

Section: Discussionmentioning

confidence: 99%

How Obsessive-Compulsive Symptoms Correlate with other Symptoms and Quality of Life in Schizophrenia? A Cross-Sectional Study

Awasthi,

Satapthy

2023

Indian Journal of Psychological Medicine

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Background: Early psychiatrists inferred that obsessive-compulsive symptoms (OCS) represent a defense against psychosis and prevent the progression of schizophrenia. However, recent clinical research has yielded inconsistent results across studies regarding the link between OCS and the symptom domains of schizophrenia and the influence OCS have on a patient’s functioning and quality of life (QOL). This study aimed to determine whether OCS has any association with the symptom severity, functioning, and QOL of schizophrenia patients. Methods: This cross-sectional study done in a tertiary care hospital consecutively recruited 85 outpatients of schizophrenia in clinical remission over one year. Positive and Negative Syndrome Scale (PANSS), Yale-Brown Obsessive Compulsive Scale (Y-BOCS), WHO Quality of Life Brief Version (WHO QOL-BREF), and Global Assessment of Functioning (GAF) scales were applied. Results: Eighteen patients (21.2%) had OCS (Y-BOCS score of ≥8). Patients with OCS had higher PANSS scores (mean±SD of total score 77.16± 16.4, P < 0.001), suggestive of more severe psychosis, poor functioning overall (mean GAF score 37.35 ± 15.62, P < 0.001), and poor QOL in the psychological domain (P < 0.001). In addition, significant associations were present between the Y-BOCS score and the PANSS ( r = 0.65), GAF ( r = –0.61), and WHO QOL BREF scores in the physical ( r = –0.39), and psychological domains ( r = –0.41) (P < 0.001 on all of the above). Conclusions: Patients with OCS have more severe symptoms and a lower QOL. A significant association exists between the intensity of OCS and schizophrenia symptoms, global functioning, and QOL.

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“…The most common obsessions were contamination and sexual images and the compulsions being cleaning and praying which are similar to those reported earlier. [30]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of comorbid anxiety disorders in schizophrenia

Kiran

2016

Ind Psychiatry J

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Background:Diagnostic and treatment hierarchical reductionisms have resulted in an oversight of anxiety syndromes in schizophrenia.Aim:The aim of this study was to find the prevalence of different anxiety disorders in schizophrenia patients.Materials and Methods:The study was conducted on inpatients of a tertiary care psychiatric hospital using a prospective, purposive sampling technique. The study consisted of 93 schizophrenia patients and a similar number of normal controls. The schizophrenia patients and controls were evaluated for psychopathology and the presence of anxiety disorder.Results:The prevalence of anxiety disorder was significantly higher in schizophrenia patients (45.16%) compared to controls (16.12%). Further, the prevalence of panic disorder, social anxiety disorder, and obsessive-compulsive disorder (OCD) was significantly higher in schizophrenia patients. No significant correlation was observed between anxiety disorder scores and psychopathology scores.Conclusions:The prevalence of comorbid anxiety disorders (panic disorder, social anxiety disorder, and OCD) in schizophrenia is significantly higher in the general population. The onset of anxiety disorder commonly precedes the onset of schizophrenia.

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Prevalence of obsessive compulsive symptoms among patients with schizophrenia

Cited by 12 publications

References 12 publications

Sexual obsessions and suicidal behaviors in patients with mood disorders, panic disorder and schizophrenia

Sexual obsessions and suicidal behaviors in patients with mood disorders, panic disorder and schizophrenia

How Obsessive-Compulsive Symptoms Correlate with other Symptoms and Quality of Life in Schizophrenia? A Cross-Sectional Study

Prevalence of comorbid anxiety disorders in schizophrenia

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