Patients profile with obsessive-compulsive disorder attending to psychiatric emergency department

2011 ◽  
Vol 26 (S2) ◽  
pp. 976-976
Author(s):  
M.J. Mota Rodríguez ◽  
A. Pampin Alfonso ◽  
J. Portillo Díez ◽  
P. De Usabel Guzmán ◽  
M. Pérez García
Keyword(s):  
Emergency Department ◽  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Rural Areas ◽  
Anxiety Symptoms ◽  
Psychiatric Emergency ◽  
Psychiatric Evaluation ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Comorbid Psychiatric Disorders

IntroductionPrevalence of obsessive-compulsive disorder (OCD) in general population is 2–3%. This high prevalence is not often reflected in number of assitances to Emergency Department. There are few studies that analyze the characteristics of OCD patients assisting to psychiatric emergency services.ObjectiveTo establish the profile of these patients, determining aswell their type of emergency assistance, time distribution and why they relapse. We used the SPSS 17 package.MethodsA retrospective and descriptive study of attendances at the Psychiatry Emergency Department of Hospital Clínico Universitario de Santiago de Compostela in a sample of patients fitting the ICD-10 criteria for OCD diagnosis (n = 45). Time period: from 9TH July 2007 to 26TH September 2010.ResultsFrom 5091 attendances at the Psychiatry Emergency Department, 45 patients had an OCD diagnosis (57.8% women), with a mean age of 33.31 ± 11.58 years. 68.9% came from rural areas. 44.4% had comorbid psychiatric disorders.68.9% came by own initiative. In 28.9% the consultation was anxiety, 15.6% obsessive symptoms and 11% affective symptoms. 13.3% were admitted to a psychiatric ward.There was lower attendance between 0:00–08:00 AM and on Fridays. The months with more attendance were August and September.12% had more than one assitance, 85.7% were women with anxiety symptoms (38%) and with personality disorder as the most frequent comorbid diagnosis.ConclusionsPatient's profile: “33 years old female from countryside, presenting anxiety symptoms, who comes only once and by own initiative. Doesn’t have comorbid psychiatric disorders. After the psychiatric evaluation she is discharged to outpatient's psychiatric follow-up”.

scholarly journals The Therapeutic Effect of Electroconvulsive Therapy in Obsessive-Compulsive Disorder Patients: A Quasi-Experimental Study

2021 ◽  
Vol 0 (0) ◽  
pp. 1-23
Author(s):  
Seyed Gholamreza Noorazar ◽  
◽  
Somayyeh Emamizad ◽  
Ali Fakhari-Dehkharghani ◽  
◽  
...  
Keyword(s):  
Experimental Study ◽  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Electroconvulsive Therapy ◽  
P Value ◽  
Treatment Resistant ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Comorbid Psychiatric Disorders ◽  
Quasi Experimental

Background: Electroconvulsive therapy (ECT) is demonstrated to be an effective treatment in some psychiatric disorders. It is postulated ECT should primarily be considered for patients with treatment-resistant obsessive-compulsive disorder (OCD) in the context of major depression. Therefore, we aimed to evaluate the efficacy of ECT in OCD patients without comorbid psychiatric disorders. Methods: This quasi-experimental study was conducted on 12 adult patients with severe OCD (Yale-Brown test score above 25) and no comorbid psychiatric disorders referred to a tertiary care hospital for psychiatric disorders. Treatment was administered three times a week for up to three to four weeks (a minimum of 8 sessions and a maximum of 12 sessions). We completed the Yale-Brown test for all the patients exactly before ECT, on the exact day after applying ECT, and two months after the final ECT session in order to evaluate the effect of therapy. Results: Yale-Brown score of patients significantly decreased after the ECT sessions from 28.08 ± 2.50 to 17.17 ± 3.78 (P-value, 0.043). After treatment, the severity of OCD improved in all patients and reduced to mild and moderate levels in 4 (33.3%) and 8 (66.7%) patients, respectively. After two months the mean Yale-Brown score slightly increased to 18.08 ±1.62 (P-value, 0.125) and the severity of OCD in all 12 patients (100%) became moderate. Nevertheless, in none of them, the Yale-Brown score increased up to the baseline value in this period. None of the patients developed significant side effects during/after ECT sessions. Conclusion: ECT was a safe and effective therapeutic strategy for patients with treatment-resistant OCD with no comorbid psychiatric disorders in our study. However, further randomized controlled trials are required to validate the efficacy of ECT for OCD treatment before implementing it into routine clinical practice.

scholarly journals Predicting Eating Disorder and Anxiety Symptoms Using Anorexia Nervosa and Obsessive-Compulsive Disorder Polygenic Scores

2020 ◽  
Author(s):  
Zeynep Yilmaz ◽  
Katherine Schaumberg ◽  
Matt Halvorsen ◽  
Erica L. Goodman ◽  
Leigh C. Brosof ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Sex Differences ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Obsessive Compulsive Disorder ◽  
Genetic Risk ◽  
Anxiety Symptoms ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Polygenic Scores

Clinical, epidemiological, and genetic findings support an overlap between eating disorders, obsessive-compulsive disorder (OCD), and anxiety symptoms. However, little research has examined the role of genetic factors in the expression of eating disorders and OCD/anxiety phenotypes. We examined whether the anorexia nervosa (AN), OCD, or AN/OCD transdiagnostic polygenic scores (PGS) predict eating disorders, OCD, and anxiety symptoms in a large population-based developmental cohort. Using summary statistics files from the Psychiatric Genomics Consortium Freeze 2 AN and Freeze 1 OCD GWAS, we first conducted an AN/OCD transdiagnostic GWAS meta-analysis and then calculated PGS for AN, OCD, and AN/OCD in participants from the Avon Longitudinal Study of Parents and Children with available genetic and phenotype data on eating disorder, OCD, and anxiety diagnoses and symptoms (sample size 3,212-5,369 per phenotype). We observed sex differences in the PGS prediction of eating disorder, OCD, and anxiety-related phenotypes, with AN genetic risk manifesting at an earlier age and playing a more prominent role in eating disorder phenotypes in boys than in girls. Compulsive exercise was the only phenotype predicted by all three PGS (e.g., PAN(boys)=0.0141 at age 14; POCD(girls)=0.0070 at age 16; PAN/OCD(all)=0.0297 at age 14). Our results suggest that earlier detection of eating disorder, OCD, and anxiety-related symptoms could be made possible by including measurement of genetic risk for these psychiatric conditions while being mindful of sex differences.

scholarly journals Cigarette smoking in patients with obsessive compulsive disorder: a report from the International College of Obsessive Compulsive Spectrum Disorders (ICOCS)

CNS Spectrums ◽  
2015 ◽  
Vol 20 (5) ◽  
pp. 469-473 ◽  
Author(s):  
Bernardo Dell’Osso ◽  
Humberto Nicolini ◽  
Nuria Lanzagorta ◽  
Beatrice Benatti ◽  
Gregorio Spagnolin ◽  
...  
Keyword(s):  
Cigarette Smoking ◽  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Tourette’S Syndrome ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Tic Disorder ◽  
Compulsive Disorder ◽  
International College ◽  
Spectrum Disorders

Obsessive compulsive disorder (OCD) showed a lower prevalence of cigarette smoking compared to other psychiatric disorders in previous and recent reports. We assessed the prevalence and clinical correlates of the phenomenon in an international sample of 504 OCD patients recruited through the International College of Obsessive Compulsive Spectrum Disorders (ICOCS) network.Cigarette smoking showed a cross-sectional prevalence of 24.4% in the sample, with significant differences across countries. Females were more represented among smoking patients (16% vs 7%; p<.001). Patients with comorbid Tourette’s syndrome (p<.05) and tic disorder (p<.05) were also more represented among smoking subjects. Former smokers reported a higher number of suicide attempts (p<.05).We found a lower cross-sectional prevalence of smoking among OCD patients compared to findings from previous studies in patients with other psychiatric disorders but higher compared to previous and more recent OCD studies. Geographic differences were found and smoking was more common in females and comorbid Tourette’s syndrome/tic disorder.

scholarly journals Social affordances in context: What is it that we are bodily responsive to?

2013 ◽  
Vol 36 (4) ◽  
pp. 436-436 ◽  
Author(s):  
Erik Rietveld ◽  
Sanneke de Haan ◽  
Damiaan Denys
Keyword(s):  
Deep Brain Stimulation ◽  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Brain Stimulation ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Skilled Intentionality ◽  
Social Affordances ◽  
Deep Brain

AbstractWe propose to understand social affordances in the broader context of responsiveness to a field of relevant affordances in general. This perspective clarifies our everyday ability to unreflectively switch between social and other affordances. Moreover, based on our experience with Deep Brain Stimulation for treating obsessive-compulsive disorder (OCD) patients, we suggest that psychiatric disorders may affect skilled intentionality, including responsiveness to social affordances.

scholarly journals Long-term outcomes of obsessive–compulsive disorder: follow-up of 142 children and adolescents

2010 ◽  
Vol 197 (2) ◽  
pp. 128-134 ◽  
Author(s):  
N. Micali ◽  
I. Heyman ◽  
M. Perez ◽  
K. Hilton ◽  
E. Nakatani ◽  
...  
Keyword(s):  
Young People ◽  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Functional Impairment ◽  
Treatment Needs ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Persistence Rates

BackgroundObsessive–compulsive disorder (OCD) often starts in childhood and adolescence and can be a chronic disorder with high persistence rates. There are few prospective long-term follow-up studies.AimsTo follow up young people with OCD to clarify persistence rates and relevant predictors, presence of other psychiatric disorders, functional impairment, service utilisation and perceived treatment needs.MethodAll young people with OCD assessed over 9 years at the National and Specialist Paediatric OCD clinic, Maudsley Hospital, London, were included. Sixty-one per cent (142 of 222) of all contactable young people and parents completed computerised diagnostic interviews and questionnaires.ResultsWe found a persistence rate of OCD of 41%; 40% of participants had a psychiatric diagnosis other than OCD at follow-up. The main predictor for persistent OCD was duration of illness at assessment. High levels of baseline psychopathology predicted other psychiatric disorders at follow-up. Functional impairment and quality of life were mildly to moderately affected. Approximately 50% of participants were still receiving treatment and about 50% felt a need for further treatment.ConclusionsThis study confirms that paediatric OCD can be a chronic condition that persists into adulthood. Early recognition and treatment might prevent chronicity. Important challenges for services are ensuring adequate treatment and a smooth transition from child to adult services.

Understanding the Genetic Basis of Obsessive-Compulsive Disorder

CNS Spectrums ◽  
1999 ◽  
Vol 4 (5) ◽  
pp. 32-34,47-48 ◽  
Author(s):  
Humberto Nicolini ◽  
Carlos Cruz ◽  
Beatriz Camarena ◽  
Francisco Páez ◽  
Juan Ramón De La Fuente
Keyword(s):  
Psychiatric Disorders ◽  
Obsessive Compulsive Disorder ◽  
Genetic Study ◽  
Genetic Basis ◽  
Scientific Evidence ◽  
Genetic Component ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Different Types

AbstractGenetic study holds potential for understanding the etiology of a number of serious psychiatric disorders. In the case of obsessive-compulsive disorder (OCD), many investigators agree that there is a strong genetic component to its development. In this article, we review the scientific evidence gleaned from different types of studies that has led to a better understanding of the nature of the inherited factors in OCD.

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