Sleep Patterns in Patients with OCD

CNS Spectrums ◽  
1996 ◽  
Vol 1 (2) ◽  
pp. 39-43 ◽  
Author(s):  
A. Okasha ◽  
M. El Sayed ◽  
T. Asaad ◽  
A. Self El Dawla ◽  
T. Okasha

AbstractObjectives:(1) To determine whether there are sleep variables specific for obsessive-compulsive disorder (OCD) that are identifiable on polysomnographic findings; (2) to determine the possible relationship of OCD to other psychopathological disorders, with special emphasis on major depressive disorder (MDD).Methods:Eighteen patients suffering from OCD (five of whom had a comorbid depressive disorder) were assessed by means of a standardized sleep questionnaire, the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) for the assessment of severity of obsessive-compulsive symptoms, and overnight polysomnography. Results were compared with those from a control group of 18 age- and sex-matched controls with no history of psychiatric disorders.Results:We found a significant decrease in sleep efficiency index (SEI), REM percent, REM latency, and slow wave sleep latency among OCD patients, compared with controls. The presence of comorbid major depression had no effect on the severity of OCD and had no significant effect on the sleep measures.Conclusions:Sleep changes recorded polysomnographically in patients with OCD can be primary in origin and are independent of an associated major depressive disorder.

1995 ◽  
Vol 58 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Elliot C. Nelson ◽  
Yvette I. Sheline ◽  
Mark E. Bardgett ◽  
Jamie L. Jackson ◽  
John G. Csernansky

2020 ◽  
pp. oemed-2020-106660
Author(s):  
Christian Hakulinen ◽  
Petri Böckerman ◽  
Laura Pulkki-Råback ◽  
Marianna Virtanen ◽  
Marko Elovainio

ObjectivesTo examine employment and earnings trajectories before and after the first sickness absence period due to major depressive disorder (MDD).MethodsAll individuals (n=158 813) in Finland who had a first sickness absence period (lasting longer than 9 days) due to MDD between 2005 and 2015 were matched with one randomly selected individual of the same age and gender with no history of MDD. Employment status and earnings were measured using register-based data annually from 2005 to 2015. Generalised estimating equations were used to examine the trajectories of employment and earnings before and after MDD diagnosis in men and women separately.ResultsSickness absence due to MDD was associated with increased probability of non-employment during and after the year of the first sickness absence period. In men, but not in women, the probability of being employed was lower 5 years before the sickness absence period due to MDD. When compared with the individuals in the control group, men had around 34% and women 15% lower earnings 1 year, and 40% and 23%, respectively, 5 years, after the first sickness absence period due to MDD. More severe MDD and longer duration of sickness absence period were associated with lower probability of being employed.ConclusionsSickness absence due to MDD was associated with considerable reduction in employment and earnings losses. For men and individuals with more severe MDD, this reduction was before the first sickness period. This supports a reciprocal association between employment and earnings with MDD.


2017 ◽  
Vol 210 (6) ◽  
pp. 408-412 ◽  
Author(s):  
Lukas Propper ◽  
Jill Cumby ◽  
Victoria C. Patterson ◽  
Vladislav Drobinin ◽  
Jacqueline M. Glover ◽  
...  

BackgroundIt has been suggested that offspring of parents with bipolar disorder are at increased risk for disruptive mood dysregulation disorder (DMDD), but the specificity of this association has not been established.AimsWe examined the specificity of DMDD to family history by comparing offspring of parents with (a) bipolar disorder, (b) major depressive disorder and (c) a control group with no mood disorders.MethodWe established lifetime diagnosis of DMDD using the Schedule for Affective Disorders and Schizophrenia for School Aged Children for DSM-5 in 180 youth aged 6–18 years, including 58 offspring of parents with bipolar disorder, 82 offspring of parents with major depressive disorder and 40 control offspring.ResultsDiagnostic criteria for DMDD were met in none of the offspring of parents with bipolar disorder, 6 of the offspring of parents with major depressive disorder and none of the control offspring. DMDD diagnosis was significantly associated with family history of major depressive disorder.ConclusionsOur results suggest that DMDD is not specifically associated with a family history of bipolar disorder and may be associated with parental depression.


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