Quality of Life and Psychosocial Functioning in OCD

Mapping Intimacies ◽

10.1093/med/9780190228163.003.0006 ◽

2017 ◽

Author(s):

Christina L. Boisseau ◽

Carly M. Schwartzman ◽

Steven A. Rasmussen

Keyword(s):

Quality Of Life ◽

Family Relationships ◽

Psychosocial Functioning ◽

Chronic Medical Conditions ◽

Physical And Mental Health ◽

Obsessive Compulsive ◽

Adequate Treatment ◽

Compulsive Disorder ◽

Assessment And Treatment

This chapter examines quality of life (QoL) and psychosocial functioning in obsessive-compulsive disorder (OCD). More specifically, it summarizes recent investigations demonstrating that: (1) OCD negatively impacts multiple areas of life, such as social and family relationships, functioning at work and in the household, and aspects of physical and mental health; (2) the negative relation between OCD and QoL is as great as (or greater than) that observed in other psychiatric disorders and chronic medical conditions; (3) the degree of the QoL impairment is generally proportional to the severity of OCD symptoms; (4) specific OCD symptoms differentially impact aspects of psychosocial functioning; and (5) adequate treatment of OCD is associated with significant improvements in QoL. Finally, the chapter discusses future perspectives involved in the evaluation of QoL in OCD populations and the critical need to address these issues in assessment and treatment of individuals with OCD.

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Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852900007239 ◽

1998 ◽

Vol 3 (S1) ◽

pp. 48-58 ◽

Cited By ~ 31

Author(s):

Eric Hollander ◽

Dan J. Stein ◽

Jee H. Kwon ◽

Clayton Rowland ◽

Cheryl M. Wong ◽

...

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Family Relationships ◽

Clinical Samples ◽

Symptom Improvement ◽

Obsessive Compulsive ◽

Psychosocial Function ◽

Compulsive Disorder ◽

Study Results

AbstractThe study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9%) returned it.Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy, showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments.Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.

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Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852900011068 ◽

1997 ◽

Vol 2 (10) ◽

pp. 16-25 ◽

Cited By ~ 51

Author(s):

Eric Hollander ◽

Dan J. Stein ◽

Jee H. Kwon ◽

Clayton Rowland ◽

Cheryl M. Wong ◽

...

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Family Relationships ◽

Clinical Samples ◽

Symptom Improvement ◽

Obsessive Compulsive ◽

Psychosocial Function ◽

Compulsive Disorder ◽

Study Results

AbstractThe study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9%) returned it.Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments.Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD, and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.

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Assessing Comorbidity, Insight, Family and Functioning in OCD

10.1093/oxfordhb/9780195376210.013.0058 ◽

2012 ◽

Author(s):

Christine Purdon

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Functional Impairment ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

The Family ◽

Assessment And Treatment ◽

Life Issues ◽

High Degree

Obsessive compulsive disorder (OCD) is a complex and debilitating disorder that has a high degree of comorbidity and functional impairment, and significant impact on the family. The purpose of this chapter is to provide a brief overview of comorbidity, family, insight, and quality of life issues, and to review assessment and treatment implications of those issues. Measures for assessing relevant constructs are described.

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A Comparison of Quality of Life and Psychosocial Functioning in Obsessive-Compulsive Disorder and Body Dysmorphic Disorder

Annals of Clinical Psychiatry ◽

10.1080/10401230701468685 ◽

2007 ◽

Vol 19 (3) ◽

pp. 181-186 ◽

Cited By ~ 29

Author(s):

Elizabeth R. Didie ◽

Anthony Pinto ◽

Maria Mancebo ◽

Steven A. Rasmussen ◽

Katharine A. Phillips ◽

...

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Psychosocial Functioning ◽

Body Dysmorphic Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Extended-release fluvoxamine and improvements in quality of life in patients with obsessive-compulsive disorder

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2009.10.001 ◽

2010 ◽

Vol 51 (4) ◽

pp. 373-379 ◽

Cited By ~ 13

Author(s):

Lorrin M. Koran ◽

Daniel Bromberg ◽

Carl S. Hornfeldt ◽

John C. Shepski ◽

Shirley Wang ◽

...

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Extended Release ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Quality of Life in Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852900025025 ◽

2000 ◽

Vol 5 (S4) ◽

pp. 37-39 ◽

Cited By ~ 16

Author(s):

Dan J. Stein ◽

Andrea Allen ◽

Julio Bobes ◽

Jane L. Eisen ◽

M. L. Figuera ◽

...

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

World Economy ◽

Negative Impact ◽

General Medicine ◽

Psychiatric Research ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Occupational Function

AbstractThe construct of quality of life (QOL), which has both subjective and objective components, has gained increasing importance in psychiatric research for several important reasons, not the least being the current importance of pharmacoeconomic issues. Obsessive-compulsive disorder (OCD) has been suggested to be the worlds 10th most disabling disorder, and pharmacoeconomic studies have indicated that its cost to the world economy runs into the billions of dollars. The use of QOL scales derived from general medicine and other areas of psychiatry has demonstrated the enormous negative impact of OCD on several domains, including occupational function, social function, and family function. Further work to ascertain the extent of changes in QOL during treatment of OCD is necessary.

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Quality of life of patients with obsessive compulsive disorder

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v29i1.32747 ◽

2017 ◽

Vol 29 (1) ◽

pp. 18-22

Author(s):

Fahmida Ahmed ◽

Meherunnessa Begum ◽

Md Abdul Wahab ◽

Sayed Kamaluddin Ahmed

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Psychological Health ◽

World Health ◽

Obsessive Compulsive ◽

World Health Organization Quality ◽

Compulsive Disorder ◽

Health Domain ◽

Quality Of Life Scale

Obsessive-Compulsive Disorder (OCD) is a severe and debilitating anxiety disorder which causes severely impaired quality of life. The objective of the study was to assess the quality of life of the patients suffering from OCD. It was a cross-sectional study conducted from January 2011 to June 2011 among 46 patients who attended the out-patient department of the National Institute of Mental Health Sher-E-Bangla Nagar, Dhaka, Bangladesh and Holy Family Red Crescent Medical College and Hospital, Dhaka, Bangladesh by using purposive sampling technique. A Semi-structured questionnaire, Dhaka University Obsessive Compulsive Scale (DUOCS), World Health Organization Quality of Life-Scale Brief Version (WHOQOL-BREF), Diagnostic and Statistical Manual for Mental Disorder, 4th edition (DSM-IV) were used in each case for this assessment. Results showed that mean age of the patients was (29.07±6.11) years, majority of the respondents (71.7%) were male, 63.0% were unmarried and 34.8% were students. Patients were least satisfied with social domain and patients having only obsession had lower mean score (23.54±1.80) in environmental domain than in patients having both obsession and compulsion (25.15±3.70). OCD patients having major conflict (52.2%) were least satisfied with environmental health domain and patients suffering from OCD for more than ten years (78.3%) had low score than those suffering for less than ten years (21.7%) in overall quality of life domain. Patients having strained family relationship (34.8%) were less satisfied to psychological health domain and patients getting medication (91.3%) had better quality of life in all domains than those getting no medication (8.7%).Bang J Psychiatry June 2015; 29(1): 18-22

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