Gender Differences in Obsessive Compulsive Disorder

We investigated gender differences in 219 patients with obsessive compulsive disorder consecutively referred to a centre specialising in the behavioural treatment of anxiety disorders. Females had a later mean onset-age, and were more likely to be married and to have children; they were also marginally more likely to have a past history of an eating disorder or depression, while males were more likely to have a history of anxious or meticulous personality traits. Family loading for psychiatric disorders did not differ significantly between the sexes. The results are discussed in the context of the epidemiological literature on gender differences in OCD.

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Comparative Prevalence of Eating Disorders in Obsessive-Compulsive Disorder and Other Anxiety Disorders

Psychiatry Journal ◽

10.1155/2015/186927 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Himanshu Tyagi ◽

Rupal Patel ◽

Fabienne Rughooputh ◽

Hannah Abrahams ◽

Andrew J. Watson ◽

...

Keyword(s):

Eating Disorders ◽

Eating Disorder ◽

Anxiety Disorder ◽

Anxiety Disorders ◽

Obsessive Compulsive Disorder ◽

Geographical Area ◽

Primary Diagnosis ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Significant Difference

Objective. The purpose of this study was to compare the prevalence of comorbid eating disorders in Obsessive-Compulsive Disorder (OCD) and other common anxiety disorders.Method. 179 patients from the same geographical area with a diagnosis of OCD or an anxiety disorder were divided into two groups based on their primary diagnosis. The prevalence of a comorbid eating disorder was calculated in both groups.Results. There was no statistically significant difference in the prevalence of comorbid eating disorders between the OCD and other anxiety disorders group.Conclusions. These results suggest that the prevalence of comorbid eating disorders does not differ in anxiety disorders when compared with OCD. However, in both groups, it remains statistically higher than that of the general population.

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Gender-Divergent Aetiological Factors in Obsessive-Compulsive Disorder

The British Journal of Psychiatry ◽

10.1192/bjp.158.2.260 ◽

1991 ◽

Vol 158 (2) ◽

pp. 260-263 ◽

Cited By ~ 97

Author(s):

Homa F. Noshirvani ◽

Yiannis Kasvikis ◽

Isaac M. Marks ◽

Fivos Tsakiris ◽

William O. Monteiro

Keyword(s):

Obsessive Compulsive Disorder ◽

Early Onset ◽

Late Onset ◽

Low Fertility ◽

Onset Age ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

History Of ◽

Low Rate

Among 307 adults with OCD, early onset (age 5–15 years) was more common in men and later onset (age 26–35 years) in women. Early onset was associated with more checking, and late onset with more washing. More women than men had a history of treated depression; 12% of the women but none of the men had a history of anorexia. More women than men were married. Gender-divergent features may reflect differential aetiological factors. Our sample resembled others in the literature in its slight overall female preponderance, low rate of marriage and low fertility, onset mainly before age 35 years, chronicity, and common present and past depression.

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Comorbidities in Nepalese psychiatry out-patients with Obsessive Compulsive Disorder

Journal of Psychiatrists Association of Nepal ◽

10.3126/jpan.v9i1.31317 ◽

2020 ◽

Vol 9 (1) ◽

pp. 34-40

Author(s):

DR Shakya

Keyword(s):

Anxiety Disorders ◽

Obsessive Compulsive Disorder ◽

Past History ◽

Psychiatric Service ◽

Age Groups ◽

Mental Illnesses ◽

Obsessive Compulsive ◽

Psychiatric Comorbidities ◽

Compulsive Disorder ◽

Icd 10

Introduction: Obsessive compulsive disorder (OCD) is among the most prevalent and debilitating mental illnesses. Associated physical and psychiatric comorbidities furthur complicate its outlook. The present study was conducted to sort out psychiatric and major physical comorbidities among Nepalese OCD patients presenting to a psychiatric out-patient service. Material And Method: We used the ‘ICD-10: Classification of Mental and Behavioral Disorders’ for diagnosis and the ‘Yale Brown Obsessive Compulsive Scale’ (YBOC) for rating OCD symptoms. Psychiatric comorbidity diagnoses were made as per the ICD-10 and physical diagnoses according to the departments from or to where subjects were referred. Results: Of total, 45 (60%) were male. The most commonly affected age groups were 20-29 (39%) and 30-39 (32%). More than half subjects presented after more than five years of illness. Thirteen percent subjects had suicidal intents. Nearly two third subjects had presented with the YBOC score of severe range. Forty percent subjects reported past history and 55% family history of significant illness. One fourth revealed substance use and assessment indicated premorbid cluster C traits/ problems among nearly 45%. Ninteen percent had physical and 63% comorbid psychiatric disorders. Mood, mainly depressive and other anxiety disorders were the most common ones. Conclusion: Many of Nepalese OCD patients present late to psychiatric service when they are severely affected and have other comorbidities. Depressive and other anxiety disorders are the most common psychiatric comorbidities.

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The Medical Treatment of Obsessive-Compulsive Disorder and Anxiety

CNS Spectrums ◽

10.1017/s1092852900026924 ◽

2008 ◽

Vol 13 (S14) ◽

pp. 37-46 ◽

Cited By ~ 23

Author(s):

Borwin Bandelow

Keyword(s):

Anxiety Disorders ◽

Obsessive Compulsive Disorder ◽

Selective Serotonin Reuptake Inhibitors ◽

Behavioral Therapy ◽

Treatment Options ◽

First Line ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

History Of ◽

Higher Doses

AbstractSelective serotonin reuptake inhibitors (SSRIs) are first-line pharmacotherapy treatments for obsessive-compulsive disorder (OCD). Clomipramine is effective in OCD but associated with more adverse events. Typically, higher doses of antidepressants are required for OCD. Up to 50% of patients do not respond to initial treatment of OCD. Treatment options for nonresponders include augmentation of antidepressants with atypical antipsychotics, among other strategies. First-line treatments for anxiety disorders include SSRIs, serotonin norepinephrine reuptake inhibitors, and pregabalin. Tricyclic antidepressants are equally effective as SSRIs, but are less well tolerated. In treatment-resistant cases, benzodiazepines may be used when the patient does not have a history of dependency and tolerance. Other treatment options include irreversible and reversible monoamine oxidase inhibitors, the atypical antipsychotic quetiapine, and other medications. Cognitive-behavioral therapy has been sufficiently investigated in controlled studies of OCD and anxiety disorders and is recommended alone or in combination with the above medications.

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Obsessive-Compulsive Disorder with Suicide Obsessions in a First Responder without Previous Diagnosis of OCD or History of Suicide Attempts

Case Reports in Psychiatry ◽

10.1155/2017/4808275 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Vivekananda Rachamallu ◽

Michael M. Song ◽

Haiying Liu ◽

Charles L. Giles ◽

Terry McMahon

Keyword(s):

Obsessive Compulsive Disorder ◽

Suicide Attempts ◽

Past History ◽

Case Reports ◽

First Responder ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Prevention Therapy ◽

Increased Risk ◽

History Of

Obsessive-compulsive disorder (OCD) is a distressing and often debilitating disorder characterized by obsessions, compulsions, or both that are time-consuming and cause impairment in social, occupational, or other areas of functioning. There are many published studies reporting higher risk of suicidality in OCD patients, as well as studies describing increased risk of suicidality in OCD patients with other comorbid psychiatric conditions such as major depressive disorder (MDD) and posttraumatic stress disorder (PTSD). Existing case reports on OCD with suicide as the obsessive component describe patients with long standing diagnosis of OCD with suicidal ideations or previous suicide attempts. This report describes the case of a 28-year-old male, who works as a first responder, who presented with new onset symptoms characteristic of MDD and PTSD, with no past history of OCD or suicidality who developed OCD with suicidal obsessions. Differentiating between suicidal ideation in the context of other psychiatric illnesses and suicidal obsessions in OCD is critical to ensuring accurate diagnosis and timely provision of most appropriate treatment. The combination of exposure and response prevention therapy and pharmacotherapy with sertraline and olanzapine was effective in helping the patient manage the anxiety and distress stemming from the patient’s OCD with suicidal obsession.

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