scholarly journals Predictors of Intensive Treatment in Patients With Obsessive-Compulsive Disorder

2021 ◽  
Vol 12 ◽  
Author(s):  
Johanna A. M. du Mortier ◽  
Karin C. P. Remmerswaal ◽  
Neeltje M. Batelaan ◽  
Henny A. D. Visser ◽  
Jos W. R. Twisk ◽  
...  

Background: Few studies have investigated which patients with obsessive-compulsive disorder (OCD) do not recover through regular cognitive behavior therapy or pharmacotherapy and subsequently end up in intensive treatment like day treatment or inpatient treatment. Knowing the predictors of intensive treatment in these patients is significant because it could prevent intensive treatment. This study has identified predictors of intensive treatment in patients with OCD.Methods: Using 6-year longitudinal data of the Netherlands Obsessive Compulsive Disorder Association (NOCDA), potential predictors of intensive treatment were assessed in patients with OCD (n = 419). Intensive treatment was assessed using the Treatment Inventory Costs in Patients with Psychiatric Disorders (TIC-P). Examined potential predictors were: sociodemographics, and clinical and psychosocial characteristics. Logistic Generalized Estimating Equations was used to estimate to what extent the various characteristics (at baseline, 2- and 4-year assessment) predicted intensive treatment in the following 2 years, averaged over the three assessment periods.Results: Being single, more severe comorbid depression, use of psychotropic medication, and a low quality of life predicted intensive treatment in the following 2 years.Conclusions: Therapists should be aware that patients with OCD who are single, who have more severe comorbid depression, who use psychotropic medication, and who have a low quality of life or a drop in quality of life are at risk for intensive treatment. Intensive treatment might be prevented by focusing regular treatment not only on OCD symptoms but also on comorbid depression and on quality of life. Intensive treatment might be improved by providing extra support in treatment or by adjusting treatment to impairments due to comorbid depressive symptoms or a low quality of life.

2019 ◽  
Vol 83 (4) ◽  
pp. 377-397 ◽  
Author(s):  
Brian A. Zaboski ◽  
Alexandra Gilbert ◽  
Rebecca Hamblin ◽  
Jessica Andrews ◽  
Amaya Ramos ◽  
...  

The current study examined quality of life (QOL) and its clinical correlates among 225 intensive treatment-seeking children and adolescents with obsessive-compulsive disorder (OCD) using the Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q). Youth completed the PQ-LES-Q along with self-report measures assessing functional impairment, anxiety sensitivity, OCD symptoms, nonspecific anxiety, depression, and social anxiety. Parents completed measures on their child's anxiety, the presence of inattention/hyperactivity, depression, functional impairment, and frequency of family accommodation of symptoms. Contrary to expectation, child-reported OCD symptoms did not significantly predict QOL; however, lower overall QOL was strongly associated with the presence of comorbid major depressive disorder (g=3D −0.76) and slightly related to comorbid social phobia (g=3D −0.36). These results suggest that assessing and addressing comorbid conditions in the treatment of youth with OCD is an important component of intensive treatment.


2018 ◽  
Vol 80 ◽  
pp. 46-56 ◽  
Author(s):  
Monica S. Wu ◽  
Rebecca Hamblin ◽  
Joshua Nadeau ◽  
Jessica Simmons ◽  
Ashley Smith ◽  
...  

2010 ◽  
Vol 51 (4) ◽  
pp. 373-379 ◽  
Author(s):  
Lorrin M. Koran ◽  
Daniel Bromberg ◽  
Carl S. Hornfeldt ◽  
John C. Shepski ◽  
Shirley Wang ◽  
...  

CNS Spectrums ◽  
2000 ◽  
Vol 5 (S4) ◽  
pp. 37-39 ◽  
Author(s):  
Dan J. Stein ◽  
Andrea Allen ◽  
Julio Bobes ◽  
Jane L. Eisen ◽  
M. L. Figuera ◽  
...  

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.


2017 ◽  
Vol 29 (1) ◽  
pp. 18-22
Author(s):  
Fahmida Ahmed ◽  
Meherunnessa Begum ◽  
Md Abdul Wahab ◽  
Sayed Kamaluddin Ahmed

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


2016 ◽  
Vol 22 ◽  
pp. 41-52 ◽  
Author(s):  
Anna Coluccia ◽  
Andrea Fagiolini ◽  
Fabio Ferretti ◽  
Andrea Pozza ◽  
Giulia Costoloni ◽  
...  

2005 ◽  
Vol 46 (6) ◽  
pp. 453-459 ◽  
Author(s):  
Steffen Moritz ◽  
Michael Rufer ◽  
Susanne Fricke ◽  
Anne Karow ◽  
Matthias Morfeld ◽  
...  

Author(s):  
Julio Bobes ◽  
M.-P. GarcÍa-Portilla ◽  
Maria-Teresa BascarÁn ◽  
Pilar-Alejandra SÁiz ◽  
Maria-Teresa Bobes-BascarÁn ◽  
...  

2015 ◽  
Vol 2 (56) ◽  
pp. 8865-8871
Author(s):  
Mohd . Aleem Siddiqui ◽  
Amrit Pattojoshi ◽  
Sanjay K Munda ◽  
Shazia Veqar Siddiqui ◽  
Daya Ram

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