How Common Is Obsessive-Compulsive Disorder in a Dermatology Outpatient Clinic?
| Autor: | Naomi A. Fineberg, Connor Mb O'Doherty, Tim M. Gale, Sundararajan Rajagopal, Karen Reddy, Annabelle Banks |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Obsessive-Compulsive Disorder medicine.medical_specialty Outpatient Clinics Hospital Adolescent MEDLINE Comorbidity Dermatology Severity of Illness Index Skin Diseases Obsessive compulsive Surveys and Questionnaires Prevalence medicine Humans Outpatient clinic Psychiatry Aged Mini-international neuropsychiatric interview Psychiatric Status Rating Scales business.industry Public health Middle Aged medicine.disease Mental health United Kingdom Psychiatry and Mental health Female business Anxiety disorder |
| Zdroj: | The Journal of Clinical Psychiatry. 64:152-155 |
| ISSN: | 0160-6689 |
| Popis: | This study was prompted by reports suggesting a high prevalence of unrecognized obsessive-compulsive disorder (OCD) in the dermatology clinic.92 consecutive dermatology referrals were screened for DSM-IV OCD using the Mini-International Neuropsychiatric Inverview (MINI), the Yale-Brown Obsessive Compulsive Scale (YBOCS), and the 5-item screening questionnaire from the International Council on OCD. Illness severity was rated on the YBOCS, and symptom profiles and dermatologic diagnoses were established for screen-positive cases.18 patients (20%) qualified for a DSM-IV diagnosis of OCD, of whom 17 were previously undiagnosed. The range and type of OCD symptoms covered the normal clinical spectrum. Most patients had more than 1 symptom, and among obsessions (including somatic obsessions), checking, washing, and symmetry were common. The mean total YBOCS score was 16/40 (SD = 7.2), indicating moderate OCD, and 40% of the positive cases scored 16 or higher. Dermatologic diagnoses were various and did not seem to bear a direct relationship with the OCD.These results suggest that there is a high prevalence of clinically relevant OCD in the dermatology clinic. This is an area that merits attention with regard to better recognition and treatment for OCD sufferers. |
| Databáze: | OpenAIRE |
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