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Assessment of obsessive and compulsive symptoms in patients with schizophrenia

Published online by Cambridge University Press:  01 September 2022

S. Ajmi ,
S. Ellouze ,
M. Abdelkefi ,
M. Turki ,
N. Halouani  and
J. Aloulou
S. Ajmi
Affiliation:
CHU Hedi Chaker, Psychiatry, sfax, Tunisia
S. Ellouze*
Affiliation:
Hedi Chaker University Hospital, Psychiatry B, Sfax, Tunisia
M. Abdelkefi
Affiliation:
CHU Hedi Chaker, Psychiatry, sfax, Tunisia
M. Turki
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
N. Halouani
Affiliation:
Hedi Chaker University Hospital, Psychiatry, Sfax, Tunisia
J. Aloulou
Affiliation:
Hedi Chaker University Hospital, Psychiatry, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Obsessive-Compulsive Symptoms (OCS) are common in patients with schizophrenia, with a prevalence of 3.5% to 25%.

Objectives

The aim of our study was to assess the frequency of OCS in patients with schizophrenia, and to study the clinical and evolutionary characteristics of schizophrenia and OCS comorbidity.

Methods

We conducted a cross-sectional, descriptive, and analytical study. Thirty schizophrenic patients were recruited in the department of psychiatry B of Hedi Chaker university hospital of Sfax. We used the Yale-Brown Obsession-Compulsion Scale (Y-BOCS) to assess obsessive and compulsive symptoms, at the end of hospitalization, after clinical remission of schizophrenic symptoms.

Results

The mean age of patients was 41.2, that of disease onset was 27.3. Most of patients were male (86.7%) and unemployed (81.3%). A personal history of suicide attempts was found in 16.6% of patients. The average number of hospitalizations was 8.83. OCS were noted in 36% of patients with a Y-BOCS mean score of 5.5. Patients with OCS had significantly more frequent alcohol use (p = 0,008), a higher number (p = 0.03) and longer duration of hospitalizations (P = 0,034) and are more frequently treated with atypical antipsychotics (p = 0.001).

Conclusions

Our results show that patients with schizophrenia frequently present OCS. This comorbidity has a negative impact on the evolution and the prognosis of the disease, as well as the functioning of patients. Therefore, it should be investigated in order to ensure better care and promote the socio-professional reintegration of these patients.

Disclosure

No significant relationships.

Keywords

Obsessive Compulsive SymptomsTreatmentschizophréniacomorbidity
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S644
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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