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Obsessive and compulsive symptoms in elderly: A litterature review

Published online by Cambridge University Press:  19 July 2023

N. Kouki ,
A. Maamri ,
M. Hsayri ,
N. Kouki ,
A. Hajri  and
H. Zalila
N. Kouki*
Affiliation:
Outpatient department, Razi hospital, Manouba
A. Maamri
Affiliation:
Outpatient department, Razi hospital, Manouba
M. Hsayri
Affiliation:
Outpatient department, Razi hospital, Manouba
N. Kouki
Affiliation:
Neurology department, charles nicolle, tunis, Tunisia
A. Hajri
Affiliation:
Outpatient department, Razi hospital, Manouba
H. Zalila
Affiliation:
Outpatient department, Razi hospital, Manouba
*
*Corresponding author.

Abstract

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Introduction

Obsessive compulsive symptoms may occur at any age. It was studied extensively in the youth contratry to the elderly that usually suffer for other health issues leading to misdiagnosis.

Objectives

We aim through this study to discover the particularities of OCD in elderly .

Methods

Our literature review was based on the PubMed interface and adapted for 2 databases: Science Direct and Google Scholar using the following combination ( obsessive compulsive disorder [MeSH terms]) OR (OCD [MeSH terms]) AND (elderly [MeSH terms]) OR (dementia [MeSH terms]).

Results

Our review revealed 39 articles from which we selected 4 articles.

We found that in aged adults over than 50 years experience mostly somatic symptoms, religiosity, and moral scrupulosity as obsessive thoughts.

We also found that OCD can occur as a primary disorder in older women, whereas in men it either persists from, younger years or arises in the context of another psychiatric or medical disorder

The relationship between Obsessional illness, brain mechanisms and Cognitive disorders are not fully understood.

Indeed, we noted a relative Impairment in executive function in older adults with OCD stressing the link with cognitive impairment. Moreover, Obessive compulsive symptoms may worsen cognitive functioning .

Conclusions

Obsessive compulsive disorder presence in the elderly may be described as a primary health condition or be related to organic mental health issues in particular dementia. The physiopathology remains unclear therefore further studies are needed for better understanding and management.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S929
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 (https://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), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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