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Obsessive-Compulsive Disorder (Ocd) Is Still An Unrecognised Disorder: A Study On The Recognition Of Ocd In Psychiatric Outpatients

Published online by Cambridge University Press:  16 April 2020

K. Wahl ,
A. Kordon ,
K.A. Kuelz ,
U. Voderholzer ,
F. Hohagen  and
B. Zurowski
K. Wahl
Affiliation:
University Clinic of Luebeck, Department of Psychiatry and Psychotherapy, Campus Luebeck, Ratzeburger Allee 160, 23538Luebeck, Germany
A. Kordon*
Affiliation:
University Clinic of Luebeck, Department of Psychiatry and Psychotherapy, Campus Luebeck, Ratzeburger Allee 160, 23538Luebeck, Germany
K.A. Kuelz
Affiliation:
University Clinic of Freiburg, Department of Psychiatry and Psychotherapy, Hauptstr. 5, 79104Freiburg, Germany
U. Voderholzer
Affiliation:
University Clinic of Freiburg, Department of Psychiatry and Psychotherapy, Hauptstr. 5, 79104Freiburg, Germany
F. Hohagen
Affiliation:
University Clinic of Luebeck, Department of Psychiatry and Psychotherapy, Campus Luebeck, Ratzeburger Allee 160, 23538Luebeck, Germany
B. Zurowski
Affiliation:
University Clinic of Luebeck, Department of Psychiatry and Psychotherapy, Campus Luebeck, Ratzeburger Allee 160, 23538Luebeck, Germany
*
*Corresponding author. Tel.: +49 451 500 2982; fax: +49 451 500 4957. E-mail address: [email protected] (A. Kordon).
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Abstract

Objective

The study aims to investigate the recognition of patients with Obsessive-Compulsive Disorder (OCD) in psychiatric outpatients.

Subjects and methods

A total of 2282 outpatients seen at 14 different psychiatric clinics in South Germany were asked to participate in the study. Five hundred and eighty-nine (30%) of the original 2282 patients met screening criteria for OCD, and of those, 237 (42%) participated in the final interview including DSM-IV diagnosis, and comorbidity.

Results

Sixty-nine of 589 participating patients who screened positively for obsessive symptoms actually had an Obsessive-Compulsive Disorder. Only 19 (28%) of the outpatients diagnosed with OCD according to DSM-IV criteria were also given this diagnosis by their consultant. The psychopathology scores indicated that the OCD patients had clinically relevant OCD with a mean Yale-Brown Obsessive Compulsive Score (Y-BOCS) of 17.5 (± 5.4), and a mean Clinical Global Impression Score (CGI) of 5.2 (± 1.2).

Conclusions

In outpatient clinics over 70% of OCD patients remain unrecognised and thus untreated by consultants. Screening questions provide a rapid way of identifying those who may have OCD and should be incorporated into every mental state examination by consultants.

Keywords

OCDAdolescent psychiatryQuality of care
Type
Obsessive-Compulsive Disorders
Information
European Psychiatry , Volume 25 , Issue 7 , November 2010 , pp. 374 - 377
Copyright
Copyright © Elsevier Masson SAS 2019

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Footnotes

1

Both authors contributed equally.

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