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The clinical characteristics of patients with obsessive compulsive disorder: a descriptive study of an Irish sample

Published online by Cambridge University Press:  13 June 2014

James V Lucey ,
Gerard Butcher ,
Anthony W Clare  and
Timothy G Dinan
James V Lucey
Affiliation:
Institute of Psychiatry, De Crespigny Park, London SE5 8AF, England
Anthony W Clare
Affiliation:
St. Patrick's Hospital, James St, Dublin 9, Ireland
Timothy G Dinan
Affiliation:
Dept. of Psychological Medicine, St. Bartholomew's Hospital, West Smithfield, London EC1A, England
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Abstract

Objective: To describe the clinical characteristics and demographic details of a sample of patients with a principal diagnosis of obsessive compulsive disorder (OCD). Method: A retrospective review of fifty patients with DSM-III-R OCD referred to the Department of Behaviour Therapy at St. Patrick's Hospital, Dublin, Ireland between 1990 and 1991. Standard clinical ratings were made before and after treatment. Ratings used included the Maudsley Obsessive Compulsive Inventory (MOCI), the Fear Questionnaire (FQ), and the Yale-Brown obsessive compulsive score (YBOCS). Results: The male to female ratio was almost equal and the mean duration of illness was 6.1 (SD 11 years). OCD presented in isolation in a minority of cases (14%). A life time history of at least one other DSM-III-R axis I diagnosis, especially depression, was found in 72% of patients. Co-morbid Gilles de la Tourettes syndrome or epilepsy was rare. The majority of patients were on medication prior to presentation (78%). Levels of symptomatology were reduced in 91% of patients who completed treatment. Conclusions: Epidemiological research into the mass aspects of this disorder is required.

Keywords

Obsessive compulsive disorderClinical characteristicsBehaviour therapySpecific serotonin re-uptake inhibitors.
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 11 , Issue 1 , March 1994 , pp. 11 - 14
Copyright
Copyright © Cambridge University Press 1994

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References

1.Rasmussen, SA, Eisen, JL. Epidemiological and clinical features of obsessive compulsive disorder. In: Jenikc, MA, Baer, L, Minichiello, WE, editors. Obsessive compulsive disorders: theory and management. St. Louis: Mosby Yearbook Inc, 1990: 10–27.Google Scholar
2.Karno, M, Golding, JM, Sorenson, SBet al.The epidemiology of obsessive compulsive disorder in five U.S. communities. Arch Gen Psychiatry 1988; 45: 1094–9.CrossRefGoogle ScholarPubMed
3.Bebbington, P. The prevalence of OCD in the community. In: Montgomery, SA, Goodman, WK, Goeting, N, editors. Current approaches: obsessive compulsive disorder. London: Duphar Medical Publications, 1990: 7–18.Google Scholar
4.American Psychiatric Association. Diagnostic and statistical manual of mental disorder (DSM-III-R). Washington, DC: APA, 1987.Google Scholar
5.Hodgenson, RJ, Rachman, S. Obsessional-compulsive complaints. Behav Res Ther 1977; 16: 389–95.CrossRefGoogle Scholar
6.Marks, IM, Mathews, AW. Brief standard rating scale for phobic patients. Behav Res Ther 1987; 17: 263–7.CrossRefGoogle Scholar
7.Goodman, WK, Price, LH, Rasmussen, SA, et al:The Yale-Brown obsessive compulsive scale: development, use and reliability. Arch Gen Psychiatry 1989; 46: 1006–11.CrossRefGoogle ScholarPubMed
8.Rasmussen, SA, Eisen, JL. Clinical and epidemiological findings of significance to neuropharmacological trials in OCD. Psychopharmacol Bull 1988; 24: 466–70.Google ScholarPubMed
9.Black, A. The natural history of obsessional neurosis. In: Beech, HR, editor. Obsessional states. London: Methuen Co, 1974: 1–23.Google Scholar
10.Rasmussen, SA, Tsuang, MT. DSM-111 obsessive compulsive disorder clinical characteristics and family history. Am J Psychiatry 1986; 143: 317–22.Google Scholar
11.Pollit, J. Natural history of obsessional states. BMJ 1957; 1: 194–8.CrossRefGoogle Scholar
12.Marks, IM, O'Sullivan, G. Drugs and psychological treatments for agoraphobia/panic and obsessive compulsive disorder. Br J Psychiatry 1986; 153: 650–8.CrossRefGoogle Scholar
13.Green, RC, Pitman, RK. Tourettcs syndrome and obsessive compulsive disorder: clinical relationships. In: Jenike, MA, Baer, L, Minichiello, WE, editors. Obsessive compulsive disorders: theory and management. St. Louis: Mosby Yearbook, 1990: 61–3.Google Scholar
14.Shapiro, AK, Shapiro, ES, Young, JG. Gilles de la Tourette syndrome. New York: Raven Press, 1987.Google Scholar
15.Montgomery, SA. Is obsessive compulsive disorder diagnostically independent of both anxiety and depression? In: Montgomery, SA, Goodman, WK, Goeting, N, editors. Current approaches: obsessive compulsive disorder. London: Duphar Medical Publications, 1990: 1–7.Google Scholar
16.McKeon, P, Murray, RM. Familial aspects of obsessive compulsive neurosis. Br J Psychiatry 1987; 151: 528–34.CrossRefGoogle ScholarPubMed
17.Leonard, H, Swedo, S, Rapoport, JL. Treatment of childhood obsessive compulsive disorder with clomipramine and desmethylimipramine: a double blind cross over comparison. Psychopharmacol Bull 1989; 24: 93–5.Google Scholar
18.De Veaugh Geiss, J, Landau, P, Katz, R. Preliminary results from a multi-centre trial of clomipramine in parents with obsessive compulsive disorder. Psychopharmacol Bull 1989; 35: 36–40.Google Scholar
19.Katz, RJ, De Veaugh Geiss, J, Landau, P. Clomipramine in obsessive compulsive disorder. Biol Psychiatry 1990; 28: 401–14.CrossRefGoogle ScholarPubMed
20.Jenike, MA. Predictors of treatment failure in OCD.In: Jenike, MA, Baer, L, Minichiello, WE, editors. Obsessive compulsive disorders: theory and management. St. Louis: Mosby Yearbook, 1990: 306–11.Google Scholar
21.Tyrer, P, Casey, P, Gall, J. Relationship between neurosis and personality. Br J Psychiatry 1983; 142: 404–8.CrossRefGoogle ScholarPubMed
22.Baer, L, Jenike, MA, Ricciardi, JN, et al.Standard assessment of personality disorder in obsessive compulsive disorder. Arch Gen Psychiatry 1990; 47: 826–30.CrossRefGoogle ScholarPubMed