Original Articles
A study on obsessive-compulsive symptoms in patients with schizophrenia | |
Dr. Arati Shivhare, Dr. Mohit Bansal, Dr. Tahmina Sajjad, Dr. Rashmi Mishra, Dr. Kamran Zuber, Dr. Nayab Anjun | |
Background: Obsessive compulsive (OC)symptoms have been well documented in the course of schizophrenia, their effect on its symptom profile is uncertain and clinical implications of this comorbidity are unclear. With this background the present study was undertaken to examine the presence of OC symptoms in schizophrenia. Objectives: 1. To know the presence of obsessive-compulsive symptoms in schizophrenia. 2. To know the type and severity of obsessive-compulsive symptoms in patients with schizophrenia. 3. To study the association between socio-demographic and phenomenological factors of the patients of schizophrenia with obsessive compulsive symptoms. Materials & Methods: 100 patients diagnosed with schizophrenia according to ICD-10 criteria were assessed using PANSS and Y-BOCS symptom checklist and Scale. Socio-demographic and clinical information was collected using specially designed proforma. Data collected was analysed using descriptive statistics and chi-square test for significance. Results: In present study, 21% of schizophrenia patients were found to have co-morbid OC symptoms. Most frequently reported OC symptoms among schizophrenia patients were aggressive obsessions and miscellaneous compulsions. OC symptoms of moderate severity were more frequently encountered among these patients. Majority of such patients presented with mixed obsessional thoughts and acts. Schizo-obsessive patients were observed to have younger age of onset of psychosis, longer duration of illness and positive family history of mental illness. Majority of schizo-obsessive patients were found to be suffering from undifferentiated or paranoid subtypes of schizophrenia with higher PANSS positive symptom subscale score. Conclusion: Co-morbid OC symptoms are seen in a significant proportion of schizophrenia patients. Types of obsessions and compulsions experienced by patients with schizophrenia are similar to those found in classical obsessive-compulsive disorder. OC symptoms represent a clinically meaningful dimension of psychopathology in schizophrenia and clinician awareness of the possible co-occurrence of schizophrenia and OCD is clearly warranted. |
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