DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20195512

A cross sectional study of sociodemographic profile, disability and family burden in patients with obsessive compulsive disorder

Rajmal Meena, Mithlesh Khinchi, Omesh K. Meena

Abstract


Background: Obsessive compulsive disorder (OCD) is characterized by the presence of obsessions (intrusive and unwanted repetitive thoughts, urges, or impulses that often lead to a marked increase in anxiety or distress) and/ or compulsions (repeated behaviours or mental acts that are done in response to obsessions). OCD patients report general impairment in their functioning and family burden. They also suffer from disability in several areas of daily life.

Methods: This study has a cross-sectional design, and author included total 200 consecutive selected OCD patients diagnosed according to International Classification of Disease (ICD)-10.

Results: Most of respondent included in this study were married male (74%), belonged to Hindu religion and urban background (68%) with mean age of 33 year (SD=9.91), 88% subjects were found to be employed in this study, educated middle standard and above. In this study, maximum disability was noted in domains of work (mean score 1.10) and communication and understanding (mean score 0.70), the impairment in interpersonal activity was lesser (mean score 0.34). The domain in which the maximum burden was found among family members is disruption of routine/ family activities overall (52%).

Conclusions: The study aimed at assessing the burden in families and disability in subjects having OCD. Subjects were of either sex having age 16 and above. All subjects were assessed using following structured clinical instruments, Yale-brown symptom check list, Yale-brown obsessive-compulsive symptom severity scale, family burden interview, and Indian disability evaluation and assessment scale.

 


Keywords


Disability, Family burden, Obsessive compulsive disorder, Sociodemographic profile

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References


Sadock BJ, Ruiz P, Sadock VA. Kaplan and Sadock’s comprehensive textbook of psychiatry. 10th edition. 2017:1785-1803.

American Psychiatric Association, Diagnostic criteria from Diagnostic and Statistical Manual of mental disorder. Am Psychiatr Assoc. 2013;235-64.

Gururaj GP, Math SB, Reddy J, Chandrashekar CR. Family burden, quality of life and disability in obsessive-compulsive disorder: an Indian perspective. J Postgrad Med 2008;54(2):91-7.

Bobes J, González MP, Bascarán MT, Arango C, Sáiz PA, Bousoño M. Quality of life and disability in patients with obsessive-compulsive disorder. Eur Psychiatr. 2001;16(4):239-45.

Solanki RK, Singh P, Midha A, Chug K, Swami MK. Disability and Quality of Life in Schizophrenia and Obsessive Compulsive Disorder: East Asian Arch Psychiatry. 2010; 20(1):7-13.

Koran LM, Thienemann ML, Davenport R. Quality of life for patients with obsessive-compulsive disorder. Am J Psychiatry 1996; 153(11): 783-788.

Mohan I, Tandon R, Kalra H, Trivedi JK, Disability assessment in mental illnesses using Indian Disability Evaluation Assessment Scale (IDEAS); Indian J Med Res. 2005;121(6):759-63.

Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, Heninger GR, Charney DS. The Yale-Brown obsessive compulsive scale: I. Development, use, and reliability. Archi General Psychiatr. 1989;46(11):1006-11.

Jayakumar C, K Jagadheesan, A.N Verma, caregiver’s burden; a comparison between obsessive-compulsive disorder and schizophrenia. Indian J psychiatr. 2002;44(4): 337-42.

Cooper M. Obsessive-compulsive disorder: effects on family members. Am J Orthopsychiatr. 1996;66(2):296-304.

Grover S, Dutt A. Perceived burden and quality of life of caregivers in obsessive compulsive disorder. Psychiatr Clini Neurosci. 2011 Aug;65(5):416-22.

Negam MG, Mahdy RS, Khashaba AM. Comparison of family burden, quality of life and disability in obsessive-compulsive disorder and schizophrenia in Zagazing University Hospital. Egypt J Psychiatry 2014;35(1):39-44.

Chakrabarti S, Kulhara P, Verma SK. The pattern of burden in families of neurotic patients. Soc Psychiatr Epidemiol. 1993 Jul 1;28(4):172-7.

Steketee G. Disability and family burden in obsessive-compulsive disorder. Can J Psychiatry 1997;42(9): 919-28.

Abramowitz JS. Varianta of exposure and response prevention in the treatment of obsessive-compulsive disorder: a meta-analysis. Behaviour Therapy. 1996; 27(4):583-600.

Balsev-Olesen T, Geert-Jorgensen E. The prognosis of obsessive-compulsive disorder. Acta Psychiatry Scand. 1989;34(7):232-41.

Black DW, Gaffney G, Schlosser S. The impact of obsessive-compulsive disorder on family: preliminary findings. J Nerv Ment Dis. 1998;186(7): 440-2.