Assessment of Mental Disability using Indian Disability Evaluation Assessment Scale in Obsessive Compulsive Disorder and Dysthymic Disorder
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 10
Abstract
ABSTRACT Introduction: Obsessive Compulsive Disorder (OCD) is characterised by recurrent obsessions or compulsions that are severe enough to be time-consuming or cause marked distress or significant impairment and is given disability benefits as per the existing Indian disability act. Dysthymic Disorder (DD) is a chronically depressed mood that occurs for most of the day, more days than not for at least two years and may also lead to disability for which benefits are not given. In view of limited research and the paucity of data, the current study was conducted to address these lacunae. Aim: To assess mental disability in OCD and compare it with DD for benefits under the Indian disability Act. Materials and Methods: The present study was a cross-sectional hospital-based comparison study conducted in two group of 30 patients each diagnosed to have OCD and DD during October 2009 to September 2011 in a medical institution in Karnataka, India. Diagnostic and Statistical Manual of Mental disorders (DSM)-IV criteria were used for diagnosis of OCD and DD. Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Hamilton Depression Rating Scale (HAM-D) and Indian Disability Evaluation and Assessment Scale (IDEAS) were used. Statistical Package for Social Sciences (SPSS) version-16.0 software was used for analysis. For continuous data, student’s t-test and for categorical data, ‘chi-square test’ was used respectively. Results: The mean disability score was 6.39 (SD=1.5) and 6.13 (SD=1.14) in OCD and DD respectively. Disability score was not found to be different within the various groups, of socio-demographic parameters like age, sex, occupation, residence education, socioeconomic status in OCD and DD conditions. The percentage of moderately disabled patients were more in the DD group (53.3%) than in the OCD group (36.7%). In the domain of self-care and duration of illness, there was a significant difference between the OCD and DD group (p<0.05). Mild (n=19) and moderate (n=11) disability in obsession and compulsion categories showed no statistical significance. Conclusion: Disability in DD was similar to that of OCD as total disability score had no significant difference between the two groups. However, further research is needed to assess the extent of disability in non-psychotic disorders for disability benefits.
Authors and Affiliations
Roopesh NV Gopal, Sathish SV Kumar
Keywords
Related Articles
- EP ID EP529690
- DOI 10.7860/JCDR/2018/37374.12180
- Views 68
- Downloads 0
Orthodontic Therapy for Paediatric Cancer Survivors: A Review
The paper aims at reviewing the possibilities of orthodontic therapy for paediatric cancer survivors. It is important to understand the fundamental disease, it’s treatment protocols, effects on growing skeleton, dental d...
Intracorneal Amphotericin B Injection in a Case of Indolent Candidal Keratitis
Ocular candidiasis is one of the opportunistic infection occurring in human body. Pathogenesis wise, Candida is very virulent and slow growing organism. We report a case of 76-year-old female with left eye candidal strom...
Competency in Home Blood Pressure Monitoring and Effect of Training Program on Competency
ABSTRACT Introduction: Blood Pressure (BP) measurement is the basis of diagnosis and treatment of hypertension. Automatic BP monitors are available for self-measurement of BP at home and it helps in adaptation of treatme...
An Unusual Case of ABO Discrepancy: Lessons Learnt
Letter to Editor
Phantom Pain after Robotic Cystoprostatectomy for Bladder Pain Syndrome
ABSTRACT Phantom pain is a syndrome in which a person experiences pain when that part of the body, external or internal, is no more physically present following an accident or operation. There are very few reports of pha...