Obsessive-Compulsive symptoms in patients with Schizophrenia attending tertiary care centre in South India
Journal Title: Stanley Medical Journal - Year 2015, Vol 2, Issue 4
Abstract
Introduction: Schizophrenia is a heterogeneous severe mental disorder presenting with different symptom clusters. Obsessive-compulsive symptoms(OCS) frequently occur in substantial proportion of patients with schizophrenia though wide variation in prevalence is noted by different studies. Few studies have found relationship between positive symptoms in schizophrenia and OCS. However there have been a lack of studies in the Indian setup related to this topic. The current study systematically assessed prevalence and clinical profile of schizophrenia patients with obsessive-compulsive symptoms attending a tertiary care centre in South India. Further, the relationship between psychopathology and OCS were also analysed. Settings and Design: Cross sectional descriptive study carried out in 4 urban ICDS blocks in Kozhikode corporation from July 2012 to June 2013 . Methods and Material: A cross-sectional study design was used to assess 100 consecutively admitted patients satisfying the ICD-10 criteria for schizophrenia. Socio-demographic profile was obtained using semi-structured proforma and severity of schizophrenia symptoms was assessed using PANSS. YBOCS checklist was used to assess and record the obsessive-compulsive symptoms. Patients satisfying checklist for obsessive-compulsive disorder were further assessed by administering YBOCS. Descriptive statistics and Pearson correlation were used to analyse the results. Statistical analysis used: SPSS v.20 Results:From the current study, prevalence of OCS was 28%, it being more common in males(30%). The most common OCS were aggressive obsessions(20%), with somatic obsessions(14%) being a close second. OCS are present in a significant number of patients with predominantly positive symptoms (p=0.001). Conclusions: The patients with schizophrenia exhibited a high prevalence of obsessive-compulsive symptoms in their clinical presentation. OCS seems to have a strong association with positive symptoms among psychopathology in these patients.
Authors and Affiliations
Punya Mulky, Vijaya Raghavan D, Shanthi Maheshwari, Kannan P. P. , Jeyaprakash R
Keywords
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