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Patterns Of Presentation In Ocd Patients
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Patterns Of Presentation In Ocd Patients

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  • 1. 1.Assistant Registrar, National Institute of Mental Health(NIMH),Dhaka 2.Associate Professor, NIMH, Dhaka 3.Assistant Professor, NIMH, Dhaka 4. Assistant Professor, NIMH, Dhaka 5. Professor, NIMH, Dhaka 6. Professor-cum-Director, NIMH, Dhaka. Presenter: Dr. Atiqul Haq Mazumder ( [email_address] ): +880-1713423349 Creating awareness regarding the variable presentation patterns of OCD is needed for early diagnosis and treatment of subtle OCD among the general population. Creating awareness regarding the variable presentation patterns of OCD is needed for early diagnosis and treatment of subtle OCD among the general population. PATTERNS OF PRESENTATION IN OCD PATIENTS Atiqul haq mazumder 1 Md. Faruq Alam 2 , Md. Khasru Parvez Chowdhury 3 , A. H. M. Mustafizur Rahman 4 , M. Golam Rabbani 5 , A. H. Mohammad Firoz 6 National Institute of Mental Health, Dhaka
    • Result:
    • Study population: 46 ( male-26, female-20).
    • Among them 82.6% were urban and majority( 47.8%) were within the age limit of 20-29 years.
    • An obsession of contamination, followed by washing or avoidance of dirt was the commonest ( 58.6%) presentation pattern in both sexes ( 75% in female, 46.1% in male ).
    • An obsession of doubt, followed by a compulsion of checking was the second most common pattern(23.9%) pattern in both sexes ( 10% in female, 34.6% in male ).
    • Obsession without compulsion was present in 5% of the total patients.
    • Literature cited:
    • Apter A, Fallon TJ, King RA et al. Obsessive compulsive characteristics: from symptoms to syndromes. J Am Acad Child Adolesc Psychi . 1996;35:907-912.
    • Dowson JH. The phenomenology of severe obsessive-compulsive neurosis. British J of Psy , 1977;131:75-78.
    • Khannas S, Channabasavanna S. Phenomenology of obsession in obsessive-compulsive neurosis. Psychopathology, 1988;21:12-18.
    • Rapoport JL. Annotation. Childhood obsessive compulsive disorder. J of Ch Psycho and Psychi . 1986;27(3):289-295.
    • Rasmussen SA, Eisen JL. Clinical features and phenomenology of obsessive compulsive disorder . Psychi Annals,1989;19:67-73 .
    • Sadock BJ, Sadock VA et al. Kaplan and Sadock’s Synopsis of Psychiatry.
    • Stein DJ, Hollander E et al. Textbook of Anxiety Disorders. 2002;173-186.
    • Conclusion :
    • Further studies are required to get the real picture of OCD in our community as it is often overlooked because of our socio-cultural acceptance and lack of awareness.
    • Creating awareness regarding variable presentation patterns of OCD is needed for early diagnosis and treatment of subtle OCD among the general population.
    NEUROPATHOLO GY IN OCD
    • Discussion :
    • A study in U.K. show ed that women had si gnificantly higher incidence of cont amination phobia an d cleaning com pulsion.(Dowson JH. et al)
    • An other study in India refl ected that fe ar of contamination was the single m ost common theme.(Kha nnas S et al)
    • O ne study depicted that ag e at onset is 17.5± 6.8 years in male a nd20.8± 8.5 y ears in female.(Rasmuss en SA et al)
    • A nother study resulted th at most ad ults and children with OCD have mul tiple obsessions an d compulsions over time.(Stein DJ et al)
    • The mos t common obsession is fear of contamination, followed by pathological doubt.(Stein DJ et al)
    • So the result of this study in the National Institute of Mental Health, Dhaka is consistent with the result of other contemporary studies.
    • Introduction
    • Obsessive Compulsive Disorder (OCD) is the fourth most common psychiatric diagnosis worldwide having variable patterns of presentation. Lifetime prevalence rate at age 30 is 5.5%.
    • Difference between sub threshold OCD and full criteria OCD is critical.
    • Obsessive-compulsive phenomena form a continuum with few symptoms and minimal severity at one end and many symptoms and severe impairment at the other end.
    • Patients with OCD differs significantly from patients without OCD, but not from each other.
    • OCD symptoms are often ignored in our socio-cultural context .So exploration of symptom pattern in our study may inspire further investigation regarding this issue.
    • Method
    • Sub ject : OCD patients attending OPD of NI MH
    • Study period : Oct’ 2007-S e pt’ 2008.
    • Procedure : A semi-structu red q uestionnaire was applied as a tool.
    • S tatistical analysis : By u sing computer soft ware ‘ SPSS for window s ’ and ‘Micros oft excel’ by the a uthors.