How Common Is Obsessive-Compulsive Disorder in a Dermatology Outpatient Clinic?
J Clin Psychiatry 2003;64(2):152-155
© Copyright 2014 Physicians Postgraduate Press, Inc.
Purchase This PDF for $40.00
If you are not a paid subscriber, you may purchase the PDF.
(You'll need the free Adobe Acrobat Reader.)
Receive immediate full-text access to JCP. You can subscribe to JCP online-only ($86) or print + online ($156 individual).
With your subscription, receive a free PDF collection of the NCDEU Festschrift articles. Hurry! This offer ends December 31, 2011.
If you are a paid subscriber to JCP and do not yet have a username and password, activate your subscription now.
As a paid subscriber who has activated your subscription, you have access to the HTML and PDF versions of this item.
Click here to login.
Did you forget your password?
Still can't log in? Contact the Circulation Department at 1-800-489-1001 x4 or send email
Background: This study was prompted by
reports suggesting a high prevalence of unrecognized
obsessive-compulsive disorder (OCD) in the dermatology clinic.
Method: 92 consecutive dermatology referrals
were screened for DSM-IV OCD using the Mini-International
Neuropsychiatric Inverview (MINI), the Yale-Brown Obsessive
Compulsive Scale (YBOCS), and the 5-item screening questionnaire
from the International Council on OCD. Illness severity was rated
on the YBOCS, and symptom profiles and dermatologic diagnoses
were established for screen-positive cases.
Results: 18 patients (20%) qualified for a
DSM-IV diagnosis of OCD, of whom 17 were previously undiagnosed.
The range and type of OCD symptoms covered the normal clinical
spectrum. Most patients had more than 1 symptom, and among
obsessions (including somatic obsessions), checking, washing, and
symmetry were common. The mean total YBOCS score was 16/40 (SD =
7.2), indicating moderate OCD, and 40% of the positive cases
scored 16 or higher. Dermatologic diagnoses were various and did
not seem to bear a direct relationship with the OCD.
Conclusion: These results suggest that there is
a high prevalence of clinically relevant OCD in the dermatology
clinic. This is an area that merits attention with regard to
better recognition and treatment for OCD sufferers.