How Common Is Obsessive-Compulsive Disorder in a Dermatology Outpatient Clinic?
J Clin Psychiatry 2003;64(2):152-155
© Copyright 2016 Physicians Postgraduate Press, Inc.
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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.