PATTERNS OF PRESENTATION IN OCD PATIENTSAtiqul haq mazumder1

Md. Faruq Alam2, Md. Khasru Parvez Chowdhury3, A. H. M. Mustafizur Rahman4, M. Golam Rabbani5, A. H. Mohammad Firoz6

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:1. 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.

2. Dowson JH. The phenomenology of severe obsessive-compulsive neurosis. British J of Psy, 1977;131:75-78.

3. Khannas S, Channabasavanna S. Phenomenology of obsession in obsessive-compulsive neurosis. Psychopathology, 1988;21:12-18.

4. Rapoport JL. Annotation. Childhood obsessive compulsive disorder. J of Ch Psycho and Psychi. 1986;27(3):289-295.

5. Rasmussen SA, Eisen JL. Clinical features and phenomenology of obsessive compulsive disorder. Psychi Annals,1989;19:67-73.

6. Sadock BJ, Sadock VA et al. Kaplan and Sadock’s Synopsis of Psychiatry.

7. 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.

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 (atiq10@gmail.com): +880-

1713423349

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 (atiq10@gmail.com): +880-

1713423349

NEUROPATHOLOGY IN OCD

Discussion:♦ A study in U.K. showed that women

had significantly higher incidence of contamination phobia and cleaning compulsion.(Dowson JH. et al)

♦ Another study in India reflected that fear of contamination was the single most common theme.(Khannas S et al)

♦ One study depicted that age at onset is 17.5± 6.8 years in male and20.8± 8.5 years in female.(Rasmussen SA et al)

♦ Another study resulted that most adults and children with OCD have multiple obsessions and compulsions over time.(Stein DJ et al)

♦ The most 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♦Subject: OCD patients attending OPD of NIMH♦Study period: Oct’ 2007-Sept’ 2008.

♦Procedure: A semi-structured questionnaire was applied as a tool.♦Statistical analysis: By using computer software ‘ SPSS for windows’ and ‘Microsoft excel’ by the authors.

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.