Association of Obsessive-Compulsive Symptoms In Patients with Other Psychiatric Morbidities In A Tertiary Care Psychiatric Setup of Rawalpindi

Hammad  Ishaq; Ahmed Shoaib; Abid Aftab; Ata Ullah; Sikandar Ali Khan; Muhammad Kamran

doi:10.51253/pafmj.v76iSUPPL-8.13619

Authors

Hammad Ishaq Department of Psychiatry, Armed Forces Institute of Mental Health /National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
Ahmed Shoaib Department of Psychiatry, Armed Forces Institute of Mental Health /National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
Abid Aftab Department of Psychiatry, Armed Forces Institute of Mental Health /National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
Ata Ullah Department of Psychiatry, Armed Forces Institute of Mental Health /National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
Sikandar Ali Khan Department of Psychiatry, Armed Forces Institute of Mental Health /National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
Muhammad Kamran Department of Psychiatry, Armed Forces Institute of Mental Health /National University of Medical Sciences (NUMS), Rawalpindi, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-8.13619

Keywords:

Anxiety disorders, Bipolar disorder, Depressive disorder, Obsessive-compulsive symptoms, Psychiatric morbidity

Abstract

Objectives: To determine the association of Obsessive-Compulsive Symptoms (OCS) among patients with various psychiatric morbidities at a tertiary care psychiatric setup in Rawalpindi

Study Design: Cross sectional analytical study

Place and Duration of Study: Armed Forces Institute of Mental Health, Rawalpindi, Pakistan Dec 2024 to May 2025.

Methodology: Total three hundred and thirty-six patients of 18–60 years diagnosed with various psychiatric disorders, diagnosed using International Classification of Disease version 10 (ICD-10) criteria were included. Obsessive-Compulsive Symptoms (OCS) were assessed using the Obsessive-Compulsive Inventory-Revised (OCI-R), a validated self-report questionnaire commonly used to measure the severity and type of OCS. Data collection involved face-to-face interviews using a semi-structured proforma.

Results: Total three hundred and thirty-six patients were included with mean age 34.7 ± 10.6 years. Obsessive-compulsive symptoms (OCS) were identified in 108(32.1%) with 49(45.4%) experiencing mild symptoms, 37(34.3%) moderate and 22(20.3%) severe symptoms. The mean OCS severity scores differed significantly between psychiatric groups (p<0.001). Gender, residence, marital status, and clinical psychiatric diagnosis showed statistically significant associations.

Conclusion: OCS are prevalent in psychiatric populations, particularly with depressive and anxiety disorders and screening for OCS is crucial for timely intervention and improved outcomes.

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References

1. Shoaib M, Iqbal M, Waqas UJ. Concurrent Obsessive-Compulsive Symptoms in Patients With Schizophrenia: A Retrospective Study From a Tertiary Care Centre in Sindh, Pakistan. Cureus 2023; 15(4): e375-383. https://doi.org/10.7759/cureus.37583

2. Stein MB, Forde DR, Anderson G, Walker JR. Obsessive-compulsive disorder in the community: an epidemiologic survey with clinical reappraisal. Am J Psychiatry 1997; 154(8): 1120-1126.

https://doi.org/10.1176/ajp.154.8.1120

3. Sharma E, Sharma LP, Balachander S. Comorbidities in Obsessive-Compulsive Disorder Across the Lifespan: A Systematic Review and Meta-Analysis. Front Psychiatry 2021; 12: 701-703.

https://doi.org/10.3389/fpsyt.2021.703701

4. Rowe C, Deledalle A, Boudoukha AH. Psychiatric comorbidities of obsessive-compulsive disorder: A series of systematic reviews and meta-analyses. J Clin Psychol 2022; 78(4): 469-484.

https://doi.org/10.1002/jclp.23240

5. Yücel M, Lee RSC, Fontenelle LF. A New Consensus Framework for Phenotyping and Treatment Selecting in Addiction and Obsessive-Compulsive-Related Disorders. JAMA Psychiatry 2021 ; 78(7): 699-700.

https://doi.org/10.1001/jamapsychiatry.2021.0243

6. Nawaz R, Gul S, Amin R, Huma T, Al Mughairbi F. Overview of schizophrenia research and treatment in Pakistan. Heliyon 2020; 6(11): e05545.

https://doi.org/10.1016/j.heliyon.2020.e05545

7. Tükel R, Polat A, Ozdemir O, Aksüt D, Türksoy N. Comorbid conditions in obsessive-compulsive disorder. Compr Psychiatry 2002; 43(3): 204-209.

https://doi.org/10.1053/comp.2002.32355

8. Torres AR, Prince MJ, Bebbington PE. Obsessive-compulsive disorder: prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000. Am J Psychiatry 2006; 163(11): 1978-1985.

https://doi.org/10.1176/ajp.2006.163.11.1978

9. Rahman R, Sheehan D, Javed A, Ahmad SH, Shafiq K, Kanwal U, et al. The National Psychiatric Morbidity Survey of Pakistan (2022): Prevalence, socio-demographic and disability correlates. medRxiv 2024.

https://doi.org/10.1101/2024.07.08.24310056

10. Karjalainen A. International statistical classification of diseases and related health problems (ICD-10) in occupational health. Geneva: World Health Organization, Sustainable Development and Healthy Environments, Protection of the Human Environment; 1999.

11. Shamsher Khan RM, Muneer A, Nawaz K. Frequency of obsessive compulsive symptoms in depression: A hospital-based cross-sectional study. J Pak Med Assoc. 2018; 68(2): 231-234.

12. Ahn-Robbins D, Grootendorst-van Mil NH, Chang CK. Prevalence and Correlates of Obsessive-Compulsive Symptoms in Individuals With Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder. J Clin Psychiatry 2022; 83(6): 21m14010.

https://doi.org/10.4088/JCP.21m14010

13. Nanthakumar S, Albertella L, do Rosário MC, Brierley ME, Fontenelle LF. Clinical features of obsessive-compulsive disorder among individuals who experience health-related obsessive-compulsive symptoms. J Affect Disord 2025; 369: 861-867.

https://doi.org/10.1016/j.jad.2024.10.014

14. Das A. Psychiatric comorbidity in patients with obsessive-compulsive. Khwaja Yunus Ali Med Coll J 2024 14(04): 206-209.

https://doi.org/10.3329/kyamcj.v14i04.69239

15. Cunill R, Vives L, Pla M, Usall J, Castells X. Relationship between obsessive compulsive symptomatology and severity of psychotic symptoms in schizophrenia: Meta-analysis and meta-regression analysis. Schizophr Res 2023; 25(1): 37-45.

https://doi.org/10.1016/j.schres.2022.12.013

16. Sharma LP, Reddy YCJ. Obsessive-compulsive disorder comorbid with schizophrenia and bipolar disorder. Indian J Psychiatry 2019; 61(Suppl 1): S140-S148.

https://doi.org/10.4103/psychiatry

17. Perugi G, Toni C, Frare F, Travierso MC, Hantouche E, Akiskal HS. Obsessive-compulsive-bipolar comorbidity: a systematic exploration of clinical features and treatment outcome. J Clin Psychiatry 2002; 63(12): 1129-1134.

18. Poyurovsky M, Bergman J, Weizman R. Obsessive-compulsive disorder in elderly schizophrenia patients. J Psychiatr Res 2006; 40(3): 189-191. https://doi.org/10.1016/j.jpsychires.2005.03.009