
Research view
Title: | Obsessive–compulsive symptoms and obsessive–compulsive disorders in an Egyptian sample of substance use disorder patients |
Author: | Mohamed H. Ghanem, Hesham Hatata, Mahmoud M. Elhabiby, Sherien A. Khalil and Mai S. Abdeen |
Abstract: |
Background
The coexistence of obsessive–compulsive symptoms (OCS) and obsessive–
compulsive disorder (OCD) and substance use disorders (SUD) is an understudied
area. Psychoactive drug use is increasingly prevailing among young people, which has
a serious impact on our society but there are concerns that psychoactive drugs may be
associated with psychiatric symptoms or psychobiological problems. There are
converging lines of evidence demonstrating that SUD coexist with OCD or OCS with
high prevalence. The mutual impact of substance abuse and OCD on the severity of
each other and the lines of management postulated for such comorbidity have received
much recent attention in the literature and yet it is understudied in our country.
Objective
Identifying the incidence of OCS, as well as OCD in patients with SUD, and their
impact on severity of SUD.
Patients and methods
A group of 50 patients with a diagnosis of SUD males only, aged 18 to 65, medicated
or nonmedicated and with no medical problems were compared with 30 matched
healthy controls. They were subjected to SCID-I to confirm SUD diagnosis and assess
OCS and OCD, addiction severity index and Yale–Brown Obsessive–Compulsive
Scale.
Results
The OCD module of the SCID-I revealed that only one patient in this sample (2%) met
criteria for OCD, compared with none in the control group. However 40% (N = 20) of
the patients, who did not meet diagnostic criteria for OCD, suffered from OCS, which
was comparable with the control group where prevalence of OCS was also 40%.
Conclusion
It was found that the comorbidity incidence of OCD or the association of OCS in our
sample of substance abuse patients was not significant.
Keywords:
obsessive compulsive symptoms, obsessive compulsive disorder, substance use disorder
|
Journal: | Middle East Current Psychiatry 2015, 22:137–142 |
Text: | |
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