اختلال وسواسي-جبري در مراجعان به درمانگاههاي پوست اصفهان

Obsessive compulsive disorder among outpatient referrals to dermatologic clinics of Isfahan

Background and Aim: This study was prompted by reports suggesting a high prevalence of unrecognized obsessive-compulsive disorder (OCD) in the dermatology clinics. Materials and Methods: 140 consecutive dermatology referrals were screened for DSM-IV OCD using the Yale-Brown Obsessive Compulsive Scale (YBOCS). Illness severity was rated on the Y-BOCS, and symptom profiles and dermatologic symptom were established for all cases. Results: 31patients (22.1%) qualified for a DSM-IV diagnosis of OCD, all of them were previously undiagnosed. The range and type of OCD symptoms covered the normal clinical spectrum. 33(23.6%) Of patients had more than 1 symptom, and among OCD symptoms over washing was the most common. 39.7% of the positive cases scored 16 or higher. Dermatologic symptoms were various and did not seem to bear a direct relationship with OCD. Conclusion: These results suggest that there is a high prevalence of clinically relevant OCD in the dermatology clinics. This is an area that merits attention with regard to better recognition and treatment for OCD sufferers.