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Psychosocial Impact of Obsessive-Compulsive Disorder on Patients and Their Caregivers: a Comparative Study With Depressive Disorder

Author

Listed:
  • Ashis Vikas

    (Postgraduate Institute of Medical Education & Research (PGIMER))

  • Ajit Avasthi

    (Department of Psychiatry, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh 160 012, India, drajitavasthi@yahoo.co.in)

  • Pratap Sharan

    (Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), New-Delhi, India)

Abstract

Background: Little empirical research has been done to assess the impact of obsessive-compulsive disorder (OCD) on patients and their caregivers. Objective: To assess the psychosocial impact of OCD on patients and their caregivers and compare it with depressed controls. Method: Thirty two patients with OCD and their caregivers and 30 patients of depression and their caregivers were assessed on sociodemographic and clinical variables and the following scales: World Health Organization Quality of Life Questionnaire-BREF version (WHOQOL-BREF); Schedule for Assessment of Psychiatric Disability; Family Burden Interview Schedule; and Family Accommodation Scale. Yale Brown Obsessive-Compulsive Disorder Scale (YBOCS) and Hamilton Depression Rating Scale (HDRS) were applied to rate the severity of obsessive-compulsive and depressive symptoms. Results: Patients with OCD had the lowest scores in the psychological health domain of the WHOQOL-BREF. They were also disabled due to their illness with maximum disability being experienced in the overall behaviour domain. Caregivers of OCD patients experienced burden in several areas and had to accommodate to the patient’s behaviour. Patients with OCD had a better quality of life (QOL) and were less disabled compared with depressed patients, but their caregivers were more burdened and had to accommodate to a greater degree in comparison to caregivers of depressed patients. The OCD patients’ QOL and disability scores and their caregivers’ burden and accommodation scores correlated significantly with several sociodemographic, clinical and psychological variables. Conclusion: OCD patients, when compared with depressed subjects, have a better QOL and are less disabled, but their caregivers are more burdened and have to accommodate more.

Suggested Citation

  • Ashis Vikas & Ajit Avasthi & Pratap Sharan, 2011. "Psychosocial Impact of Obsessive-Compulsive Disorder on Patients and Their Caregivers: a Comparative Study With Depressive Disorder," International Journal of Social Psychiatry, , vol. 57(1), pages 45-56, January.
    • Handle: RePEc:sae:socpsy:v:57:y:2011:i:1:p:45-56
    DOI: 10.1177/0020764009347333
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    References listed on IDEAS

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    1. J. Hoenig & Marian W. Hamilton, 1966. "The Schizophrenic Patient in the Community and His Effect On the Household," International Journal of Social Psychiatry, , vol. 12(3), pages 165-176, June.
    2. Harish Kalra & Anil Nischal & Jitendra Kumar Trivedi & Pronob Kumar Dalal & Pramod Kumar Sinha, 2009. "Extent and Determinants of Burden of Care in Indian Families: a Comparison Between Obsessive-Compulsive Disorder and Schizophrenia," International Journal of Social Psychiatry, , vol. 55(1), pages 28-38, January.
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    Cited by:

    1. Sandeep Grover & Bichitra N Patra & Munish Aggarwal & Ajit Avasthi & Subho Chakrabarti & Savita Malhotra, 2014. "Relationship of supernatural beliefs and first treatment contact in patients with obsessive compulsive disorder: An exploratory study from India," International Journal of Social Psychiatry, , vol. 60(8), pages 818-827, December.
    2. Mariana Bonati de Matos & Andressa Jacondino Pires & Jéssica Puchalski Trettim & Carolina Coelho Scholl & Viviane Porto Tabeleão & Rafaelle Stark Stigger & Bárbara Borges Rubin & Mariane Lopez Moli, 2022. "Family perception of the symptoms of Obsessive-Compulsive Disorder patient and the family accommodation," International Journal of Social Psychiatry, , vol. 68(1), pages 73-81, February.

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