The predictors of occupational disability in obsessivecompulsive disorder in a large clinical sample

Abstract

Aim: Obsessive-compulsive disorder (OCD) is a common mental disorder leading to severe loss of functioning. We aimed toinvestigate socio-demographic and clinical factors affecting occupational disability in OCD.Material and Methods: It is a cross sectional study with individuals recruited from an outpatient psychiatry clinic. A total of 393patients were given the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Hamilton Depression Rating Scale-17 Item (HAM-D),Beck Anxiety Inventory, Barratt Impulseness Scale-11 and Wender Utah Rating Scale. Occupational disability was defined as theinability to work over the past month due to pychopathology associated with OCD. Housewives, students and retired people wereexcluded.Results: The rates of occupational disability were 52.9% in the whole sample, 44.3% in men and 60% in women. Higher Y-BOCSscores, higher HAM-D scores, being single, female gender, younger age at first treatment, less school years and previous suicideattempt were associated with a higher risk of occupational disability. The BAI scores, previous hospitalization, age at onset, smoking,childhood ADHD and past or present tic disorder did not statistically affect occupational status.Conclusions: OCD is associated with serious occupational disability causing inability to work in more than half of patients. Theseverity of OCD and depressive symptoms, marital status, gender, education level, age at first treatment and history of suicideattempt predict occupational disability.