Clinical features of psychiatric inpatients with obsessive compulsive disorder

Yatarak tedavi gören obsesif kompulsif bozukluk hastalarının klinik özellikleri

Abstract

Purpose: The aim of study as to determine the clinical and sociodemographic charecteristics of the inpatients admitted in Cukurova University Faculty of Medicine Department of Psychiatry and were hospitalized with the diagnosis of obsessive-compulsive disorder between the years 2006-2015. Patients were grouped according to the gender, age of onset and the family history of psychiatric disorders and these groups were compared. Material and Methods: Patients who had been diagnosed with obsessive compulsive disorder according to DSM IV TR and were hospitalized in Cukurova University Faculty of Medicine Balcalı Hospital Department of Psychiatry between 01 January 2006-31 December 2015. Data were obtained from hospital records of patients. Sociodemographic and clinical data form was filled by scanning previous patient files.Results: 41 of the patients were female (57,7%) and 30 of them were male (42,3%). Mean age of patients was 25±10,04; first treatment age was 27,75±9,19 and mean duration of untreated illness was 32,82±48,06 months. There was a significant difference in patients, when first treatment age and mean duration of untreated illness were examined by gender. In patients with family history of obsessive-compulsive disorder, the mean duration of untreated illness was higher. Conclusion: In the light of the findings, some important differences were found between patient groups in sociodemographic, clinical characteristics and primary sympthoms in obsessive-compulsive disorder. The study which determined wider and homogeneous distribution samples in this subject and at same time meeting patients and their families can contribute to identify disease’s clinical features more detailed.

Özet

Amaç:. Bu çalışmada, psikiyatri servisinde yatarak tedavi gören obsesif kompulsif bozukluk tanılı hastaların sosyodemografik ve klinik özelliklerinin belirlenmesi; hastalık başlangıç yaşının, tedaviye başvurana kadar geçen sürenin ve özkıyım girişiminin sosyodemografik ve klinik değişkenlerle ilişkisinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmada 2006-2015 yılları arasında yatarak tedavi gören obsesif kompulsif bozukluk hastalarının dosyaları değerlendirilmiş; sosyodemografik ve klinik değişkenler belirlenmiş; cinsiyete, ailede ruhsal hastalık ve obsesif kompulsif bozukluk varlığına göre değişkenler arasındaki farklar araştırılmıştır.Bulgular: Çalışmaya 41 kadın, 30 erkek 71 hasta dahil edildi. Hastalığın ortalama başlangıç yaşı 25±10.04; ilk tedavi yaşı 27.75±9.19; hastalık belirtilerinin başlamasından ilk tedaviye kadar geçen süre 32.82±48.06 ay olarak belirlendi. Kadınlarda ilk tedavi yaşının ve başlangıç ile ilk tedavi arasındaki sürenin fazla; ailede obsesif kompulsif bozukluk öyküsü olan hastalarda tedavisiz geçen sürenin anlamlı olarak yüksek olduğu saptandı. Sonuç: Obsesif kompulsif bozukluk sonlanım açısından ciddi risk faktörleri olan bir kronik bozukluktur.