Detailed contribution information
| Contribution title | 2405 - IMPACT OF CHILDHOOD SEPARATION ANXIETY DISORDER COMORBIDITY IN OBSESSIVE COMPULSIVE DISORDER |
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| Contribution code | PS02-02 (P) |
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| Form of presentation | Poster |
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| Abstract |
Objective: Obsessive compulsive disorder (OCD) has substantial comorbidities with other psychiatric disorders. Our aim in this study is to find the comorbidity rates of childhood Separation anxiety disorder (SAD) in adult patients with primary OCD, and to investigate the influence of this comorbidity to the clinical presentation of OCD. Methods: 80 adult outpatients with a primary diagnosis of OCD were included in this study. All patients were interviewed by using Structured Clinical Interview for DSM-IV/Clinician Version (SCID- I/ CV). Patients were assessed by using Yale- Brown Obsessive Compulsive Scale (Y- BOCS) and Yale-Brown OCD symptom checklist. In order to assess the diagnosis of childhood SAD, each patient was initially administered the Turkish version of the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K- SADS- PL), SAD module. The group of 29 patients with comorbid OCD and childhood SAD (OCD+SAD group) and 51 patients without childhood SAD (OCD without SAD) were compared for the sociodemographic and clinical features, psychiatric comorbidities and rating scales. Results: 47 (58.8%) of the patients were female and 34 (42.5%) patients were married. Mean age of the patients was 31.32 (min: 18, max: 54, SD: 7.45). The most common obsession was contamination obsessions (68.8%) and the most common compulsion was checking compulsions (68.8%) according to the Y-BOCS symptom checklist. Childhood SAD comorbidity rate was found to be 36.3%. Mean age of onset of OCD and mean age of onset of obsessive compulsive symptoms were lower in the OCD+SAD group than OCD without SAD group Comparing the frequency of obsessions and compulsions, there were no group differences between OCD+SAD and OCD without SAD groups. Additionally, there were no significant differences for Axis I psychiatric disorders between the two groups according to DSM- IV/ SCID-I. Conclusion: More than one third of adult patients with OCD received the diagnosis of childhood SAD. It was suggested that the presence of childhood SAD may be a feature that may also have a role for emergence of OCD symptoms earlier in children and adults as well as other anxiety disorders. Further studies are needed to assess the psychopathologic and clinical relationship of these disorders. |