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2 results

  • Comparative study of caregiver stress between patients of obsessive compulsive disorder and chronic medical illness, without any physical disability

  • G. Gupta, S. Nagendran
  • Journal:
    European Psychiatry / Volume 64 / Issue S1 / April 2021
    Published online by Cambridge University Press:
    13 August 2021, pp. S742-S743
    • Article
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      • Open access
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  • Introduction

    Obsessive compulsive disorder (OCD) is a disabling condition that affects the quality of life of both the patient and the caregivers. Similarly, in patients with physical medical illness, caregivers face a significant amount of stress.

    Objectives

    This study aimed to assess and compare the caregiver strain index between patients of OCD and medical illness. Moreover, this study will also compare the care giver strain index in the patients of OCD and physical medical illness depending on the severity and duration of the illness.

    Methods

    Study was done at Department of psychiatry, Teerthanker Mahaveer University, Moradabad. In this Cross-sectional study 2 groups of caregivers were included. The group 1 included 30 caregivers of obsessive compulsive disorder patients and group 2 included 30 caregivers for physical medical illness. The Yale-Brown Obsessive Compulsive Scale was used for measuring the severity of OCD and the stress in caregivers were drawn from Caregiver strain index.

    Results

    This study reported a high objective burden among caregivers of OCD compared with the physical medical illness (P-value=0.002). The age of the caregivers also showed to be significantly associated with the stress in both the groups. The severity of the OCD was shown to be correlated well with the stress of the caregivers (P-value=0.032). In contrast, in physical medical illness the duration of the disease showed no significant association with the caregiver’s stress.

    Conclusions

    This study showed that in patients with OCD caregivers face a higher strain compared with the physical medical illness.

    Disclosure

    No significant relationships.

  • 20 - Intermittent Explosive Disorder: Clinical Aspects

  • from Section IV - Sexual and Aggressive Impulses
  • Edited by Elias Aboujaoude, Stanford University School of Medicine, California, Lorrin M. Koran, Stanford University School of Medicine, California
  • Book:
    Impulse Control Disorders
    Published online:
    06 July 2010
    Print publication:
    08 February 2010, pp 221-232

  • Summary

    Skin picking is a common human behavior and often performed as a part of the daily grooming routine. Skin-picking disorder (SPD) is currently classified in Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as an impulse control disorder not otherwise specified along with compulsive impulsive (CI) Internet usage disorder, CI sexual behaviors, and CI shopping. The differential diagnosis of SPD includes medical and psychiatric conditions that cause skin picking directly or that create the sensations, such as pruritus, that lead to skin picking. Self-monitoring techniques can be used to assess the frequency of skin-picking behavior. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) modified for psychogenic excoriation is a ten-question, semistructured, clinician-administered scale that assesses the severity of skin picking in the previous week. Trichotillomania (TTM) is the most common comorbid impulse control disorder in patients with SPD.