T S Jaisoorya1, Y C Janardhan Reddy2, K Thennarasu3, K V Beena4, M Beena4, Dalia C Jose5. 1. Department of Psychiatry, Government Medical College, Ernakulam, Kerala 683503, India. Electronic address: tsjaisoorya@gmail.com. 2. Department of Psychiatry, NIMHANS, Bangalore, India. 3. Department of Biostatistics, NIMHANS, Bangalore India. 4. National Rural Health Mission, Thiruvanthupuram, Kerala, India. 5. National Rural Health Mission, Ernakulam, Kerala, India.
Abstract
OBJECTIVES: There is scarce data on the prevalence of OCD among adolescents in India. This study reports point prevalence of OCD among school students (age 12-18years) in the Kerala state of India and examines its association with ADHD, psychological distress, tobacco/alcohol abuse, suicide risk and history of sexual abuse. METHOD: 7560 students of 73 schools were self-administered the OCD subsection of Clinical Interview Schedule-Revised, the Composite International Diagnostic Interview (CIDI) for obsessive compulsive symptoms and other relevant instruments to identify OCD and related clinical measures. A diagnosis of ICD-10 OCD was derived through the CIS-R algorithm which required duration of at least 2weeks and at least a thought/behavior to be resisted along with a cut-off score for severity and impairment. RESULTS: In the sample, 50.3% were males with a mean age of 15.2years (range of 12-18years). The response rate was 97.3% (7380 valid responses). 0.8% (n=61) fulfilled criteria for OCD with a male predominance (1.1 vs. 0.5%, p=0.005). Prevalence was higher among Muslims and increased with age. Taboo thoughts (62.3%) and mental rituals (45.9%) were the commonest symptoms. Those with OCD had significantly higher suicidal thoughts (59 vs. 16.3%, p<0.01) suicide attempts (24.6 vs. 3.8%, p<0.01), ADHD (28 vs. 4%, p<0.001), sexual abuse (24.6 vs. 4.2%, p<0.01), and tobacco use (23 vs. 6.8%, p=0.01). They also reported greater psychological distress and poorer academic performance. CONCLUSIONS: OCD is common among adolescents in India. Its associations with ADHD, sexual abuse, psychological distress, poorer academic performance and suicidal behavior are additional reasons for it to be recognized and treated early.
OBJECTIVES: There is scarce data on the prevalence of OCD among adolescents in India. This study reports point prevalence of OCD among school students (age 12-18years) in the Kerala state of India and examines its association with ADHD, psychological distress, tobacco/alcohol abuse, suicide risk and history of sexual abuse. METHOD: 7560 students of 73 schools were self-administered the OCD subsection of Clinical Interview Schedule-Revised, the Composite International Diagnostic Interview (CIDI) for obsessive compulsive symptoms and other relevant instruments to identify OCD and related clinical measures. A diagnosis of ICD-10 OCD was derived through the CIS-R algorithm which required duration of at least 2weeks and at least a thought/behavior to be resisted along with a cut-off score for severity and impairment. RESULTS: In the sample, 50.3% were males with a mean age of 15.2years (range of 12-18years). The response rate was 97.3% (7380 valid responses). 0.8% (n=61) fulfilled criteria for OCD with a male predominance (1.1 vs. 0.5%, p=0.005). Prevalence was higher among Muslims and increased with age. Taboo thoughts (62.3%) and mental rituals (45.9%) were the commonest symptoms. Those with OCD had significantly higher suicidal thoughts (59 vs. 16.3%, p<0.01) suicide attempts (24.6 vs. 3.8%, p<0.01), ADHD (28 vs. 4%, p<0.001), sexual abuse (24.6 vs. 4.2%, p<0.01), and tobacco use (23 vs. 6.8%, p=0.01). They also reported greater psychological distress and poorer academic performance. CONCLUSIONS:OCD is common among adolescents in India. Its associations with ADHD, sexual abuse, psychological distress, poorer academic performance and suicidal behavior are additional reasons for it to be recognized and treated early.
Authors: Gregory S Chasson; Casey R Guillot; Michael J Zvolensky; Madalyn M Liautaud; Norman B Schmidt; Adam M Leventhal Journal: Cogn Behav Ther Date: 2020-04-23
Authors: Laura O Saad; Maria C do Rosario; Raony C Cesar; Marcelo C Batistuzzo; Marcelo Q Hoexter; Gisele G Manfro; Roseli G Shavitt; James F Leckman; Eurípedes C Miguel; Pedro G Alvarenga Journal: J Child Adolesc Psychopharmacol Date: 2017-02-02 Impact factor: 2.576
Authors: Sandra M Meier; Manuel Mattheisen; Ole Mors; Diana E Schendel; Preben B Mortensen; Kerstin J Plessen Journal: JAMA Psychiatry Date: 2016-03 Impact factor: 21.596
Authors: T S Jaisoorya; Y C Janardhan Reddy; B Sivasankaran Nair; Anjana Rani; Priya G Menon; M Revamma; C R Jeevan; K S Radhakrishnan; Vineetha Jose; K Thennarasu Journal: Indian J Psychiatry Date: 2017 Jan-Mar Impact factor: 1.759