Distress and Disability in Subjects Having Obsessive Compulsive Disorder (OCD) and Co Morbid Obsessive Compulsive Disorder with Psychotic Features: A Cross-Sectional Comparative Analysis
Keywords:Obsession, compulsion, distress, disability
Background: Persons with psychiatric disorders have greater deficits, psychosocial consequences such
as unemployment and causes disability and distress due to their symptomatology and chronic course.
Objectives: Assessment and comparison of distress and disability in patients suffering from obsessivecompulsive disorder (OCD) and co-morbid OCD with psychotic features. Methods: A cross-sectional study
was carried out in the Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University. The
sample was collected both from outdoor and indoor services and consisted of 100 subjects (60 OCD subjects
and 40 subjects of OCD with psychotic features).All were assessed through the Yale-Brown Obsessive
Compulsive Scale (Y-BOCS), Padua inventory - Washington state university revision (PADUA-WSUR)
and Indian Disability Evaluation and Assessment Scale (IDEAS).Results: Results revealed that patients
of OCD with co-morbid psychotic features had greater disability in all domains than patients of OCD but
distress due to obsessive-compulsive symptoms was greater in severity in patients of OCD. Conclusion:
Psychiatric illnesses, OCD and when OCD is complicated by psychotic features affects all areas of daily
functioning leading to greater disability and distress, thus increasing the burden on the family, imposing
greater challenges for rehabilitation.