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Quality of life and disability in patients with obsessive-compulsive disorder

Published online by Cambridge University Press:  16 April 2020

J. Bobes ,
M.P. González ,
M.T. Bascarán ,
C. Arango ,
P.A. Sáiz  and
M. Bousoño
J. Bobes*
Affiliation:
Department of Psychiatry, University of Oviedo, Julián Claveria, 6, 33006Oviedo, Spain
M.P. González
Affiliation:
Department of Psychiatry, University of Oviedo, Julián Claveria, 6, 33006Oviedo, Spain
M.T. Bascarán
Affiliation:
Department of Psychiatry, University of Oviedo, Julián Claveria, 6, 33006Oviedo, Spain
C. Arango
Affiliation:
Hospital Gregorio Marañón, Madrid, Spain
P.A. Sáiz
Affiliation:
Department of Psychiatry, University of Oviedo, Julián Claveria, 6, 33006Oviedo, Spain
M. Bousoño
Affiliation:
Department of Psychiatry, University of Oviedo, Julián Claveria, 6, 33006Oviedo, Spain
*
*Correspondence and reprints. E-mail address: bobes@correo.uniovi.es (J. Bobes).
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Summary

The aim of this study is to describe the situation of Spanish obsessive-compulsive disorder (OCD) patients and compare it to that of the general population and other patient groups.

Methods

Thirty-six OCD patients on maintenance treatment were evaluated using the Y-BOCS, SF-36, and DAS-S. Their SF-36 scores were compared to Spanish norms and to those obtained from U.S. OCD patients, schizophrenic outpatients, depressed outpatients, heroin dependents, patients on hemodialysis, and kidney transplant recipients.

Results

Sixty-one percent ofthe patients had severe or extremely severe symptoms. Their quality oflif e was worse when compared with the Spanish norms in all SF-36 areas, but especially with respect to mental health. In contrast to U.S. OCD patients, social functioning is more impaired in the Spanish OCD patients. OCD patients reported the same quality oflif e as schizophrenics in the areas ofmental health, but better in the areas ofphysical health. Compared with heroin dependents and depressed patients, their quality oflif e was worse. On mental health scales, OCD patients scored worse than somatic patients.

Conclusions

OCD in the Spanish population was shown to be associated with worse quality of life than for any other patient group (including physical groups), except schizophrenics.

Keywords

disabilityobsessive-compulsive disorderquality of lifeSF-36
Type
Original article
Information
European Psychiatry , Volume 16 , Issue 4 , June 2001 , pp. 239 - 245
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2001

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References

Alonso, J., Prieto, L., Antó, J.M.La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Med Clin (Barcelona) 1995; 104: 771-776.Google Scholar
Alonso, J., Regidor, E., Barrio, G., Prieto, L., Rodríguez, C., de la Fuente, L.Valores poblacionales de referencia de la versión española del Cuestionario de Salud SF-36. Med Clin (Barcelona) 1998; 111: 410-416.Google Scholar
Bobes, J., Baca, E., Casais, L., Roca, M., González, M.P.Quality of life in depressed Spanish patients after six-months of treatment with venlafaxine. American Psychiatric Association Annual MeetingNew Research Abstracts. Washington DC: APA; 1998. p. 135–135.Google Scholar
Bobes, J., Gutiérrez, M., Gibert, J., González, M.P., Herraiz, L., Fernández, A.Quality of life in schizophrenia: long-term follow-up in 362 chronic Spanish schizophrenic outpatients undergoing risperidone maintenance treatment. Eur Psychiatry 1998; 13: 158-163.CrossRefGoogle ScholarPubMed
Calvocoressi, L., Libman, D., Vegso, S.J., McDougle, C.J., Price, L.H.Global functioning of inpatients with obsessive-compulsive disorder, schizophrenia, and major depression. Psychiatr Serv 1998; 49: 379-381.CrossRefGoogle ScholarPubMed
Fernández Miranda, J.J., González, G., Portilla, M.P., Sáiz Martínez, P.A., Gutiérrez Cienfuegos, E., Bobes García, J.Calidad de vida y severidad de la adicción en heroinómanos en mantenimiento prolongado con metadona. Adicciones 1999; 11: 43-52.CrossRefGoogle Scholar
Gallup Organization A Gallup study of obsessive-compulsive disorder sufferers. Princeton, NJ: Gallup Organization; 1990.Google Scholar
González, M.P., Sudilovsky, A., Bobes, J., DiMartini, A.Quality of life of geriatric patients following transplantation: short- and long-term outcomesTrzepac, P.T., DiMartini, A.Transplantation psychiatry. New York: Cambridge University Press; in press.Google Scholar
Goodman, W.K., Price, L.H., Rasmussen, S.A., Mazure, C., Fleischmann, R.L., Hill, C.L.et al.The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability Arch Gen Psychiatry 1989; 46: 1006-1011.Google Scholar
Hollander, E.Obsessive-compulsive disorder: the hidden epidemic. J Clin Psychiatry. 1997; 58 Suppl 12: 3-6.Google ScholarPubMed
Hollander, E.Treatment of obsessive-compulsive spectrum disorders with SSRIs. Br J Psychiatry. 1998; 173 Suppl 35: 7-12.CrossRefGoogle Scholar
Hollander, E., Kwon, J.H., Stein, D.J., Broatch, J., Rowland, C.T., Himelein, C.A.Obsessive-compulsive and spectrum disorders: overview and quality of life issues. J Clin Psychiatry 1996; 57 Suppl 8: 3-6.Google ScholarPubMed
Janca, A., Kastrup, M., Katschnig, H., López-Ibor, J.J., Mezzich, J.E., Sartorius, N.The World Health Organization Short Disability Assessment Schedule (WHO DAS-S): a tool for the assessment of difficulties in selected areas of functioning of patients with mental disorders. Soc Psychiatr Epidemiol 1996; 31: 349-354.CrossRefGoogle ScholarPubMed
Karno, M., Golding, J.M., Sorenson, S.B., Burnam, A.The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry 1988; 45: 1094-1099.CrossRefGoogle ScholarPubMed
Koran, L.M., Thienemann, M.L., Davenport, R.Quality of life for patients with obsessive-compulsive disorder. Am J Psychiatry 1996; 153: 783-788.Google ScholarPubMed
Rebollo, P., Bobes, J., González, M.P., Sáiz, P.A., Ortega, F.Factores que influyen en la calidad de vida relacionada con la salud de los pacientes en terapia renal sustitutiva. Nefrología in press.Google Scholar
Stein, D.J., Roberts, M., Hollander, E., Rowland, C., Serebro, P.Quality of life and pharmaco-economic aspects of obsessive-compulsive disorder. S Afr Med J 1996; 36: 1579-1585.Google Scholar
Steketee, G.Disability and family burden in obsessive-compulsive disorder. Can J Psychiatry 1997; 42: 919-928.CrossRefGoogle ScholarPubMed
Ware, J.E.SF-36 Health Survey: manual and interpretation guide. Boston: Health Institute, New England Medical Center; 1993.Google Scholar
Ware, J.E., Sherbourne, C.D.The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473-483.CrossRefGoogle ScholarPubMed
Wenger, N.K., Furberg, C.D.Cardiovascular disordersSpilker, B.Quality of life assessment in clinical trials. New York: Raven Press; 1990. p. 335-345.Google Scholar
World Health Organization The “newly defined” burden of mental problems. Fact Sheets nº 217. Geneva: WHO; 1999.Google Scholar
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