Abstract
¯Abstract Background: The obsessive-compulsive disorder (OCD), is a common psychiatric disease and in spite of long-term treatment, its failure to therapy, discontinuing, relapse and side effects are high. Objective: This study was done to assess the patterns of OCD, prevalence, therapies and comorbidity in Nour psychiatric clinic clients. Methods: Within 3515 psychiatric consultation during 4 years, 166 cases of OCD were recognized. The time of initial and complete drug effects considered 3 and 6 weeks respectively. The response to therapy (after 6 weeks) was:1 (Good: symptoms remove, 2) Medium: symptoms relief, 3) Poor: no symptoms control. Findings: The prevalence of OCD were 4.72%, mainly women, married and adult with 20-40 years old. The most pattern of OCD was washing, thinking and checking, respectively. The most used drug was clomipramine (66.87%) then fluoxetine (19.27%), with dosage 61-100 and 20 (mg/d) respectively. In group 1, the mean dose of clomipramine and fluoxetine was 69 and 60 (mg/d). Only 30.1% of cases had been followed up, and 13.2% of them had good response to therapy. The comorbidity was in 68.08% of cases, and in 80.64% of them, the response to therapy was mild. The most psychiatric comorbidity was major depression disease (44.57%). Conclusion: The prevalence of OCD is high. The most used drug (insufficient and not enough), was clomipramine then fluoxetine. The psychiatric comorbidity (specially major depression disease) had raised failure rate.
Keywords
Key words: Compulsive Behavior Psychiatry Drug Therapy Depression Patients
Copyright
© 2024, Journal of Inflammatory Diseases. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.