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Frequency and Severity of Obsessive-Compulsive Symptoms/Disorders, Violence and Suicidal in Schizophrenic Patients

AUTHORS

SH Hosseini 1 , M Zarghami 2 , * , S Moudi 3 , AR Mohammadpour 1

AUTHORS INFORMATION

1 Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran

2 Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Zare Hospital, Neka Road, mzarghami@mazums.ac.ir, Sari, ran

3 Department of Psychiatry, Babol University of Medical Sciences, Iran

How to Cite: Hosseini S, Zarghami M, Moudi S, Mohammadpour A. Frequency and Severity of Obsessive-Compulsive Symptoms/Disorders, Violence and Suicidal in Schizophrenic Patients, Iran Red Crescent Med J. Online ahead of Print ; 14(6):345-351.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 14 (6); 345-351
Article Type: Research Article
Received: November 28, 2011
Accepted: February 8, 2012

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Abstract

Background: This study determined the prevalence and severity of obsessive-compulsive symptoms/disorder (OCS/OCD), aggression and suicidal in schizophrenic patients. Also we compared the prevalence and severity of aggression and suicidal in schizophrenic patients with and without OCS/OCD considering anxiety, depression and substance abuse as confounding factors.

 

Methods: During 2007 and 2008, 100 schizophrenic patients were evaluated with Yale - Brown Obsessive Compulsive Scale, Positive and Negative Syndrome Scale, Beck Depression Inventory, Spilberger State/Trait Anxiety Inventory, Beck Scale for suicide Ideation, and Overt Aggression Scale.

 

Results: OCS/OCD and suicidal attempts were seen in 33%, 10% and 12% of patients respectively. The most common form of aggression was against others (55%), and aggressive obsessions were seen in 10% of the patients. Comparing patients with and without OCS/OCD, there were no significant differences in the severity of schizophrenia, suicidal and overt aggression. The severity of overt aggression was related to the patients' age and education reversely. Also, there was a relationship between their suicidal thoughts and residence in the cities.

 

Conclusions: High rate of aggressive obsessions and lack of relationship between severity of aggression and presence of OCD indicated that these patients did not act on these thoughts. The risk of suicide was more serious in patients living in the cities, and risk of violence was more serious in younger and less educated patients.

Keywords

Compulsion Obsession Schizophrenia Suicide Violence

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