Article

Obsessive-compulsive (oc) symptoms in psychiatric in-patients at Mathari hospital, Kenya.

Africa Mental Health Foundation, Department of Psychiatry, University of Nairobi, Kenya.
09/2008; 11(3):182-6. pp.182-6
Source: PubMed

ABSTRACT Objective: To document the prevalence of obsessive-compulsive disorders (OCD) among patients admitted at Mathari Psychiatric Hospital, Nairobi, Kenya. Method: This was a descriptive cross-sectional study conducted at the Mathari Hospital. Results: Out of 691 patients interviewed, 84 (12.2%) had symptoms which met the Diagnostic and Statistical Manual of Mental Disorders (DSMIV) criteria for OCD, which started early in life. The clinicians had not recognized the OC symptoms/disorder. There were high co-morbidities between OCD and other Structured Clinical Interview for DSM-IV (SCID) core syndromes as well as psychotic symptoms often associated with schizophrenia. Conclusion: OC symptoms are common in psychiatric patients admitted at Mathari Hospital although such symptoms were clinically undetected and therefore not managed. The high co-morbidities between OCD, other psychiatric disorders and other psychiatric symptoms pose clinical challenges in differentiating between psychotic symptoms perceived by the patients to have an external locus and OC symptoms perceived to have an internal locus. A more systematic clinical procedure for assessing all DSM-IV symptoms should be adapted as standard quality control practice in all patients, particularly those with psychotic symptoms.

0 0
 · 
0 Bookmarks
 · 
38 Views

Full-text

View
0 Downloads
Available from

Keywords

descriptive cross-sectional study
 
DSM-IV symptoms
 
external locus
 
internal locus
 
Mathari Hospital
 
Mathari Psychiatric Hospital
 
OC symptoms
 
OC symptoms/disorder
 
OCD
 
prevalence
 
psychiatric disorders
 
psychiatric patients
 
psychiatric symptoms
 
psychotic symptoms
 
schizophrenia
 
SCID
 
standard quality control practice
 
Statistical Manual
 
Structured Clinical Interview
 
systematic clinical procedure