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Year : 2016  |  Volume : 17  |  Issue : 1  |  Page : 6-11

A comparative study of bipolar affective disorder patients with and without obsessive-compulsive disorder

1 Consultant Psychiatrist, Rajasri clinic, Hyderabad, Telangana, India
2 Consultant Psychiatrist, Sri Venkateswara Nursing Home, Hyderabad, Telangana, India
3 Consultant Psychiatrist, City Nursing Home, Hyderabad, Telangana, India

Correspondence Address:
Rajshekhar Bipeta
Consultant Psychiatrist, Rajasri clinic, Malkajgiri, Hyderabad-500047, Telangana
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Source of Support: None, Conflict of Interest: None

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Background: There is a growing interest in the study of obsessive compulsive disorder (OCD) in patients with bipolar affective disorder (BD). However, very few studies compared BD with OCD (BD+ OCD) and BD without OCD (pure BD). Aims: We studied the prevalence of OCD in BD patients and compared the socio-demographic and clinical features of BD patients with and without OCD. Methodology: This was a cross-sectional inpatient study on 112 treatment seeking BD patients. The symptoms were rated on Young's Mania Rating Scale, Hamilton Depression Rating Scale and Yale-Brown Obsessive Compulsive Scale. Results: The prevalence of OCD in our sample of BD patients was 33.03%. There was a statistically significant difference between the BD-OCD and BD+OCD groups as regards age (P=0.000), education (P=0.023) and socioeconomic status (P = 0.000). Also, the mean age of onset of first mood episode (P=0.002), harmful use / dependence on substance (P=0.002), suicidal attempts (P = 0.009), past history of treatment (P=0.000) and hospitalizations (P=0.000) and family history of OCD (p=0.000) reached statistical significance. Conclusion: The existing evidence suggests the presence of a specific subset of BD patients characterised by OCD comorbidity that may need different therapeutic strategies. There is a need for follow-up treatment studies to assess how these BD patients progress compared to those without OCD.

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