Clinical Trial Details
— Status: Not yet recruiting
Administrative data
NCT number |
NCT05105581 |
Other study ID # |
Assiut Unirvesity Hospital |
Secondary ID |
|
Status |
Not yet recruiting |
Phase |
|
First received |
|
Last updated |
|
Start date |
November 1, 2021 |
Est. completion date |
May 1, 2022 |
Study information
Verified date |
October 2021 |
Source |
Assiut University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
Psychiatric Comorbidity and quality of life in patients with Obsessive Compulsive
Disorder(case control study )
Description:
Obsessive-compulsive disorder (OCD) is a mental and behavioral disorder[7] in which a person
has certain thoughts repeatedly (called "obsessions") and/or feels the need to perform
certain routines repeatedly (called "compulsions") to an extent that generates distress or
impairs general functioning.[1][2] The person is unable to control either the thoughts or
activities for more than a short period of time.[1] Common compulsions include excessive hand
washing, the counting of things, and checking to see if a door is locked.[1] These activities
occur to such a degree that the person's daily life is negatively affected,[1] often taking
up more than an hour a day.[2] Most adults realize that the behaviors do not make sense.[1]
The condition is associated with tics, anxiety disorder, and an increased risk of
suicide.[2][3] The cause is unknown.[1] There appear to be some genetic components, with both
identical twins more often affected than both non-identical twins.[2] Risk factors include a
history of child abuse or other stress-inducing event.[2] Some cases have been documented to
occur following infections.[2] The diagnosis is based on the symptoms and requires ruling out
other drug-related or medical causes.[2] Rating scales such as the Yale-Brown Obsessive
Compulsive Scale (Y-BOCS) can be used to assess the severity.[8] Other disorders with similar
symptoms include anxiety disorder, major depressive disorder, eating disorders, tic
disorders, and obsessive-compulsive personality disorder.[2]
Treatment may involve psychotherapy, such as cognitive behavioral therapy (CBT), and
antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) or
clomipramine.[4][5] CBT for OCD involves increasing exposure to fears and obsessions while
preventing the compulsive behavior that would normally accompany the obsessions.[4] Contrary
to this, metacognitive therapy encourages the ritual behaviors in order to alter the
relationship to one's thoughts about them.[9] While clomipramine appears to work as well as
do SSRIs, it has greater side effects and thus is typically reserved as a second-line
treatment.[4] Atypical antipsychotics may be useful when used in addition to an SSRI in
treatment-resistant cases but are also associated with an increased risk of side
effects.[5][10] Without treatment, the condition often lasts decades.[2]