Obsessive-Compulsive Disorder in a Mentally Retarded Woman

1989 ◽  
Vol 155 (1) ◽  
pp. 116-117 ◽  
Author(s):  
Richard J. McNally ◽  
John E. Calamari
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Mentally Retarded ◽  
Hand Washing ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Obsessive-compulsive disorder is extremely rare among mentally retarded people. We report here a case of a mildly mentally retarded woman who exhibits contamination obsessions, compulsive hand-washing rituals, and avoidance.

scholarly journals Pandemic Coronavirus Disease-19-Induced Obsessive Compulsive Disorder on the Bank Employee

2021 ◽  
Vol 9 (T3) ◽  
pp. 153-155
Author(s):  
Sutan Dassep Purnama ◽  
Mustafa M. Amin ◽  
Elmeida Effendy
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Repetitive Behavior ◽  
Viral Disease ◽  
Hand Washing ◽  
Obsessive Compulsive ◽  
Social Distancing ◽  
Compulsive Disorder ◽  
Hand Sanitizer ◽  
Bank Employee ◽  
Do So

BACKGROUND: Coronavirus disease-19 (COVID-19) is a highly contagious viral disease that affects respiratory system and other organs. It is transmitted through air or contact of contaminated surfaces. Thus, physical and social distancing, hand washing with soap, or hand sanitizer are greatly persuaded. Interestingly, this pandemic does not only affect physical health, but also mental disorder, including obsessive-compulsive disorder (OCD) that is marked with the presence of either obsession or persistent compulsive behavior, or in the most common form, both are present. Obsession is thought, image or desire that preoccupies someone’s mind which commonly is related to anxiety. Compulsion, in the other hand, is repetitive behavior that strongly derives individual to do so to achieve fulfillment of one’s obsession that is not considered normal on the bases of daily norm. CASE REPORT: A 26-year-old woman as a bank employee admitted of doing repetitively unreasonable hand washing and shower within approximately the past 3 months. She even washes her hands more than 10 times in an hour and takes shower more than 5 times a day. She admitted that this is her very first experience and all were started at the beginning of COVID-19 pandemic. CONCLUSION: COVID-19 pandemic also causes serious mental disorders and has become such a nightmare or worst scenario for those experiencing OCD. Physical and social distancing, hand washing with soap, or hand sanitizer are greatly.

scholarly journals Cognitive Motivations for the Initiation of Ritualistic Hand Washing in Obsessive–Compulsive Disorder

2020 ◽  
Vol 44 (5) ◽  
pp. 943-953 ◽  
Author(s):  
Karina Wahl ◽  
Paul Salkovskis ◽  
Florence Allegro ◽  
Marcel Miché ◽  
Andreas Kordon ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Hand Washing ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Motivations

scholarly journals PSYCHOLOGICAL IMPACT OF COVID-19PANDEMIC ON PATIENTS WITH OBSESSIVE-COMPULSIVE DISORDER

2021 ◽  
Vol 9 (06) ◽  
pp. 61-72
Author(s):  
H. Rharbaoui ◽  
◽  
D. Mzamba ◽  
H. Nafiaa ◽  
M. Kadiri ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Perceived Stress ◽  
High Stress ◽  
Hand Washing ◽  
Assessment Instrument ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Awareness Campaigns ◽  
Obsessive Compulsive Disorders ◽  
Compulsive Disorders

Introduction: Obsessive-compulsive disorder is characterized by persistent irrational thoughts manifested by repeated actions. These disorders often have an impact on the social life of those who suffer from them, with a tendency towards isolation which can be exacerbated during this period of confinement. Among these disorders, the fear of contamination is very common. This fear is influenced by culture, society, and global health issues. Thus, in 1920, many cases of fear of syphilis emerged following major awareness campaigns pertaining to the disease. In the 1980s, obsessive disorders related to the risk of HIV infection appeared. Likewise, the Covid-19 coronavirus epidemic is likely to cause a significant deal of anxiety for some people with obsessive-compulsive disorder, thus justifying the aggravation of the clinical condition of this category of patients. The hand-washing recommendations that were promoted during the pandemic would prove to be a major trigger for obsessive-compulsive disorder. Quickly, this gesture becomes an obsession and gradually as the virus spreads, experts expect the cases of associated obsessive-compulsive disorders to increase [1]. Closeness between family members and disrupted habits during confinement can lead to conflict, which can increase the frequency of compulsions. Meditation can also increase the flow of uncontrolled thoughts which can promote the emergence of obsessions. During this time of the pandemic, doctors and people with obsessive-compulsive disorders find themselves in a dilemma. On the one hand, to treat obsessive-compulsive disorders, hand washing is prohibited, and on the other hand, to prevent the spread of the virus, hand washing is strongly recommended. Covid-19 can therefore be an unbearable nightmare, and harder to manage for people with obsessive-compulsive disorders. Objective: This study aims to assess the psychological repercussions of confinement on patients suffering from obsessive-compulsive disorders during the Covid-19 pandemic, and to underline the link between the aggravation of the symptoms of obsessive-compulsive disorder and the underlying perceived stress associated with it. Methodology: This is a descriptive and analytical study, which involves a sample of patients tracked for obsessive-compulsive disorders, and which is founded on collecting their individual information through an anonymous survey, which was submitted via social networks, either by using smartphones or during consultations. As an assessment instrument, in addition to the survey for collecting socio-demographic data, we opted for the Yale-Brown Scale to assess the severity of the symptoms of obsessive-compulsive disorder, as well as the Cohen Perceived Stress Scale (PSS-10) to assess the perceived stress on this group of patients during this pandemic. These scales were chosen because of their frequent use in several studies on the same topic. Results:We collected 102 responses, of which 55% were women 39% of our candidates worked remotely and only 38.8% of patients were able to continue their medical follow-up at the hospital during the confinement. Concerningour results,it was observed that our participants experienced significant changes in terms of the severity of the total symptoms of obsessive-compulsive disorder during the period of confinement with an accentuation of 90% of the symptoms of contamination and 53.8% of the hands washing compulsions during the Covid-19 pandemic. Respondents, who had symptoms of obsessive-compulsive disorder, since the onset of Covid-19, were the only ones who were significantly more likely to be vulnerable to moderately high stress. Likewise, respondents who compulsively washed their hands were significantly more likely to experience vulnerability to moderate to high stress. 45.3% of our applicants were extremely anxious, 33% were very anxious, and 21.7% were anguished to a tolerable level, with a rate of 75.5% of patients developing a social handicap or an inability to function. The sample showed that subjects who could not work or study from a remote position during the quarantine, those who lived with a relative in the same house during the quarantine, and those who showed symptoms of contamination, had significantly greater aggravation of the obsessive-compulsive disorder total symptoms during the confinement. Effects were not significant for other variables including gender, use of online social network sites and applications during the quarantine and remission status on obsessive-compulsive disorder symptoms before quarantine. Conclusion: Our results suggest that the stressful period of the pandemic is associated with a significant worsening of symptoms on patients with obsessive-compulsive disorder, particularly on those with contamination obsessions and washing compulsions. Having obsessive-compulsive disorder would increase the likelihood of experiencing significant stress during this pandemic.

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