Obsessive compulsive disorder in veterans in primary care: prevalence and impairment

Abstract Objective Obsessive compulsive disorder (OCD) is a severely impairing psychiatric disorder with an estimated 12-month prevalence of 0.39% to 1.20% in community settings. However, there has been little research on the prevalence of OCD in primary care settings and veteran samples. Thus, the...

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Bibliographic Details
Published in:General hospital psychiatry 2013, Vol.35 (1), p.71-73
Main Authors: Gros, Daniel F., Ph.D, Magruder, Kathryn M., M.P.H., Ph.D, Frueh, B. Christopher, Ph.D
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Age Distribution
Aged
Anxiety Disorders - epidemiology
Anxiety disorders. Neuroses
Biological and medical sciences
Comorbidity
Cross-Sectional Studies
Depressive Disorder - epidemiology
Female
Humans
Impairment
Male
Medical sciences
Mental Disorders - epidemiology
Middle Aged
Obsessive compulsive disorder
Obsessive-Compulsive Disorder - epidemiology
Obsessive-Compulsive Disorder - psychology
Obsessive-compulsive disorders
Prevalence
Primary care
Primary Health Care
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Severity of Illness Index
Stress Disorders, Post-Traumatic - epidemiology
Substance-Related Disorders - epidemiology
United States - epidemiology
United States Department of Veterans Affairs
Veterans
Veterans - psychology
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Summary:Abstract Objective Obsessive compulsive disorder (OCD) is a severely impairing psychiatric disorder with an estimated 12-month prevalence of 0.39% to 1.20% in community settings. However, there has been little research on the prevalence of OCD in primary care settings and veteran samples. Thus, the present study investigated prevalence, comorbidity, and physical and mental health impairment of veterans with OCD. Method A total of 854 veterans participated in a cross-sectional investigation in primary care clinics in four Veteran Affairs Medical Centers. Participants completed the Mini International Neuropsychiatric Interview, Clinician-Administered PTSD Scale and Short-Form Health Survey. Results A total of 1.9% of participants met the diagnostic criteria for OCD based on the Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition . Participants with OCD were significantly younger and demonstrated greater psychiatric comorbidity than participants without OCD. Participants with OCD also reported significantly more severe physical health impairment (role limitation, pain, general health), mental health impairment (emotional well-being, role limitations, energy/fatigue) and impairment in social functioning than participants without OCD. Conclusions These findings demonstrate moderately high prevalence and severe impairment associated with OCD in veterans, thus highlighting the need for improved recognition, assessment and specialized treatments for OCD in primary care settings and with veteran patients.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2012.09.004