A comparative study of psychopathology and functioning in patients of obsessive–compulsive disorder with good and poor insight from a tertiary care center in North India

• Published in: Indian Journal of Health Sciences and Biomedical Research KLEU Vol. 13; no. 2; pp. 140 - 146
• Main Authors: Prasad, Chandan, Gupta, Bandna, Nischal, Anil, Agarwal, Manu, Singh, Shweta
• Format: Journal Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020
• Subjects: functioning; insight; obsessive–compulsive disorder; psychopathology
• ISSN: 2542-6214; 2542-6222
• DOI: 10.4103/kleuhsj.kleuhsj_297_19

BACKGROUND: Degree of insight in Obsessive Compulsive Disorder (OCD) varies with different symptom dimensions of OCD and not much of studies are done in this area. There is need to study insight in more detail in patients of OCD along with psychopathology and functioning. AIMS: To study and compare Psychopathology and Functioning in Patients of Obsessive Compulsive Disorder with Good and Poor Insight. METHOD: This is a cross sectional study and 94 patients fulfilling diagnostic criteria for OCD on the basis of the ICD10-DCR were assessed on Yale- Brown obsessive compulsive scale (Y-BOCS), Dimensional Yale- Brown obsessive compulsive scale (DY-BOCS), Brown Assessment of Belief Scale (BABS) and Social and Occupational Functioning Assessment Scale (SOFAS). RESULTS: A total of 94 patients of OCD were assessed and 76 (81 %) patient had good insight (BABS < 12) where as 18 (19%) had poor insight (BABS ≥ 12). Duration of illness (P = 0.007) and duration of untreated illness (P = 0.006) was significantly longer in poor insight group. Compulsions subscale score (P = 0.003), mean total score (P = 0.014) and SOFAS mean score (0.001) was significantly higher in poor insight. Mean score of clinical severity in dimension of aggression, sexual and religious obsession was significantly higher (P = 0.001) in good insight group. CONCLUSION: Majority of patient with predominant symptoms as aggression, sexual and religious obsessions belonged to good insight group. Patients with poor insight had higher severity of illness, longer duration of illness and duration of untreated illness.