Common Dermatoses in Patients with Obsessive Compulsive Disorders

Obsessive-compulsive disorder is a chronic, debilitating syndrome, consisting of intrusive thoughts- which are experienced as inappropriate by the patient and are producing anxiety- and compulsions, defined as repetitive behaviours produced to reduce anxiety. While patients with obsessive-compulsive disorder typically have xerosis, eczema or lichen simplex chronicus, as a result of frequent washing or rubbing their skin, several other disorders which are included in the group of factitious disorders have also been associated with obsessive-compulsive disorder. A close collaboration between the dermatologist and the psychiatrist is therefore mandatory in order to achieve favourable outcomes for these patients. The aim of the article is to present the most frequent dermatological disorders associated with obsessive-compulsive disorder and to look over some of the rare ones

Validation of a Classification System for Obsessive-Compulsive and Related Disorders Based on DSM-5

The purpose of this study was to examine whether a broad obsessive-compulsive and related disorders model, which consisted of obsessive-compulsive, hoarding disorder, body dysmorphic, trichotillomania and pathological skin picking, displayed sufficient data fit. On the other hand, we examined whether a reduced obsessive-compulsive and related disorders symptoms model consisting of above mentioned disorders demonstrated superior fit or not. To test the factor structure validity of the classification system of obsessive-compulsive spectrum disorders, we used Confirmatory Factor Analyses (CFA). Result of factor structure analysis revealed and supported an OCSD symptoms dimension that included obsessive-compulsive, hoarding disorder, body dysmorphic, trichotillomania, and pathological skin picking symptoms. Also, results of this study supported the DSM-5 changes

Pathological Skin Picking: Case Presentation and Review of the Literature

Pathological skin picking is a condition in which patients induce skin lesions through repetitive, compulsive excoriations of normal skin or skin with minor surface irregularities and they admit their role in the production of the lesions, but are unable to stop their behavior. Psychiatric comorbidities most often associated with skin picking include obsessive-compulsive disorder (OCD), anxiety disorders, mood disorders, body dysmorphic disorders, trichotillomania and compulsive-buying disorder. We report the case of a 17 year old female patient who addressed the dermatology department of our hospital with an eruption consisting of erythematous papules and plaques. The local examination revealed several clues of paramount importance in drawing the final conclusion and the psychiatric examination helped establish the diagnosis of pathological skin picking in a patient with obsessive-compulsive disorder

The impact of family on Obsessive Compulsive Disorder in children and adolescents: Development, maintenance, and family psychological treatment

It is widely recognized that some parental characteristics can influence obsessive compulsive disorders in children and adolescents. Family involvement and parental style characterized by high expressed emotion, over-protection, over-control are associated with the development of obsessive compulsive disorders in children. As a consequence, family involvement in the treatment of youth with obsessive compulsive disorders has been widely suggested. Although various forms of family therapy are used, cognitive behavioural treatment is widely recognized as the first-line treatment of paediatric obsessive compulsive disorders. Despite several studies reveal efficacy of family therapy, it has been underlined that more than an half of children remain symptomatic post-treatment. In order to improve treatments for children with obsessive compulsive disorders, research has identified personal and familiar predictors of response to treatment. The clinical implications of these studies are discussed

Joe Goldberg’s Obsessive Compulsive Personality Disorder in Caroline Kepnes’ You

This study analyzes Joe Goldberg's obsessive-compulsive personality disorder in You. The purpose of this study was to identify obsessive-compulsive personality disorders depicted in Joe Goldberg's character and to analyze the impact of obsessive-compulsive personality disorder from Joe Goldberg's character on himself and those around him. This study uses the theory of Theodore Millon to reveal obsessive-compulsive personality disorders in Joe Goldberg's character from You and the impact of obsessive-compulsive personality disorder on Joe Goldberg's character. The results show has an obsessive-compulsive personality disorder usually exhibits stiffness and stubbornness for example, Joe Goldberg had an obsession and control of life to the people he loved, mental and interpersonal control. The impact of Joe Goldberg's obsessed compulsive personality disorder. He will do anything for the person he loves, but in his own way, even though it intends to kill others. Keywords: personality disorder, obsessive-compulsive personality disorder

Standards of care for obsessive–compulsive disorder centres

In recent years, many assessment and care units for obsessive–compulsive disorder (OCD) have been set up in order to detect, diagnose and to properly manage this complex disorder, but there is no consensus regarding the key functions that these units should perform. The International College of Obsessive- Compulsive Spectrum Disorders (ICOCS) together with the Obsessive Compulsive and Related Disorders Network (OCRN) of the European College of Neuropsychopharmacology (ECNP) and the Anxiety and Obsessive Compulsive Disorders Section of the World Psychiaric Association (WPA) has developed a stand- ards of care programme for OCD centres. The goals of this collaborative initiative are promoting basic standards, improving the quality of clinical care and enhance the validity and reliability of research results provided by different facilities and countries

Predictors of Comorbid Eating Disorders and Association with Other Obsessive-Compulsive Spectrum Disorders in Trichotillomania

Trichotillomania (TTM) and eating disorders (ED) share many phenomenological similarities, including ritualized compulsive behaviors. Given this, and that comorbid EDs may represent additional functional burden to hair pullers, we sought to identify factors that predict diagnosis of an ED in a TTM population. Subjects included 555 adult females (age range 18–65) with DSM-IV-TR TTM or chronic hair pullers recruited from multiple sites. 7.2% (N = 40) of our TTM subjects met criteria for an ED in their lifetime. In univariable regression analysis, obsessive-compulsive disorder (OCD), Yale-Brown Obsessive Compulsive Scale (Y-BOCS) worst-ever compulsion and total scores, certain obsessive-compulsive spectrum disorders, anxiety disorder, attention-deficit/hyperactivity disorder (ADHD), and substance disorder all met the pre-specified criteria for inclusion in the multivariable analysis. In the final multivariable model, diagnosis of OCD (OR: 5.68, 95% CI: 2.2–15.0) and diagnosis of an additional body-focused repetitive behavior disorder (BFRB) (OR: 2.69, 95% CI: 1.1–6.8) were both associated with increased risk of ED in TTM. Overall, our results provide further support of the relatedness between ED and TTM. This finding highlights the importance of assessing for comorbid OCD and additional BFRBs in those with TTM. Future research is needed to identify additional predictors of comorbid disorders and to better understand the complex relationships between BFRBs, OCD and EDs

A Robot Model of Stress-Induced Compulsive Behavior

Stress is one of the potential mechanisms underlying compulsive behavior in obsessive-compulsive spectrum disorders. In this paper, we present a robot model and experiments investigating the interactions between internally- and externally-induced stress and compulsive behavior. Our results show properties of the model with potential implications for understanding how stress can result in the generation and maintenance of compulsive behaviors, and how response-prevention interventions can affect compulsive responses under different conditions.Final Accepted Versio

Obsessive-compulsive disorder and related disorders: a comprehensive survey

Our aim was to present a comprehensive, updated survey on obsessive-compulsive disorder (OCD) and obsessive-compulsive related disorders (OCRDs) and their clinical management via literature review, critical analysis and synthesis