Study on Obsessive Compulsive Phenomenology in a Sample of Egyptian Adolescent Population

Background and Objectives: Obsessive symptoms among children and adolescent age groups are increasing, according to mental health professionals who work with this age group. The goal of our epidemiological study was to determine the prevalence of obsessive symptoms, obsessive compulsive disorder, and the various obsessive compulsive components among secondary school students. Methods: The study was cross-sectional and included 1299 secondary school students; the sample size was determined based on a literature estimate of a 2% prevalence of Obsessive Compulsive Disorder (OCD). Each of Alexandria Governorate’s three educational zones received an equal number of samples. To assess obsessive compulsive symptoms, the Arabic version of the Lyeton obsessive inventory child version LOI-CV was used. Students who scored higher than 35 were given the Mini International Neuropsychiatric Interview for Children MINI-KID Arabic. Patients with OCD identified by MINI-KID underwent a psychiatric interview to ensure that they met the DSM IV criteria for OCD. Results: Among the 1299 students studied, 201 scored greater than 35 on the LOI-CV, indicating that 15.5 percent of the total sample has OCS. The prevalence of OCD in the study sample was 2.2 percent, with 29 OCS students meeting DSM-IV TR diagnostic criteria for OCD. The most common obsessive symptoms were excessive conscience (65.5 percent), blasphemy (55.2 percent), repeated words (51.7 percent), and sexual obsessions (48.2 percent). Conclusions: Obsessive compulsive symptoms are prevalent in the adolescent age group. Cultural effect should be investigated to better understand obsessive phenomenology, emphasizing the importance of OCD research from a transcultural perspective. Public awareness and screening in the high school population may aid in early detection and management.

Author(s) Details

Ahmed Rady
Department of Psychiatry, Alexandria University, Egypt and Alexandria University Hospitals, Alexandria, Egypt.

Hoda Salama
Department of Psychiatry, Alexandria University, Egypt and Alexandria University Hospitals, Alexandria, Egypt.

Mervat Wagdy
High Institute of Public Health, Alexandria, Egypt.

Ahmed Ketat
Alexandria University Hospitals, Alexandria, Egypt.

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