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Health-Related Quality of Life in Obsessive-Compulsive Disorder Subjects and their Relatives [1]: Overview

  • U. Albert
  • G. Maina
  • F. Bogetto
Reference work entry

Abstract:

 Obsessive-Compulsive Disorder (OCD) is a severe and disabling condition that impairs quality of life in several mental and physical domains: results of the literature are consistent in indicating a poorer quality of life as compared to community norms worldwide; concerning functioning, the areas most affected are social relationships and family functioning. Studies that compared functioning and quality of life across different mental disorders consistently found that OCD compromises quality of life to a similar degree as schizophrenia. Severity of obsessive-compulsive and comorbid depressive symptoms predicts a poorer quality of life in OCD patients, while age, gender, age at onset, or duration of the disorder do not influence quality of life.

Treatments are associated with significant improvements in quality of life; however, several studies failed to find a significant association between improvements in obsessive-compulsive symptoms and quality of life changes and other could identify a subgroup of patients with significant response in terms of reduction in symptoms but minimal improvement in quality of life. It is still to be determined whether these subjects could be offered additional interventions such as vocational rehabilitation or social skills training. Further studies are strongly needed to understand which baseline characteristics could predict quality of life improvements with treatment.

OCD impairs quality of life even in relatives of OCD patients. This impairment appears to be mediated through accommodation of the relatives to obsessive-compulsive symptoms of the patients and through the burden due to consequences of living with and caring for people with a chronic and disabling disease. This area of research is highly neglected; preliminary investigations suggest that family involvement in treatment through psychoeducation is effective in reducing perceived burden and improving quality of life and might also be effective in ameliorating obsessive-compulsive symptoms of the patients, although this need to be demonstrated.

Keywords

Life Satisfaction Vocational Rehabilitation Satisfaction With Life Scale Community Norm Social Skill Training 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

BDD

Body Dysmorphic Disorder

CBGT

Cognitive-behavioral Group Therapy

CBT

Cognitive-Behavioral Therapy

DALY

Disability Adjusted Life Years

DSM-IV

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition

FAQ

Family Accommodation Questionnaire

FAS

Family Accommodation Scale

GAD

Generalized Anxiety Disorder

HAM-D

Hamilton Rating Scale for Depression

HRQOL

Health-Related Quality of Life

ICD-10

International Classification of Diseases-10th Edition

IIRS

Illness Intrusiveness Rating Scale

ILSS

Independent Living Skills Survey

LQOLP

Lancashire Quality of Life Profile

MDD

Major Depressive Disorder

OCD

Obsessive-Compulsive Disorder

PD

Panic Disorder

Q-LES-Q

Quality of Life Enjoyment and Satisfaction Questionnaire

QOL

Quality of Life

QOLI

Quality of Life Inventory

SAS

Social Adjustment Scale

SAS-SR

Social Adjustment Scale Self Report

SDS

Sheehan Disability Scale

SF-36

Medical Outcomes Study 36-Item Short-Form Health Survey

SoP

Social Phobia

SWLS

Satisfaction with Life Scale

US

United States

USA

United States of America

WHO

World Health Organization

WHOQOL-BREF

World Health Organization Quality of Life-Brief Version

YBOCS

Yale-Brown Obsessive-Compulsive Scale

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • U. Albert
  • G. Maina
  • F. Bogetto

There are no affiliations available

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