A clinical study of multi-dimensional model of Obsessive Compulsive Disorder (OCD)

Sudesh Khurana, S C Bhargav, Krishan Kumar, Purushottam ., Rajiv Gupta


The present study was conducted with an aim to study multi – dimensional model of OCD and to find relation of OCD symptom severity with insight. Study was done on 100 patients of OCD who attended psychiatry OPD for first time with age range between 14-60 years. The data was collected using Y-BOCS and insight scale. The data was analysed using SPSS software. The findings of study are: Out of a total of 100 patients 56% were male and 44% were female. Most of the patients were having severity ranging from moderate to severe and correlation analysis between severity score of OCD and insight score showed positive correlation. The contamination obsessions (29.93%) were most common obsessions in sample, followed by aggression (27%), pathological doubts (15.2%), sexual (7.3%), preoccupation with symmetry 6.9%, religious 5.1% and hoarding obsessions (1.63%). Cleaning and washing were most common compulsion forming 40.4% of the total, followed by checking (23.5%), miscellaneous (13.2%) and hoarding compulsions forming 1.4% of total compulsion. By factor analysis 16 factors with eigen value more than one were found but the overall significant observed factors were 6, when cut off point for factor loading was taken as correlation of ³0.50. 


OCD, Insight

Full Text:



J.K. Myers, M.M. Weissmen, G.L. Tischler. Six-month prevalence of psychiatric disorder in three communities, 1980 to 1982. Arch Gen Psychiatr 1984, 41, 949-58.

L.N. Robins, J.E. Helzer, M.M. Weissmen. Lifetime prevalence of psychiatric disorder in three sites. Arch Gen Psychiatr 1984, 41, 958-67.

S.A. Rasmussen, J.L. Eisen. Clinical and epidemiological findings of significance to neuropharmacologic trial in OCD. J Psychopharmacol Bull 1988, 24, 466-70.

G. Nestadt, A. Addington, J. Samuels, K.Y. Liang, O.J. Bienvenu, M. Riddle et al. The identification of OCD related subgroups based on comorbidity. J Biol Psychiatr 2003, 53, 914-20.

P. Alonso, J.M. Menchow, J. Pifarre, C.D. Matrix, L. Torres, P. Salgado et al. Long term follow up and predictors of clinical outcome in obsessive compulsive patients treated with serotonin reuptake inhibitors and behavioural therapy. J Clin Psychiatr 2001, 62, 535-40

L.J. Summerfeldt, M.A. Richter, M.M. Antony, R.P. Swinson. Symptom structure in obsessive-compulsive disorder: a confirmatory factor analytic study. Behav Res Ther 1999, 37, 297-311.

D. Mataix-Cols, S.L. Rauch, P.A. Manzo. Use of factor-analyzed symptom dimensions to predict outcome with serotonin reuptake inhibitors and placebo in the treatment of obsessive-compulsive disorder. Am J Psychiatry 1999, 156, 1409-16.

D. Mataix-Cols, I.M. Marks, J.H. Greist. Obsessive-compulsive symptom dimensions as predictors of compliance with and response to behaviour therapy: Results from a controlled trial. Psychother Psychosom 2002, 71, 255-62.

C.D. Mataix. Deconstructing obsessive compulsive disorder: a multi-dimensional perspective. Curr Opin Psychiatr 2006, 19, 84-9.

S.D. Ray. Obsessional states in New Delhi. Br J Psychiatry 1964, 110,181-182.

S. Akhtar. Obsessional neurosis, marriage, sex, and fertility: Some transcultural comparisons. Br J Psychiatry, 1979, 164, 164-6.

S. Akhtar, N.N. Wig, S.K. Varma. A phenomenological analysis of symptoms in Obsessive Compulsive Disorder. Br J Psychiatry, 1975, 127, 342-8.

S. Akhtar, V.K. Varma, D. Pershad, S.K. Varma. Socio cultural and clinical determinants of symptomatology in obsessional neurotics. Int J Soc Psychiatry, 1975, 24, 157-62.

S. Khanna, V.G. Kaliaperumral, S.M. Channabaravanna. Cluster of obsessive compulsive phenomena in obsessive compulsive disorder. Br J Psychiatr 1990, 156, 51-4.

S. Khanna, U.G. Kaliperumal, S.M. Channabasavanna. Exploration of obsessive compulsive phenomena: A preliminary investigation. J Psychopath, 1992, 25, 249-53.

S. Khanna, B.G. Girishchandra. Phenomenology of OCD: A factor analytical approach. Ind J Psychiatry 2001, 34(4), 306-16.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC, 1994.

A. Okasha, A. Saad. Phenomenology of obsessive compulsive disorder- Trans cultural study. Comp Psychiatry 1994, 35 (3), 191-7.

S. Khanna, S.M. Channabasavanna. Sociodemographic variable in obsessive-compulsive neurosis in India. Int J Soc Psychiatr 1987, 32, 47.

S.A. Rasmussen, J.L. Eisen. Epidemiological and clinical features of obsessive compulsive disorder. Psychiatric Clin of North America, 1992,15(4), 744-58.

J.D. Pollit. Natural history of obsessional stress. Br Med J 1957, 1, 194-8.

E. Kringlin. Obsessional neurotic: a long follow up. Br J Psychiatr 1965, 111, 709-22.

G. Steketee, J. Eisen, I. Dyck. Predictors of course in obsessive – compulsive disorder. Psychiatr Res 1999, 89, 229-38.

S.A. Rasmussen, J.L. Eisen. The epidemiology and clinical feature of obsessive – compulsive disorder. In: M.A. Jenike, L. Baer, W.E. Minichiello, editors. Obsessive compulsive disorders: practical management. 3rd edition, 1998, p. 12-43.


  • There are currently no refbacks.

Copyright (c)

ISSN 2348 - 0874