| Generic and illness-specific quality of life in obsessive-compulsive disorder. | |
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MedLine Citation:
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PMID: 20529398 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Obsessive compulsive disorder (OCD) is a chronic and disabling disorder. It profoundly compromises various aspects of patients' everyday life, thus affecting their quality of life (QoL). Using generic instruments, several studies have confirmed severely impaired health-related QoL in patients diagnosed with OCD. However, there has been a dearth of research on illness-specific QoL. AIMS: The present study aimed to further investigate subjective QoL in individuals with OCD with a focus on illness-specific aspects. METHOD: To assess subjective QoL in a broad OCD sample, an internet survey was conducted with 123 participants with obsessive-compulsive symptoms. The survey comprised both a generic (WHOQOL-BREF) and a novel self-developed OCD-specific QoL measure (QoLOC). Psychopathology was determined with diagnostic standard instruments (self-report forms of: Y-BOCS, OCI-R, BDI-SF). RESULTS: Regression analyses confirmed depression as the best predictor for decreased QoL. In addition, participants reported high despair resulting from OCD-related problems that differed across symptom subtypes. An exploratory factor analysis suggested four domains of OCD-specific problems tapped by the QoLOC: (1) depressiveness in association with OCD; (2) constraints in activities due to OCD symptoms or avoidance; (3) problems with partner and/or family due to OCD symptoms or avoidance; (4) self-concept/coping of own illness. CONCLUSIONS: Results produced a comprehensive picture of QoL impairments and their relation to psychopathology in a representative OCD sample. Illness-specific concerns should be further addressed in QoL research in OCD because such problems are not sufficiently mirrored in generic QoL measures. |
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Authors:
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Marit Hauschildt; Lena Jelinek; Sarah Randjbar; Birgit Hottenrott; Steffen Moritz |
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Publication Detail:
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Type: Journal Article Date: 2010-06-08 |
Journal Detail:
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Title: Behavioural and cognitive psychotherapy Volume: 38 ISSN: 1469-1833 ISO Abbreviation: Behav Cogn Psychother Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-24 Completed Date: 2010-10-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9418292 Medline TA: Behav Cogn Psychother Country: United States |
Other Details:
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Languages: eng Pagination: 417-36 Citation Subset: IM |
Affiliation:
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University Medical Center Hamburg-Eppendorf, Hamburg, Germany. m.hauschildt@uke.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Comorbidity Depressive Disorder / diagnosis, psychology, therapy Disability Evaluation Female Health Surveys Humans Internet Male Middle Aged Obsessive-Compulsive Disorder / diagnosis, psychology*, therapy Personality Inventory / statistics & numerical data Psychometrics Quality of Life / psychology* Young Adult |
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