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      Religious Attitudes in Adolescents with Obsessive Compulsive Symptoms OCS and Disorder OCD : Religious Attitudes in Obsessive Compulsive Symptoms

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          Abstract

          Background:

          Mental health professionals observed booming in prevalence of obsessive compulsive symptoms among children and adolescents. Our epidemiological study aims at estimating the prevalence of obsessive symptoms and obsessive compulsive disorder among secondary school students and, as a secondary research objective, to assess religious attitudes among those patients.

          Materials:

          The study is cross sectional conducted on 1299 secondary school students, adequate sample size estaimated on a prevalence of 2% for Obsessive Compulsive Disorder (OCD) in literature. Equal samples were recruited from the 3 educative zones in Alexandria Governorate. Obsessive compulsive symptoms were assessed by the Lyeton obsessive inventory child LOI-CV, the Arabic version that has been validated and tested for reliability in Egyptian culture. Those scoring 35 or above were subjected to the Mini International Neuropsychiatric Interview for children MINI-KID Arabic. Patients with OCD had their diagnosis confirmed by psychiatric interview to assure fulfillment of criteria of OCD according to DSM IV –TR criteria. A standardized self reporting questionnaire was designed to assess religious attitudes.

          Results:

          Among the studied sample (n=1299), 201 students were scored > 35 on LOI-CV i.e. 15.5% of the total sample have OCS The prevalence of OCD among studied sample was 2.2% as 29 students from the OCS students were fulfilling diagnostic criteria for OCD according to DSM-IV TR. Religious practicing attitudes were 93.1% and 79.6% in adolescents with obsessive compulsive disorder OCD and obsessive compulsive symptoms OCS respectively with no difference (X 2=0.07)

          Conclusion:

          There’s a high prevalence rate of obsessive symptoms among adolescents, such finding highlights the necessity and need of public awareness and screening of adolescents for early detection and management. Religious attitude didn’t show significant difference among adolescents showing only obsessive compulsive disorder or those showing only obsessive compulsive symptoms

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          Most cited references23

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          The epidemiology of obsessive-compulsive disorder in five US communities.

          The prevalence of obsessive-compulsive disorder was measured in five US communities among more than 18,500 persons in residential settings as part of the National Institute of Mental Health (Bethesda, Md)--sponsored Epidemiologic Catchment Area program. Lifetime prevalence rates ranged from 1.9% to 3.3% across the five Epidemiologic Catchment Area sites for obsessive-compulsive disorder diagnosed without DSM-III exclusions and 1.2% to 2.4% with such exclusions. These rates are about 25 to 60 times greater than had been estimated on the basis of previous studies of clinical populations.
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            Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS).

            This article reports the initial results of a prospective study on the prevalence of psychiatric disorders in the Dutch population aged 18-64. The objectives and the design of the study are described elsewhere in this issue. A total of 7076 people were interviewed in person in 1996. The presence of the following disorders was determined by means of the CIDI: mood disorders, anxiety disorders, eating disorders, schizophrenia and other non-affective psychoses, and substance use disorders. Psychiatric disorders were found to be quite common. Some 41.2% of the adult population under 65 had experienced at least one DSM-III-R disorder in their lifetime, among them 23.3% within the preceding year. No gender differences were found in overall morbidity. Depression, anxiety, and alcohol abuse and dependence were most prevalent, and there was a high degree of comorbidity between them. The prevalence rate encountered for schizophrenia was lower (0.4% lifetime) than generally presumed. A comparison with findings from other countries is made. Relevant determinants of psychiatric morbidity were analysed.
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              The epidemiology of obsessive-compulsive disorder in children and adolescents.

              Ada Zohar (1999)
              Epidemiologic studies show that by late adolescence OCD has a lifetime prevalence of 2% to 3%. The age of onset is earlier in boys than in girls, and has a first peak around puberty and another in early adulthood. The natural course of the disorder is fairly stable, with a complete remission rate of 10% to 15%, although fluctuations in symptom level may make short-term apparent outcome unreliable. Comorbid conditions include depression, movement disorders, and anxiety disorders. Although the prevalence of OC symptoms and of OCD are not different for boys and girls, there may be gender differences in the symptom types. The boundary of the diagnosis of OCD is not always easy to determine, and individuals may meet threshold and subthreshold criteria at different times.
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                Author and article information

                Journal
                Glob J Health Sci
                Glob J Health Sci
                Global Journal of Health Science
                Canadian Center of Science and Education (Canada )
                1916-9736
                1916-9744
                November 2012
                28 October 2012
                : 4
                : 6
                : 216-221
                Affiliations
                [1 ]Department of Psychiatry, Alexandria University, Alexandria, Egypt
                [2 ]High Institute of Public Health, Alexandria, Egypt
                [3 ]Alexandria University Hospitals, Alexandria, Egypt
                Author notes
                Correspondence: Ahmed Rady, MD, 29 Nabi Daniel St, Borg El Ghonemi, Alexandria 21131, Egypt. Tel: 20-128-244-1053. E-mail: dr_ahmed_rady@ 123456yahoo.fr
                Article
                GJHS-4-216
                10.5539/gjhs.v4n6p216
                4777005
                23121759
                49e5a921-2986-462a-af03-8bedd8b3ecc6
                Copyright: © Canadian Center of Science and Education

                This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 26 July 2012
                : 08 August 2012
                Categories
                Articles

                obsession,compulsion,ocd,lyeton,religion,adolescent
                obsession, compulsion, ocd, lyeton, religion, adolescent

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