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Obsessive compulsive disorder in adults with rheumatic heart disease

Published online by Cambridge University Press:  24 June 2014

Ashfaq-U-Rahaman ,
Y. C Janardhan Reddy ,
Prabhavathi  and
Pramod Kumar Pal
Ashfaq-U-Rahaman
Affiliation:
Department of Psychiatry, NIMHANS, Bangalore, India
Y. C Janardhan Reddy*
Affiliation:
Department of Psychiatry, NIMHANS, Bangalore, India
Prabhavathi
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiology, Bangalore, India
Pramod Kumar Pal
Affiliation:
Department of Neurology, NIMHANS, Bangalore, India
*
Dr Y. C. Janardhan Reddy, Obsessive Compulsive Disorder Clinic, Department of Psychiatry, NIMHANS, Bangalore 560029, India. Tel: 0091-80-26995278, 26995306; Fax: 0091-80-26564822; E-mail: jreddy@nimhans.kar.nic.in, ycjreddy@yahoo.com
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Abstract

Objective:

There are considerable data on the possible association between streptococcal infection and obsessive compulsive disorder (OCD), particularly the relation between Sydenham’s chorea (SC) and OCD. However, neuropsychiatric sequelae related to streptococcal infection are mainly reported in children. In this preliminary study, we examined prevalence of OCD in a group of adult subjects with established rheumatic heart disease (RHD). We hypothesized that the rate of OCD would be higher than the known general population rates.

Method:

One hundred adult subjects with RHD were evaluated for OCD and other comorbid psychiatric disorders using well-known psychiatric assessment tools. A qualified psychiatrist conducted the assessments. The diagnoses were made according to DSM-IV criteria.

Results:

The rate of clinical OCD and subclinical OCD was 10% and 3%, respectively (n = 13), a rate much higher than the 1–3% rate reported in general population. Of the 13 subjects, only three had a history of SC (23%).

Conclusions:

OCD could be a long-term sequel in adults with a history of rheumatic fever in childhood, even in the absence of frank chorea. The findings call for systematic research in this little explored area.

Keywords

comorbidityobsessive compulsive disorderrheumatic heart disease
Type
Brief Report
Information
Acta Neuropsychiatrica , Volume 19 , Issue 2 , April 2007 , pp. 118 - 121
Copyright
Copyright © 2007 Blackwell Munksgaard

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