Abstract
ABSTRACTCo-occurrence of bipolar disorder (BD) and obsessive compulsive disorder (OCD) is a common and difficult comorbid condition to manage. The aim of this study was to determine the prevalence of comorbidity with OCD among BD patients in a highly endogamous population. A cohort study was carried out on 396 patients enrolled between November 2011 and October 2013. Patients were grouped in BD patients with OCD (BD-OCD) and BD patients without OCD, rated for mania and depression and scored for OCD morbidity. We found significant differences in level of education (p = 0.022), occupation status (p = 0.025), household income, (p = 0.049), cigarette smoking (p = 0.038), sheesha smoking (narghile, water pipe, hookah or hubble bubble smoking) (p = 0.007) and prevalence of consanguinity (p = 0.036) among these groups. Number of hospitalizations and Young Mania Rating Scale score were not different among BD patients with or without OCD, whereas there were significant differences in Ham-D score, Clinical Global I...
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