Abstract
Background: Persons with psychiatric disorders have greater deficits, psychosocial consequences suchas unemployment and causes disability and distress due to their symptomatology and chronic course.Objectives: Assessment and comparison of distress and disability in patients suffering from obsessivecompulsive disorder (OCD) and co-morbid OCD with psychotic features. Methods: A cross-sectional studywas carried out in the Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University. Thesample was collected both from outdoor and indoor services and consisted of 100 subjects (60 OCD subjectsand 40 subjects of OCD with psychotic features).All were assessed through the Yale-Brown ObsessiveCompulsive Scale (Y-BOCS), Padua inventory - Washington state university revision (PADUA-WSUR)and Indian Disability Evaluation and Assessment Scale (IDEAS).Results: Results revealed that patientsof OCD with co-morbid psychotic features had greater disability in all domains than patients of OCD butdistress due to obsessive-compulsive symptoms was greater in severity in patients of OCD. Conclusion:Psychiatric illnesses, OCD and when OCD is complicated by psychotic features affects all areas of dailyfunctioning leading to greater disability and distress, thus increasing the burden on the family, imposinggreater challenges for rehabilitation.
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