Our book mentions the symptoms of Obsessive Compulsive Disorder as; recurrent obsessions and compulsions. Recurrent obsessions are persistent, intrusive, inappropriate thoughts that cause anxiety. Compulsions are repetitive acts performed to reduce anxiety.
TBI makes up a major source of psychiatric morbidity and disability. This study examined the new occurrence of Obsessive Compulsion like symptoms within one year of TBI. The aims of the study were to examine: (1) prevalence of new onset OCS after severe TBI, (2) psychiatric co-morbidities associated with new onset OCS, and (3) injury-related and brain lesion predictors of new onset OCS.
Eighty children and adolescents ages 16-18 yrs with severe TBI were observed for this study. They were interviewed by a child psychiatrist to diagnose OCS and co-morbidities. Race, sex, socioeconomic status, psychosocial adversity, and injury severity were used to predict OCS onset.
Twenty-one children had OCS after TBI. Most common were worries about disease, cleanliness, and inappropriate actions as well as excessive cleaning, doing things a certain way and ordering. Anxiety disorders, mania, dysthymia, depressive symptoms, and PTSD were significantly associated with new onset OCS.
Injury severity was not associated with new onset OCS. Greater psychosocial adversity and being female associated with OCS while mesial prefrontal and temporal lobe lesions were associated with new onset obsessions.
Grados, Marco A, Vasa, Roma A, Riddle, Mark A., Slomine, Beth, Solario, Cynthia, Christensen, James, Gerring, Joan. New Onset Obsessive Compulsive Symptoms in Children and Adolescents with Severe Traumatic Brain Injury. Depression and Anxiety 25:398-407. 2008.
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