The majority of people with moderate to severe
obsessive compulsive disorder (OCD) are either unmarried or
divorced, with only a minority being in stable co-habiting
relationships.
OCD is a chronic condition that is known,
particularly in its severe forms, to have a significant effect on
social functioning. Although the prevalence of OCD is roughly equal
in men and women, some studies have suggested that men with OCD are
less likely to be married.
A study carried out in London examined all
patients referred to a Specialist Community OCD Service between
April 2005 and April 2006. This service treats patients from five
London boroughs with a total adult population of over 1
million.
Patients referred to the service have
significant OCD symptoms, and will have already had a trial of
cognitive behavioural treatment before referral. Patients are
treated in the community, usually in their own homes.
47 patients were included in the study – 20
men and 27 women. They had an average of 19 years, with OCD
symptoms and a diagnosis of severe OCD. Two-thirds of them were
single or divorced, with only 33% married or co-habiting. There was
no difference between the sexes in the frequency of marriage.
After 12 weeks of therapy there was an overall
improvement in OCD symptoms. The possible effect of marital status
on outcome was examined, but no differences were found between
those who lived with a partner and those who were single.
The researchers comment that they cannot prove
that the reason the majority of patients with OCD are single is due
to the social impact of the disorder, but say that it is likely to
be the case. Marital status alone did not appear to have any effect
on response to treatment.
Further studies examining the possible cause,
and also the result, of single status in OCD patients are
indicated, as they may have a bearing on the development of
appropriate services for this handicapped group.
For further information, please contact Liz Fox or Deborah
Hart in the Communications Department.
Telephone: 020 7235 2351 Extensions. 6298 or 6127
References:
Royal College of Psychiatrists' Annual Meeting, Imperial College, London, 1 - 4 July 2008