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Obsessive-compulsive disorder in dermatology outpatients

Introduction. Epidemiological findings have suggested that a large number of obsessional patients refer initially to dermatologists for their problems and their obsessions go undiagnosed. The goal of the present study is to investigate the frequency of OCD in a group of dermatology outpatients. Method. A total of 144 outpatients of a dermatology clinic in a general hospital who agreed to participate in the study were selected. The patients were screened for DSM-IV OCD using item H of the Mini-International Neuropsychiatric Interview. Those who were OCD-positives on the interview were then screened and rated for severity on the Yale–Brown Obsessive-Compulsive Scale (YBOCS). Results. A total of 20 patients (14%) qualified for a diagnosis of OCD. Somatic obsessions and washing compulsions were the most reported symptoms. The majority of OCD-positive patients suffered from acne. Conclusion. The frequency of OCD in the dermatology population may be 4–5 times higher than in the general population. Identification and referral for psychiatric consultation may aid in better management of both disorders.