Akpınar, Abdullah Süleyman Demirel University - School of Medicine, Turkey , Bakım, Bahadır 18 Mart University - School of Medicine, Turkey , Alpak, Gökay Gaziantep University - School of Medicine, Turkey , Çevik, Mehmet Samsun Psychitry Hospital, Turkey , Yavuz, Burcu Göksan Acıbadem University - School of Medicine, Turkey , Karamustafalıoğlu, Oğuz Üsküdar University, Turkey

Childhood trauma, sexual functions, psychiatric comorbidity and sociodemographic data in obsessive-compulsive disorders with sexual obsessions

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Objective: We compared the childhood trauma, the severity of sexual functions, comorbidity of axis I psychiatric disorder, the types and severity of obsessive-compulsive disorder (OCD) and sociodemographic data of patients with or without sexual obsession in OCD. Methods: Eighty patients of OCD were recruited from including consecutive admissions to an outpatient clinic. Primary OCD patients assessed each subject using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). OCD symptoms and symptoms severity was assessed by the Yale-Brown Obsessive Compulsive Scale (YBOCS). Traumas were assessed by the Childhood Trauma Experiences Questionnaire. Sexual functions severity was assessed by the Arizona Sexual Experience Scale (ASEX). Current depressive and anxiety symptoms score were assessed using the 17-item Hamilton Rating Scale for Depression (HAM-D) and the Hamilton Anxiety Scale (HAM-A). Results: The frequency of sexual obsession was 15% in our clinical populations diagnosed with OCD. History of emotional abuse and incest were associated with a significantly higher rate of OCD with sexual obsessions. Religious, aggressive, hoarding obsessions and hoarding compulsions were associated with a significantly higher rate of OCD with sexual obsessions. Comorbidity of Somatoform disorder was associated with a significantly higher rate of OCD with sexual obsessions. Subjects who have OCD with sexual obsessions did not significantly differ from those without sexual obsessions on any ASEX scores, Y-BOCS scores, HAM-D, HAM-A and demographic features. Conclusion: Sexual obsessions were related to religious, aggressive, hoarding obsessions and hoarding compulsions, the emotional abuse, incest and a comorbidy of somatoform disorder.

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sexual obsessions , childhood trauma , comorbidity

Dicle Medical Journal

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