Obsessive-Compulsive Symptoms And Personalities In Patients With Recurrent Depression

Depression is one of mental disorders with high prevalence rate, high recurrence rate, high morbidity and high suicide rate. It brought great sufferings to the impact of individuals, families and society, which the high recurrence rate is an important factor. Previous studies about genetic, neural and biochemical treatment are certainly forced the link between depression and Obsessive-Compulsive Disorder. In order to understand the relationship between the recurrence rate of depression and obsessive-compulsive symptoms, the ratio of symptoms and personality factors in psychological outpatients were studied, in this paper. At the same time, some patients with recurrent depression completed a survey to investigate their possible psychological, personality factors associated with recurrence, as well as obsessive symptoms on the impact of recurrent depression. Methods1. To understand the proportion of depression and personality factors in psychological outpatients, and to explore the relationship between personality factors and mental disorders.2. Understanding of the proportion of patients with obsessive-compulsive symptoms in patients with recurrent depression, and to explore the effects of obsessive-compulsive symptoms to patients with recurrent depression.3. To analyze the possible factors of personalities in patients with recurrent depression, and to explore the relationship among personalities, obsessive- compulsive symptoms and the recurrence of depression.Objective1. General questionnairesWe investigated 56 patients with recurrent depression in social and demographic data as well as information of diseases related to depression, using a general questionnaires designed by author.2. Symptom Checklist 90(SCL-90)By using the Symptom Checklist 90(SCL-90), respectively, 124 cases of psychological outpatients and 56 cases of patients with recurrent depressive disorder were assessed. 56 patients with recurrent depression were divided into two groups combined with clinical symptoms, one is the group with 42 cases accompanied obsessive-compulsive symptoms, and the other is the group with 14 cases of without the symptoms.3. Eysenck Personality Questionnaire (EPQ)We used Eysenck Personality Questionnaire (EPQ) to investigate 124 cases of psychological outpatients and 56 cases with recurrent depression patients. And a control study was made between the group of 42 cases accompanied obsessive-compulsive symptoms and the group of 14 cases without obsessive-compulsive symptoms.Results1. 124 cases of psychological outpatients were significantly higher than the general population in all factors of the SCL-90, among which depression accounted for 87% and the obsessive-compulsive symptoms accompanied depression was 86.11% of the total number. But there was no significant difference between the score of psychological outpatients and the patients with recurrent depression in SCL-90. And psychological outpatients showed higher E and lower N in EPQ, the difference between men and women was statistically significant (P <0.05).2. 75% of the 56 patients with recurrent depression had more or less obsessive-compulsive symptoms. SCL-90 results showed that the group with obsessive-compulsive symptoms scored higher, compared with the group without obsessive-compulsive symptoms, in somatization, interpersonal sensitivity, depression, anxiety, phobic anxiety, paranoia ideation and psychotism, and the other factor. There was a significant difference among them by t-test. But in the factor of hostility, the difference between the two groups was not evident.3. The group with obsessive-compulsive symptoms scored lower in EPQ-E and higher in EPQ-N, compared with the group without obsessive-compulsive symptoms, the difference was significant (P <0.01).Conclusion1. Symptoms and severity of patients in psychological outpatients, most of whom had depression accompanied by obsessive-compulsive symptoms, were significantly higher than the general population. They also had their own personality characteristics with the existence of gender differences. Male patients, compared with female patients, had a more biased character and poor emotional stability.2. Obsessive-compulsive symptoms may be an important risk factor in Recurrent Depression; perhaps, introversion and nervous temperament in personality factors are correlated.