Obsessive-Compulsive Symptoms in Medical Students: Prevalence, Severity, and Correlates
Abstract
Objectives The study aims were to estimate the prevalence and correlates of symptoms suggestive of obsessive-compulsive disorder (OCD) among medical students and investigate the severity and correlates of specific obsessive-compulsive symptom (OCS) dimensions in this population.Methods A cross-sectional study with 471 Brazilian medical students, who were assessed using the Obsessive-Compulsive Inventory-Revised (OCI-R). The main outcomes were "probable OCD" (OCI-R score >27) and overall/dimensional OCI-R scores. Sociodemographic data, depressive symptoms, and several aspects of academic life were also investigated. Bivariate analyses were followed by regression models.Results Eighteen (3.8%) participants presented probable OCD, which was associated with depression. The mean OCI-R score was 8.9, and greater overall severity was independently associated with being a freshman, difficulty in adaptation, and depressive symptoms. Higher scores in the "checking" and "washing" dimensions were associated with being a freshman, in the "neutralization" and "ordering" dimensions with adaptation difficulties, and in the "hoarding" dimension with adaptation difficulties and depressive symptoms. The "obsession" dimension was associated with being a freshman, difficulty making friends, depressive symptoms, and psychological/psychiatric treatment.Conclusions Probable OCD is more frequent in medical students than in the general population and is associated with depressive symptoms. Efforts are required to identify OCS in this population, particularly among first-year students and to provide treatment, when necessary. Institutional programs that properly receive freshmen, enhancing their integration with other colleagues and their adaptation to the city, may decrease the level of stress and, consequently, OCS severity.
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The prevalence of symptoms suggestive of OCD among medical students surpasses that of the general population and is correlated with depressive symptoms.
“The prevalence of symptoms suggestive of OCD among medical students surpasses that of the general population and is correlated with depressive symptoms [15].”
Cites
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052 · see citing works
The Obsessive-Compulsive Inventory: Development and validation of a short version.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002) · Psychological Assessment · doi:10.1037/1040-3590.14.4.485 · Cited by 2,959 · see citing works
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00009 · Cited by 2,909 · see citing works
The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010) · Molecular Psychiatry · doi:10.1038/mp.2008.94 · Cited by 2,771 · see citing works
The relation of depression and anxiety to life-stress and achievement in students
Andrews, B., & Wilding, J. M. (2004) · British Journal of Psychology · doi:10.1348/0007126042369802 · Cited by 919 · see citing works
Common mental disorders : a bio-social model
Goldberg, D. P., & Huxley, P. J. (1992) · Cited by 730 · see citing works
The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory
Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.3.206 · Cited by 719 · see citing works
Castillo, A. R. G. L., Recondo, R., Asbahr, F. R., et al. (2000) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462000000600006 · Cited by 481 · see citing works
Torres, A. R., Prince, M. J., Bebbington, P., Bhugra, D. K., Brugha, T. S., Farrell, M., Jenkins, R., Lewis, G., Meltzer, H., & Singleton, N. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.11.1978 · Cited by 445 · see citing works
Self-citationPsychometric properties of the OCI-R in a college sample
Hajcak, G., Huppert, J. D., Simons, R. F., & Foa, E. B. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.08.002 · Cited by 392 · see citing works
The descriptive epidemiology of obsessive–compulsive disorder
Fontenelle, L. F., Mendlowicz, M. V., & Versiani, M. (2006) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2005.11.001 · Cited by 310 · see citing works
Fullana, M. A., Mataix‐Cols, D., Caspi, A., Harrington, H., Grisham, J. R., Moffitt, T. E., & Poulton, R. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.08071006 · Cited by 307 · see citing works
(2020) · WORLD SCIENTIFIC eBooks · doi:10.1142/9789811229015_0004 · Cited by 226 · see citing works
Obsessive-compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
Adam, Y., Meinlschmidt, G., Gloster, A. T., & Lieb, R. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0337-5 · Cited by 206 · see citing works
The value of possessions in compulsive hoarding: Patterns of use and attachment
Frost, R. O., Hartl, T. L., Christian, R., & Williams, N. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(95)00043-w · Cited by 199 · see citing works
Baldassin, S. P., Alves, T. C. T. F., de Andrade, A. G., & Nogueira-Martins, L. A. (2008) · BMC Medical Education · doi:10.1186/1472-6920-8-60 · Cited by 190 · see citing works
Hoarding behaviors in a large college sample
Coles, M. E., Frost, R. O., Heimberg, R. G., & Steketee, G. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00136-x · Cited by 175 · see citing works
Anxiety symptoms and perceived performance in medical students
Chandavarkar, U., Azzam, A., & Mathews, C. A. (2006) · Depression and Anxiety · doi:10.1002/da.20185 · Cited by 168 · see citing works
Stressful life events and material deprivation in hoarding disorder
Landau, D., Iervolino, A. C., Pertusa, A., Santo, S., Singh, S., & Mataix-Cols, D. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.09.002 · Cited by 167 · see citing works
Comorbid conditions in obsessive-compulsive disorder
Tükel, R., Polat, A., Özdemir, Ö., Aksüt, D., & Türksoy, N. (2002) · Comprehensive Psychiatry · doi:10.1053/comp.2002.32355 · Cited by 160 · see citing works
LaSalle-Ricci, V. H., Timpano, K. R., Nelson, K. N., Kazuba, D. M., Justement, L., & Murphy, D. L. (2004) · Depression and Anxiety · doi:10.1002/da.20009 · Cited by 156 · see citing works
Miguel, E. C., Ferrão, Y. A., do Rosário, M. C., de Mathis, M. A., Torres, A. R., Fontenelle, L. F., Hounie, A. G., Shavitt, R. G., Cordioli, A. V., Gonzalez, C. H., et al. (2008) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462008000300003 · Cited by 155 · see citing works
Self-citationHoarding among patients seeking treatment for anxiety disorders
Tolin, D. F., Meunier, S. A., Frost, R. O., & Steketee, G. S. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.08.001 · Cited by 151 · see citing works
Wheaton, M. G., Timpano, K. R., LaSalle-Ricci, V. H., & Murphy, D. L. (2007) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.01.015 · Cited by 140 · see citing works
Axis I and II comorbidity in a large sample of patients with obsessive–compulsive disorder
Denys, D. A. J. P., Tenney, N. H., van Megen, H. J. G. M., de Geus, F., & Westenberg, H. G. M. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00056-9 · Cited by 135 · see citing works
Prevalência e fatores de risco para transtornos mentais comuns entre estudantes de medicina
Lima, M. C. P., Domingues, M. D. S., & Ramos‐Cerqueira, A. T. D. A. (2006) · Revista de Saúde Pública · doi:10.1590/s0034-89102006000700011 · Cited by 133 · see citing works
Self-citationRelação entre bem-estar espiritual e transtornos psiquiátricos menores: estudo transversal
Volcan, S. M. A., Sousa, P. L. R., Mari, J. D. J., et al. (2003) · Revista de Saúde Pública · doi:10.1590/s0034-89102003000400008 · Cited by 112 · see citing works
Fiorotti, K. P., Rossoni, R. R., Borges, L. H., & Miranda, A. E. (2010) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852010000100003 · Cited by 111 · see citing works
Comorbid major depression in obsessive-compulsive disorder patients
Quarantini, L. C., Torres, A. R., Sampaio, A. S., Fossaluza, V., de Mathis, M. A., do Rosário, M. C., Fontenelle, L. F., Ferrão, Y. A., Cordioli, A. V., Petribú, K., et al. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.09.006 · Cited by 95 · see citing works
Self-citationHidalgo, M. P. L., Ponte Talles, S., Carvalho, C. G., Pedrotti, M. R., Nunes, P. V., de Souza, C. M., Zanette, C., Voltolini, S., & Chaves, M. L. F. (2001) · Arquivos de Neuro-Psiquiatria · doi:10.1590/s0004-282x2001000200005 · Cited by 88 · see citing works
Hall, B. J., Tolin, D. F., Frost, R. O., & Steketee, G. S. (2012) · Depression and Anxiety · doi:10.1002/da.22015 · Cited by 71 · see citing works
Prevalência de depressão entre estudantes universitários
Cavestro, J. D. M., & Rocha, F. L. (2006) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852006000400001 · Cited by 71 · see citing works
Common mental disorders among medical students
Almeida, A. D. M., Godinho, T. M., Bitencourt, A. G. V., Teles, M. S., Silva, A. S., Fonseca, D. C., Barbosa, D. B. V., de Oliveira, P. S., Costa-Matos, E., Rocha, C. R. E., et al. (2007) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852007000400002 · Cited by 67 · see citing works
Epidemiologia do transtorno obsessivo-compulsivo: uma revisão
Torres, A. R., & Lima, M. C. P. (2005) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462005000300015 · Cited by 66 · see citing works
Self-citationWhat is the Optimal Way to Subdivide Obsessive-Compulsive Disorder?
de Mathis, M. A., Diniz, J. B., do Rosário, M. C., Torres, A. R., Hoexter, M. Q., Hasler, G., & Miguel, E. C. (2006) · CNS Spectrums · doi:10.1017/s1092852900014899 · Cited by 60 · see citing works
Self-citationdo Amaral, G. F., Gomide, L. M. D. P., Batista, M. D. P., Piccolo, P. D. P., Teles, T. B. G., de Oliveira, P. M., & Pereira, M. A. D. (2008) · Revista de Psiquiatria do Rio Grande do Sul · doi:10.1590/s0101-81082008000300008 · Cited by 52 · see citing works
Quality of Life and its Correlates in Patients With Obsessive‐compulsive Disorder
Hou, S., Yen, C., Huang, M., Wang, P., & Yeh, Y. (2010) · The Kaohsiung Journal of Medical Sciences · doi:10.1016/s1607-551x(10)70065-6 · Cited by 46 · see citing works
de Souza, F. P., Foa, E. B., Meyer, E., Niederauer, K. G., Raffin, A. L., & Cordioli, A. V. (2007) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462006005000065 · Cited by 38 · see citing works
Sintomas Depressivos nos Estudantes de Medicina da Universidade da Região de Joinville (SC)
Moro, A., do Valle, J. B., & de Lima, L. P. (2005) · Revista Brasileira de Educação Médica · doi:10.1590/1981-5271v29.2-015 · Cited by 36 · see citing works
Reid, J. M., Arnold, E. B., Rosen, S., Mason, G., Larson, M. J., Murphy, T. K., & Storch, E. A. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.08.002 · Cited by 33 · see citing works
de Souza, F. P., Foa, E. B., Meyer, E., Niederauer, K. G., & Cordioli, A. V. (2011) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462011000200008 · Cited by 32 · see citing works
Mohammadi, M.-R., Ghanizadeh, A. J., & Moini, R. (2006) · Depression and Anxiety · doi:10.1002/da.20259 · Cited by 27 · see citing works
Transtorno obsessivo-compulsivo
Gonzalez, C. H. (1999) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44461999000600009 · Cited by 23 · see citing works
Obsessions in normality and psychopathology
Blom, R. M., Bruijn, C. H.-D., de Graaf, R., ten Have, M., & Denys, D. A. J. P. (2011) · Depression and Anxiety · doi:10.1002/da.20853 · Cited by 23 · see citing works
Reduction of the anxiety of medical students after curricular reform
Zuardi, A. W., Prota, F. D. G., & Del‐Ben, C. M. (2008) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462008005000006 · Cited by 22 · see citing works
Transtornos psiquiátricos menores e procura por cuidados em estudantes de Medicina
Cunha, M. A. B., Neves, A. A. D. F., Moreira, M. E., Hehn, F. J., Lopes, T. P., Ribeiro, C. C. F., & Watanabe, Á. D. P. F. (2009) · Revista Brasileira de Educação Médica · doi:10.1590/s0100-55022009000300002 · Cited by 21 · see citing works
Lee, F.-I., & Wang, Y.-P. (2008) · Revista Brasileira de Psiquiatria · doi:10.1590/s1516-44462008000200007 · Cited by 20 · see citing works
de Souza, F. P., Foa, E. B., Meyer, E., et al. (2011) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462011005000002 · Cited by 6 · see citing works
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Ji, G., Wei, W., Yue, K.-C., Li, H., Shi, L.-J., Ma, J.-D., He, C.-Y., Zhou, S.-S., Zhao, Z., Lou, T., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/21915 · Cited by 102 · see citing works
Guo, J., Huang, X., Zheng, A., Chen, W., Lei, Z., Tang, C., Chen, H., Ma, H., & Li, X. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.836956 · Cited by 38 · see citing works
Wang, D., Lin, B., Zhang, S., Xu, W., & Liu, X. (2024) · Journal of Medical Internet Research · doi:10.2196/50664 · Cited by 8 · see citing works
“The prevalence of symptoms suggestive of OCD among medical students surpasses that of the general population and is correlated with depressive symptoms [15].”
- Authors
- Torres, A. R., Cruz, B. L., Vicentini, H. C., Lima, M. C. P., & Ramos-Cerqueira, A. T. A.
- Affiliations
- Universidade Estadual Paulista (Unesp) (BR)
- Corresponding author
- Torres, Albina R.
- Venue
- Academic Psychiatry
- Published
- 2015-06-25
- Volume
- 40
- Issue
- 1
- Pages
- 46-54
- ISSN
- 1042-9670 (ISSN-L)
- 1545-7230
- OpenAlex
- W856123507
- Cited by
- 51
- References
- 49
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 11 · 2023: 8 · 2022: 3 · 2021: 8 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 1
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Academic Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Acervo Digital da Universidade Estadual Paulista (Universidade Estadual Paulista) (submittedVersion)
- UNESP Institutional Repository (São Paulo State University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Keywords
- obsessive-compulsive symptoms, obsessive-compulsive disorder, medical students, prevalence, symptom severity, depressive symptoms, adaptation difficulties, first-year students, checking, washing, hoarding, neutralization, ordering, Obsessive-Compulsive Inventory-Revised
- MeSH terms
- Adult, Brazil, Cross-Sectional Studies, Depression, Education, Medical, Undergraduate, Female, Humans, Male, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Surveys and Questionnaires, Severity of Illness Index, Sex Factors, Students, Medical, Prevalence, Young Adult
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