To seek advice or not to seek advice about the problem: the help-seeking dilemma for obsessive-compulsive disorder
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Although obsessive-compulsive disorder (OCD) is associated with considerable distress, it has been reported that OCD patients delay considerably in seeking treatment for their problem. The present study aimed to explore some variables hypothetically involved in the help-seeking process among OCD patients.
Twenty-six OCD patients without comorbid conditions completed the Interview of Help-Seeking, specifically designed for this study, which assesses to what extent patients delay seeking treatment for their problem, and three group of variables: factors influencing the recognition of the problem, reasons for delaying the treatment-seeking, and reasons for finally seeking treatment. Participants also completed OCD measures, as well as a questionnaire on thought control strategies.
The mean length of delay in seeking treatment was 39.38 (SD = 50.95) months, and a great variety of reasons for delaying were observed. The OCD patients who delayed consultation longer, in comparison with patients who delayed less time, used fever social control strategies, and they were less aware of the interference and behavioral changes associated with the problem.
To gain more insight about the problem and to experience greater interference from the symptoms were determinants in the active search for help. Conversely, the main barriers to the help-seeking were the fears of stigma and the meaning of the thought contents. Additionally, the fact that patients are willing to disclose their obsessions to other people may favor an adequate representation of the problem and the need to seek mental health treatment.
Keywordsobsessive-compulsive disorder obsessions help-seeking insight
- 2.American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. American Psychiatric Association, Washington, DCGoogle Scholar
- 3.Avila A (1986) Una contribución a la evaluación de las obsesiones y compulsiones: revisión del inventario de obsesiones de Leyton (LOI) y del cuestionario obsesivo-compulsivo de Maudsley (MOCI). Psiquis 7:93–99Google Scholar
- 4.Belloch A, Morillo C, García-Soriano G (2007) Strategies to control unwanted intrusive thoughts: which are relevant and specific in obsessive-compulsive disorder? Cognitive Ther Res doi:10-1007/s.10608-007-9141-2
- 5.Clark DA (2005) Intrusive thoughts in clinical disorders. Theory research and treatment. Guilford Press, New YorkGoogle Scholar
- 6.Cruzado JA (1993) Tratamiento comportamental del TOC. Fundación Universidad-Empresa UNED, MadridGoogle Scholar
- 7.Di Nardo PA, Brown TA, Barlow DH (1994) Anxiety disorders interview schedule for DSM-IV: lifetime version (ADIS-IV-L). Graywind Publications Inc, New YorkGoogle Scholar
- 21.Rachman S, Hodgson RJ (1980) Obsessions and compulsions. Prentice Hall, New YorkGoogle Scholar
- 28.Saunders SM (1993) Applicants’ experience of the process of seeking therapy. Psychotherapy 30:554–564Google Scholar
- 34.Vanheusden K, van der Ende J, Mulder CL, van Lenthe FJ, Verhulst FC, Mackenbach JP (2008) The use of mental health services among young adults with emotional and behavioural problems: equal use for equal needs? Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s.00127-008-0367-4