ISSN 1225-8709 (Print)
ISSN 2005-7571 (Online)
Volume 24, Number 3 (3/2017)
Original Article <page. 129-33 >

Association between Quality of Life and Symptom Severity in Obsessive-Compulsive Disorder Patients Using EQ-5D

Sung Nyun Kim, MD1;Woori Moon, MD1;Jaewook Han, MD1,2; and Junhee Lee, MD1,2;

1;Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 2;Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea

Objectives : Obsessive-compulsive disorder (OCD) is a disabling psychiatric disorder, and more attention is recently paid on the quality of life (QoL) in OCD patients. The Euro-QoL-5D (EQ-5D) is a widely used self-report to calculate a single score which represents 'health utilities'. The aim of this study was to assess the health-related QoL for patients with OCD using the EQ-5D and to examine the relationship between health-related QoL and symptom severity.

Methods : Seventy-three patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of OCD were recruited from the outpatient clinic in Seoul National University Hospital. Symptom severity was assessed using the Yale-Brown Obsessive-Compulsive Scale (YBOCS), and QoL was assessed with the EQ-5D-5L questionnaire. Using Korean valuation study, a single score of QoL was calculated.

Results : Most of the OCD patients were relatively young (< 45 years) with the mean YBOCS total score of 19.33. The mean EQ-5D score was 0.71 and significantly correlated with symptom severity (r = -0.483, p < 0.001). 25% of the EQ-5D score was predicted by the YBOCS total score (b = -0.011, p < 0.001) by regression analysis.

Conclusions : OCD patients suffer from lower health-related QoL and QoL significantly decreased as symptom severity increased. The results of the EQ-5D would enable further studies on QoL comparison across medical disease and mental disorders.


Key words : Quality of life;EQ-5D;Obsessive-compulsive disorder;Symptom severity.

PSYCHIATRY INVESTIGATION

This Article