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Obsessive-compulsive disorder in the elderly.

Michael P. Philpot1, Sube Banerjee

  • 1Sections of Old Age Psychiatry, Epidemiology and General Practice, Institute of Psychiatry, London, UK.

Behavioural Neurology
|September 25, 2001
PubMed
Summary
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Late-life obsessive-compulsive disorder (OCD) cases linked to organic causes showed cognitive deficits but improved with treatment. Two patients with prior OCD episodes became asymptomatic within months of appropriate intervention.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Cognitive Psychology

Background:

  • Obsessive-compulsive disorder (OCD) typically emerges in early adulthood.
  • Late-life onset OCD is less common and often associated with neurological conditions.
  • Understanding the etiology and presentation of late-life OCD is crucial for effective management.

Purpose of the Study:

  • To describe four cases of late-life OCD with presumed organic causes.
  • To investigate the neuropsychological profile of individuals with late-onset OCD.
  • To assess the treatment response in this patient group.

Main Methods:

  • Case study methodology.
  • Clinical interviews and diagnostic assessments for OCD.
  • Neuropsychological testing focusing on verbal fluency and visuo-spatial abilities.

Related Experiment Videos

  • Treatment monitoring for symptom remission.

    • Main Results:

    • Four patients presented with late-life OCD linked to organic factors.
    • Three patients had a history of earlier, brief OCD episodes.
    • Neuropsychological assessments revealed deficits in verbal fluency and visuo-spatial tasks, without global intellectual impairment.
    • Two patients receiving appropriate treatment achieved asymptomatic status within 4-6 months.

    Conclusions:

    • Late-onset OCD associated with organic aetiology can present with specific cognitive impairments.
    • Early or past OCD episodes may be a predictor in some late-life cases.
    • Timely and appropriate treatment can lead to remission in patients with late-life OCD of organic origin.