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<p>Obsessive-Compulsive Disorder (OCD) is a prevalent psychiatric condition characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions). While no definitive laboratory test exists for OCD diagnosis, understanding culturally specific symptoms is crucial for accurate identification and treatment. This pioneering study, conducted in psychiatric clinics in Hamadan City, Iran, focused on the prevalence of pre-written notes—paper, mobile app, or tablet—among 2000 patients and their potential association with OCD. These notes typically included patients’ symptoms, concerns, and questions intended for discussion during their appointments, helping alleviate anxiety and facilitating communication. The research employed a cross-sectional design, incorporating the Maudsley Obsessive-Compulsive Inventory to assess obsessions and compulsions. Results revealed that 27.40% of participants had OCD, with 64.8% of those with OCD using prewritten notes. The severity of OCD symptoms, mainly checking, doubting, slowing-repeat, and cleaning was significantly higher in individuals with pre-written notes. Logistic regression demonstrated that employment (professional or student) and the presence of pre-written notes were positively associated with OCD, while having a bachelor’s degree or higher degree and residing in rural areas were negatively correlated. The sensitivity and specificity of pre-written notes as a sign of OCD were high. These findings propose pre-written notes as a potential diagnostic marker for OCD and highlight the intricate relationship between demographic factors and OCD severity. Moreover, the association between employment or academic status and increased OCD prevalence underscores the need for mental health support programs within these settings. The protective effects of higher education and rural living suggest public health strategies to mitigate OCD risk. Further research across diverse cultural contexts is essential to validate these findings and develop culturally sensitive diagnostic and treatment approaches to improve global mental health outcomes.</p>

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The relationship between bringing pre-written notes to psychiatric appointment and obsessive-compulsive disorder in Iran

  • 期刊论文

  • 发表日期：

    2026年7月7日

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  • Maryam Seifikar,
  • Saeid Yazdi-Ravandi,
  • Ali Reza Soltanian,
  • Ali Ghaleiha,
  • Nasrin Matinnia

摘要

Obsessive-Compulsive Disorder (OCD) is a prevalent psychiatric condition characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions). While no definitive laboratory test exists for OCD diagnosis, understanding culturally specific symptoms is crucial for accurate identification and treatment. This pioneering study, conducted in psychiatric clinics in Hamadan City, Iran, focused on the prevalence of pre-written notes—paper, mobile app, or tablet—among 2000 patients and their potential association with OCD. These notes typically included patients’ symptoms, concerns, and questions intended for discussion during their appointments, helping alleviate anxiety and facilitating communication. The research employed a cross-sectional design, incorporating the Maudsley Obsessive-Compulsive Inventory to assess obsessions and compulsions. Results revealed that 27.40% of participants had OCD, with 64.8% of those with OCD using prewritten notes. The severity of OCD symptoms, mainly checking, doubting, slowing-repeat, and cleaning was significantly higher in individuals with pre-written notes. Logistic regression demonstrated that employment (professional or student) and the presence of pre-written notes were positively associated with OCD, while having a bachelor’s degree or higher degree and residing in rural areas were negatively correlated. The sensitivity and specificity of pre-written notes as a sign of OCD were high. These findings propose pre-written notes as a potential diagnostic marker for OCD and highlight the intricate relationship between demographic factors and OCD severity. Moreover, the association between employment or academic status and increased OCD prevalence underscores the need for mental health support programs within these settings. The protective effects of higher education and rural living suggest public health strategies to mitigate OCD risk. Further research across diverse cultural contexts is essential to validate these findings and develop culturally sensitive diagnostic and treatment approaches to improve global mental health outcomes.