Volume 49, Issue 6 pp. 1552-1559
Original Article

Sexual and Religious Obsessions in Relation to Suicidal Ideation in Bipolar Disorder

Ahmed A. L. Abdel Hamid MD, PhD

Ahmed A. L. Abdel Hamid MD, PhD

Department of Psychiatry, Faculty of Medicine, Cairo University, Cairo, Egypt

Search for more papers by this author
Mohamed Nasreldin MD, PhD

Mohamed Nasreldin MD, PhD

Department of Psychiatry, Faculty of Medicine, Cairo University, Cairo, Egypt

Search for more papers by this author
Sherif M. Gohar MD, PhD

Corresponding Author

Sherif M. Gohar MD, PhD

Department of Psychiatry, Faculty of Medicine, Cairo University, Cairo, Egypt

Address correspondence to S. M. Gohar, Department of Psychiatry, Faculty of Medicine, Cairo University, Kasr Al Ainy Street, PO: 11562, Cairo, Egypt; E-mails: [email protected] or [email protected]Search for more papers by this author
Alia A. Saleh MD, PhD

Alia A. Saleh MD, PhD

Department of Psychiatry, Faculty of Medicine, Cairo University, Cairo, Egypt

Search for more papers by this author
Mennat-Allah Tarek MD, MSc

Mennat-Allah Tarek MD, MSc

Department of Psychiatry, Faculty of Medicine, Cairo University, Cairo, Egypt

Search for more papers by this author
First published: 06 February 2019
Citations: 6

Abstract

Objectives

Obsessions and suicidal behavior are common among patients with bipolar disorder. The relation between them and their impact on disease severity should be a focus of attention. This study aimed at assessment of the presence of sexual and religious obsessions in patients with bipolar disorder and their relation to suicide ideation.

Methods

Ninety patients diagnosed with bipolar I disorder were recruited consecutively and subdivided into two groups: bipolar disorder with and without sexual/religious obsessions. Both groups were subjected to Dimensional Yale-Brown Obsessive–Compulsive Scale (DY-BOCS), Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HAMD), and Beck Scale for Suicide Ideation (BSSI).

Results

Patients with bipolar disorder and sexual/religious obsessions were 54.4% (n = 49) of the total sample, and they showed significantly higher number of suicidal attempts, more severe depression, and suicidal ideation than those without sexual/religious obsessions. BSSI showed significantly positive correlation with HAMD and DY-BOCS sexual and religious obsessions dimension-related distress.

Conclusion

Sexual and religious obsessions tend to be more frequent among patients with bipolar disorder. Higher depression and obsessive-related distress potentially contribute to the increased risk of suicidal ideation.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.