Severity and Dimensions of Obsessive-Compulsive Disorder and Family Accommodation: OCD severity and Family Accommodation

Background and Objectives: Family accommodation (FA) refers to ways in which family members assistthe patient in the performance of rituals, compulsions, avoidance of anxiety provoking situations, ormodification of daily routines to assist a relative with obsessive-compulsive disorder. The purpose of thisstudy was to study the association between the family accommodation and dimensions of obsessivecompulsive disorder (OCD).Methods: The study was included 45patients and their family members, Yale brown Obsessive-Compulsivescale (YBOCS) was used to assess the severity of OCD in patients and Dimensional Yale brown ObsessiveCompulsive scale (DYBOCS) was used to identify the severity of different dimensions in OCD patientsfamily members were assessed on Family Accommodation Scale for Obsessive–Compulsive Disorder – SelfRated version (FAS-SR) for understanding accommodation level in family. A Pearson’s correlationcoefficient was used to evaluate the association between variables.Results: FA was found to be highly present in the family of patients with OCD. On the DYBOCS we foundthe dimension of cleaning and washing were prevalent and highly correlated with FA.Conclusion: The findings suggested that the family accommodation is very common in families of OCDpatients and strongly associated with symptom severity of few specific dimensions.

Malignant granular cell tumor of the breast; literature review.

Malignant granular cell tumor (MGCT) is rare tumors that comprise 1-2% of all granular cell tumors. They commonly arise on lower extremity, nuchal region, chest wall, gastrointestinal tract, head, and neck but very rarely in breast. We report a case of a MGCT of breast with review of literature. The patient had noticed a breast mass 4 years back which was operated, and wide local excision was done. The tumor was diagnosed as MGCT. The tumor fulfi lled 3 of the 6 criteria of Fanburg-Smith et al. The patient received 8 cycles of chemotherapy thereafter with 4 cycles of antharacycline and 4 of taxanes. However, the tumor reoccurred 4 years after resection and grew rapidly. Contrast-enhanced computed tomography done showed a large lobulated breast mass with axillary lymph node metastasis. She underwent Modifi ed Radical Mastectomy with axillary clearance. The histopathology this time also revealed similar malignant tumor. To the best of our knowledge, only 7 cases have been reported in indexed English literature occurring primarily in breast.