Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study

Jianbo Lai,1–3,* Weihua Zhou,1–3,* Qiaoqiao Lu,1 Tingting Huang,1 Yi Xu,1–3 Shaohua Hu1–3 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People’s Republic of China; 2The Key Laboratory of Ment...

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Autores principales: Lai JB, Zhou WH, Lu QQ, Huang TT, Xu Y, Hu SH
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:779e548c0b814ab1b7d93d7c05634ab22021-12-02T05:52:39ZLaxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study1178-2021https://doaj.org/article/779e548c0b814ab1b7d93d7c05634ab22018-04-01T00:00:00Zhttps://www.dovepress.com/laxative-use-and-clinical-correlates-in-hospitalized-patients-with-obs-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jianbo Lai,1–3,* Weihua Zhou,1–3,* Qiaoqiao Lu,1 Tingting Huang,1 Yi Xu,1–3 Shaohua Hu1–3 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People’s Republic of China; 2The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, Hangzhou, People’s Republic of China; 3Brain Research Institute of Zhejiang University, Hangzhou, People’s Republic of China *These authors contributed equally to this work Background: Constipation is a common clinical problem with insufficient attention. Medication-emergent constipation is a rarely studied adverse reaction in patients with obsessive-compulsive disorder (OCD).Methods: In this descriptive study, we retrospectively investigated the prevalence of laxative use and its relationship with clinical characteristics in hospitalized OCD patients. A total of 51 OCD patients were included in the final analysis.Results: The proportion of patients using laxatives was 31.4%, and the commonly used laxatives were phenolphthalein tablet, lactulose and congrongtongbian oral liquid (a patent herbal medicine). In the laxative group, hospital stays were longer when compared to the nonlaxative group. Moreover, the dose of paroxetine was higher in patients treated with laxatives than in those without laxative use. Correlation analysis indicated that laxative use was positively associated with hospital stays, as well as the dose of paroxetine.Conclusion: The current study provided a preliminary picture of constipation and laxative use in hospitalized OCD patients. Close monitoring and treatment of constipation are recommended in OCD patients with pharmacotherapy. Keywords: obsessive-compulsive disorder, constipation, laxative, hospital stay, paroxetineLai JBZhou WHLu QQHuang TTXu YHu SHDove Medical PressarticleObsessive-compulsive disorderconstipationlaxativehospital stayparoxetineNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 933-936 (2018)
institution DOAJ
collection DOAJ
language EN
topic Obsessive-compulsive disorder
constipation
laxative
hospital stay
paroxetine
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Obsessive-compulsive disorder
constipation
laxative
hospital stay
paroxetine
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Lai JB
Zhou WH
Lu QQ
Huang TT
Xu Y
Hu SH
Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
description Jianbo Lai,1–3,* Weihua Zhou,1–3,* Qiaoqiao Lu,1 Tingting Huang,1 Yi Xu,1–3 Shaohua Hu1–3 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People’s Republic of China; 2The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, Hangzhou, People’s Republic of China; 3Brain Research Institute of Zhejiang University, Hangzhou, People’s Republic of China *These authors contributed equally to this work Background: Constipation is a common clinical problem with insufficient attention. Medication-emergent constipation is a rarely studied adverse reaction in patients with obsessive-compulsive disorder (OCD).Methods: In this descriptive study, we retrospectively investigated the prevalence of laxative use and its relationship with clinical characteristics in hospitalized OCD patients. A total of 51 OCD patients were included in the final analysis.Results: The proportion of patients using laxatives was 31.4%, and the commonly used laxatives were phenolphthalein tablet, lactulose and congrongtongbian oral liquid (a patent herbal medicine). In the laxative group, hospital stays were longer when compared to the nonlaxative group. Moreover, the dose of paroxetine was higher in patients treated with laxatives than in those without laxative use. Correlation analysis indicated that laxative use was positively associated with hospital stays, as well as the dose of paroxetine.Conclusion: The current study provided a preliminary picture of constipation and laxative use in hospitalized OCD patients. Close monitoring and treatment of constipation are recommended in OCD patients with pharmacotherapy. Keywords: obsessive-compulsive disorder, constipation, laxative, hospital stay, paroxetine
format article
author Lai JB
Zhou WH
Lu QQ
Huang TT
Xu Y
Hu SH
author_facet Lai JB
Zhou WH
Lu QQ
Huang TT
Xu Y
Hu SH
author_sort Lai JB
title Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
title_short Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
title_full Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
title_fullStr Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
title_full_unstemmed Laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
title_sort laxative use and clinical correlates in hospitalized patients with obsessive-compulsive disorder: a retrospective descriptive study
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/779e548c0b814ab1b7d93d7c05634ab2
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