Out of pocket expenses in obsessive compulsive disorder

Figures & data

Table 1. Percentage and number of people reporting out of pocket expenses due to OCD by those meet criteria for each of the OCD sub-types and those not meeting criteria.

	Percentage (number) reporting out of pocket expenses for those meeting criteria for sub-type	Percentage (number) reporting out of pocket expenses for those not meeting criteria for sub-type	Chi^2 (p value)
Subtype 1 – Contamination obsessions/washing & cleaning compulsions	42.73 (n 141)	49.63 (n 67)	1.85 (0.17)
Subtype 2 – Symmetry obsessions with ordering and arranging compulsions	45.48 (n 176)	41.03 (n 32)	0.52 (0.47)
Subtype 3 – Somatic obsessions with checking compulsions	44.21 (n 191)	51.52 (n 17)	0.66 (0.42)
Subtype 4 – Sexual, aggressive and religious obsessions	44.39 (n 178)	46.88 (n 30)	0.14 (0.71)
Subtype 5 – Hoarding	48.10 (n 76)	43.00 (n 132)	1.10 (0.29)
Subtype 6 – Miscellaneous	44.95 (n 178)	43.48 (n 30)	0.05 (0.82)

Table 2. Mean and standard deviation of out of pocket costs (with outliers removed).

	Number	Mean cost (SD), £
Total sample	166	£19.19 (£27.56)
Cost by severity
Moderate OCD	61	£14.67 (SD £20.78)
Severe OCD	88	£21.88 (SD £32.79)
Very severe OCD	17	£21.48 (SD £15.57)
Cost by subtype
Subtype 1 – Contamination obsessions/  washing & cleaning compulsions	110	£19.29 (£30.89)
Subtype 2 – Symmetry obsessions with  ordering and arranging compulsions	141	£19.52 (£29.03)
Subtype 3 – Somatic obsessions  with checking compulsions	150	£19.26 (£28.48)
Subtype 4 – Sexual, aggressive and  religious obsessions	143	£19.70 (£29.19)
Subtype 5 – Hoarding	62	£21.03 (£23.76)
Subtype 6 – Miscellaneous	141	£19.09 (£28.49)

Table 3. Multiple regression of baseline demographic and clinical factors associated with costs.

Baseline characteristic	Adjusted coefficient	95% CI	p Value
Gender
Female	–	–	–
Male	−1.13	−5.09 to 2.83	0.576
Ethnicity
White British	–	–	–
Other	2.88	−2.45 to 8.20	0.289
Age (years)	−0.11	−0.24 to 0.02	0.108
Duration of OCD (years)	0.08	−0.08 to 0.24	0.321
YBOCS score	0.41	−0.11 to 0.93	0.123
PHQ-9 score	0.26	−0.22 to 0.73	0.291
GAD-7 score	−0.73	−1.36 to −0.10	0.022
CORE-OM score	0.42	−0.05 to 0.89	0.081
Anti-depressant medication use
No	–	–	–
Yes	−0.73	−4.66 to 3.21	0.717
Subtype 1 – Contamination obsessions/ washing & cleaning compulsions
No	–	–	–
Yes	−1.93	−5.30 to 1.44	0.261
Subtype 2 – Symmetry obsessions with ordering and arranging compulsions
No	–	–	–
Yes	0.56	−3.02 to 4.14	0.758
Subtype 3 – Somatic obsessions with checking compulsions
No	–	–	–
Yes	−1.29	−7.92 to 5.33	0.702
Subtype 4 – Sexual, aggressive and religious obsessions
No	–	–	–
Yes	0.56	−3.31 to 4.44	0.775
Subtype 5 – Hoarding
No	–	–	–
Yes	3.10	−0.78 to 6.98	0.118
Subtype 6 – Miscellaneous
No	–	–	–
Yes	−0.83	−6.03 to 4.38	0.755
Comorbid anxiety or depression
No	–	–
Yes	0.77	−6.14 to 7.68	0.827
Comorbid depression
No	–	–	–
Yes	4.09	−0.18 to 8.20	0.051