Background and Objectives: Obsessive symptoms among children and adolescent age groups are increasing, an observation made by mental health professionals working with this age group. Our epidemiological study targeted secondary school students to estimate the prevalence of obsessive symptoms, obsessive compulsive disorder and their different obsessive compulsive contents. Methods: The study is cross sectional carried on 1299 secondary school students, the sample size was chosen based on an estimated Obsessive Compulsive Disorder (OCD) prevalence of 2% in literature. Equal samples were recruited from the 3 educative zones in Alexandria Governorate. Obsessive compulsive symptoms were assessed by the Arabic version of Lyeton obsessive inventory child version LOI-CV. Students scoring above 35 were subjected to the Mini International Neuropsychiatric Interview for children MINI-KID Arabic. OCD patient students detected by MINI-KID were assessed by psychiatric interview to confirm fulfilling criteria of OCD according to DSM IV-TR criteria. Different obsessive compulsive symptoms were assessed by a standardized questionnaire. Results: Among the studied sample (n = 1299), 201 students scored > 35 on LOI-CV i.e. 15.5% of the total sample have OCS. The prevalence of OCD among studied sample was 2.2% as 29 students from the OCS students were fulfilling diagnostic criteria for OCD according to DSM-IV TR. Common obsessive symptoms were of excessive conscience 65.5%, blasphemous 55.2%, repeated words 51.7% and sexual obsessions 48.2%. Conclusions: The prevalence of obsessive compulsive symptoms is high among adolescent age group. Cultural impact should be considered to better understand obsessive phenomenology, raising the importance of OCD study from a transcultural perspective.

Background:Mental health professionals observed booming in prevalence of obsessive compulsive symptoms among children and adolescents. Our epidemiological study aims at estimating the prevalence of obsessive symptoms and obsessive compulsive disorder among secondary school students and, as a secondary research objective, to assess religious attitudes among those patients.Materials:The study is cross sectional conducted on 1299 secondary school students, adequate sample size estaimated on a prevalence of 2% for Obsessive Compulsive Disorder (OCD) in literature. Equal samples were recruited from the 3 educative zones in Alexandria Governorate. Obsessive compulsive symptoms were assessed by the Lyeton obsessive inventory child LOI-CV, the Arabic version that has been validated and tested for reliability in Egyptian culture. Those scoring 35 or above were subjected to the Mini International Neuropsychiatric Interview for children MINI-KID Arabic. Patients with OCD had their diagnosis confirmed by psychiatric interview to assure fulfillment of criteria of OCD according to DSM IV –TR criteria. A standardized self reporting questionnaire was designed to assess religious attitudes.Results:Among the studied sample (n=1299), 201 students were scored > 35 on LOI-CV i.e. 15.5% of the total sample have OCS The prevalence of OCD among studied sample was 2.2% as 29 students from the OCS students were fulfilling diagnostic criteria for OCD according to DSM-IV TR. Religious practicing attitudes were 93.1% and 79.6% in adolescents with obsessive compulsive disorder OCD and obsessive compulsive symptoms OCS respectively with no difference (X2=0.07)Conclusion:There’s a high prevalence rate of obsessive symptoms among adolescents, such finding highlights the necessity and need of public awareness and screening of adolescents for early detection and management. Religious attitude didn’t show significant difference among adolescents showing only obsessive compulsive disorder or those showing only obsessive compulsive symptoms

Aim: To assess the prevalence of obsessive compulsive symptoms OCS among adolescents, the prevalence of OCD among adolescents and as a secondary aim to assess perception of parents' rearing style among adolescents with OCS and OCD. Materials and methods: Consent from the Directory of Ministry of Education and another consent from the General authority of Population for the questionnaire and procedures were taken. The study is a cross sectional carried on 1299 secondary school students, the sample size was chosen based on an estimated OCD prevalence of 2% in literature. Equal samples were recruited from the 3 educative zones in Alexandria Governorate. Obsessive compulsive symptoms were assessed by the Arabic version of Lyeton obsessive inventory child version LOI-CV. Students scoring above 35 were subjected to the Mini International Neuropsychiatric Interview for children MINI-KID Arabic version to assess psychiatric comorbidities. OCD patient students detected by MINI-KID were assessed by psychiatric interview to confirm fulfilling criteria of OCD according to DSM IV-TR criteria.Perception of parents'rearing style was assessed using the Egna Minnen Uppfostren (EMBU) Arabic version. Results: The prevalence of obsessive compulsive symptoms was 15.5%, while that of obsessive compulsive disorder was 2.2%.As for EMBU scale, score of warmth, rejection and control subscales were 16.03±4.72, 23.1±5.39 and 10.31±1.69 for OCD group compared to 19±2.44, 23.07±4.68 and 9.9±1.35 for OCS group respectively. Only difference for warmth subscale was significant p< 0.002.

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Aim: To assess the prevalence of obsessive compulsive symptoms OCS among adolescents, the prevalence of OCD among adolescents and as a secondary aim to assess recurrent tonsillitis among adolescents with OCS and OCD. Materials and methods: Consent from the Directory of Ministry of Education and another consent from the General authority of Population for the questionnaire and procedures were taken. The study is a cross sectional carried on 1299 secondary school students, the sample size was chosen based on an estimated OCD prevalence of 2% in literature. Equal samples were recruited from the 3 educative zones in Alexandria Governorate. Obsessive compulsive symptoms were assessed by the Arabic version of Lyeton obsessive inventory child version LOI-CV. Students scoring above 35 were subjected to the Mini International Neuropsychiatric Interview for children MINI-KID Arabic version to assess psychiatric comorbidities. OCD patient students detected by MINI-KID were assessed by psychiatric interview to confirm fulfilling criteria of OCD according to DSM IV-TR criteria.Recurrent tonsillitis was assessed by a standardized questionnaire for parents to assess if no recurrent tonsillitis or if there's recurrent tonsillitis including those who had tonsillectomy or receiving long acting penicillin injection. Results: The prevalence of obsessive compulsive symptoms was 15.5%, while that of obsessive compulsive disorder was 2.2%. As for history of recurrent tonsillitis, no difference could be found between those having OCD and the other group non-OCD with ob sessive compulsive symptoms (X 2 =0.87; p>0.05).