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Level of Obsessionality Among Neurosurgical Patients With a Primary Brain Tumor

Received May 8, 2003; revised March 1, 2004; accepted June 8, 2004. From the University of Oulu, Department of Psychiatry BOX 5000, 90014 Oulu, University of Oulu, Finland; Oulu University Hospital, Department of Psychiatry, BOX 26 90029 OYS, Finland; Oulu University Hospital, Department of Neurosurgery, BOX 26 90029 OYS, Finland. Address correspondence to Mainio Oulu University Hospital, Department of Psychiatry, BOX 26, 90029 OYS, Finland; arja.mainio{at}oulu.fi (E-mail).

Obsessive-compulsive symptoms have been associated with different types of damages or dysfunctions in the brain. However, the accumulated evidence on obsessive-compulsive symptoms among patients with a primary brain tumor is so far based on case reports only. The study population consisted of 59 neurosurgical patients with a primary brain tumor. One preoperative and two postoperative assessments for the level of obsessionality were done with the Crown-Crisp Experiential Index (CCEI)-instrument. Mean obsessionality scores increased significantly among the patients with a tumor in the left anterior region of the brain measured at 3 months after operation, especially in women, compared to the patients with a tumor in other regions of the brain. The level of obsessionality seemed to increase immediately after operation among patients with a primary tumor left anteriorly in the brain. This increase may be linked with the lesion caused by the tumor itself or the neurosurgical operation.

Key Words: OCD • CCEI • brain tumor • neurosurgery • quality of life

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