Anger is associated with aggressive, contamination, and sexual obsessions in severe OCD outpatients

2016 ◽  
Vol 33 (S1) ◽  
pp. S202-S202
Author(s):  
D. Piacentino ◽  
M. Pasquini ◽  
L. Tarsitani ◽  
I. Berardelli ◽  
V. Roselli ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Rapid Assessment ◽  
University Hospital ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Dsm V ◽  
Psychiatric Outpatient Clinic ◽  
Competing Interest ◽  
Obsessive Compulsive Personality Disorder ◽  
Age Range

IntroductionDespite the potential theoretical and clinical relevance of psychopathological dimensions in Obsessive-Compulsive Disorder (OCD), few studies to date have investigated their possible association with obsession subtypes.Objectives/AimsWe aimed to examine whether, in OCD patients, anger and other psychopathological dimensions are associated with specific obsession subtypes.MethodsWe consecutively recruited 57 first-visit DSM-V OCD patients (females = 66.7%; age range = 18–63 years) at the Psychiatric Outpatient Clinic of our University Hospital. These patients were affected by severe OCD, as shown by a median (1st quartile–3rd quartile) Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) score of 27.0 (23.0–32.5). We used the point-biserial coefficient (rpbi) to measure the correlation between psychopathological dimensions, as assessed with the Scale for the Rapid Assessment of Psychopathology (SVARAD), and obsession subtypes, as evaluated with the Y-BOCS.ResultsWe found significant correlations (P-values < 0.05) between: anger/aggressiveness dimension and aggressive, contamination, and sexual obsessions; apprehension/fear dimension and contamination, religious, and somatic obsessions; sadness/demoralization dimension and contamination and somatic obsessions; obsessiveness/iterativity dimension and all obsession subtypes; impulsivity dimension and aggressive and sexual obsessions; somatic concern/somatization dimension and contamination and somatic obsessions. We also found, by using the Mann-Whitney U-test, that OCD patients with comorbid Obsessive-Compulsive Personality Disorder–but not Schizotypal or Histrionic ones–showed higher levels (P < 0.05) of obsessiveness/iterativity and anger/aggressiveness than OCD patients without the personality disorder.ConclusionsAnger and other psychopathological dimensions seem to be linked with specific obsession subtypes in OCD patients, suggesting an association between these dimensions and OCD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Severity of traumatic events in patients with eating disorders. A case-control study

2016 ◽  
Vol 33 (S1) ◽  
pp. S165-S166
Author(s):  
A.M. Pignatelli ◽  
C. Loriedo ◽  
M. Biondi ◽  
P. Girardi ◽  
J. Vanderlinden ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Childhood Abuse ◽  
Emotional Abuse ◽  
Traumatic Events ◽  
University Hospital ◽  
Traumatic Experiences ◽  
Emotional Neglect ◽  
Psychiatric Outpatient Clinic ◽  
Competing Interest ◽  
Age Range

IntroductionA high proportion of individuals with eating disorders (EDs) report childhood abuse and neglect. The prevalence of traumatic events in ED patients has been extensively investigated; less is known about their self-perceived–and reported–severity. Objectives/Aims: We aimed to assess in ED patients vs. healthy controls the severity, i.e., duration, perpetrator, and subjective impact, of sexual, physical, and emotional traumas suffered from 0 to 18 years, paying particular attention to emotional neglect.MethodsFifty-seven consecutive DSM-V ED patients (91.2% females; age range: 18–42 years) were recruited at the Psychiatric Outpatient Clinic of our University Hospital. Ninety controls (78.9% females; age range: 20–39 years) were also recruited. Among ED patients, 43.9% had restrictive anorexia nervosa (AN), 29.8% binge/purging AN, 26.3% bulimia nervosa. Individuals completed the Eating Disorder Inventory-2 (EDI-2) and the Traumatic Experiences Checklist (TEC).ResultsThe severity of all traumatic events, according to the TEC total score, was significantly higher in ED patients than controls (P < 0.001). Moreover, ED patients showed significantly higher scores with regard to emotional neglect (P < 0.001) and emotional abuse (P < 0.001). The same can be said for physical traumas (P < 0.01) and physical abuse (P < 0.01), although with a lower significance, and for sexual abuse (P < 0.05), with an even lower significance. No difference in the severity of sexual harassment was found.ConclusionsAll types of traumas, especially neglect, can occur in ED patients and controls, however they are reported as more severe by ED patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clarifying The Convergence Between Obsessive Compulsive Personality Disorder Criteria And Obsessive Compulsive Disorder

2006 ◽  
Vol 20 (3) ◽  
pp. 294-305 ◽  
Author(s):  
Jane L. Eisen ◽  
Meredith E. Coles ◽  
M. Tracie Shea ◽  
Maria E. Pagano ◽  
Robert L. Stout ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Obsessive Compulsive Personality Disorder

scholarly journals The neuropsychology of obsessive-compulsive personality disorder: a new analysis

CNS Spectrums ◽  
2015 ◽  
Vol 20 (5) ◽  
pp. 490-499 ◽  
Author(s):  
Naomi A. Fineberg ◽  
Grace A. Day ◽  
Nica de Koenigswarter ◽  
Samar Reghunandanan ◽  
Sangeetha Kolli ◽  
...  
Keyword(s):  
Decision Making ◽  
Personality Disorder ◽  
Personality Assessment ◽  
Neuropsychological Test ◽  
Set Shifting ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Neurocognitive Profile ◽  
Obsessive Compulsive Personality Disorder ◽  
Neurocognitive Tasks

BackgroundObsessive compulsive personality disorder (OCPD) is characterized by perfectionism, need for control, and cognitive rigidity. Currently, little neuropsychological data exist on this condition, though emerging evidence does suggest that disorders marked by compulsivity, including obsessive-compulsive disorder (OCD), are associated with impairment in cognitive flexibility and executive planning on neurocognitive tasks.AimThe current study investigated the neurocognitive profile in a nonclinical community-based sample of people fulfilling diagnostic criteria for OCPD in the absence of major psychiatric comorbidity.MethodTwenty-one nonclinical subjects who fulfilled Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for OCPD were compared with 15 healthy controls on selected clinical and neurocognitive tasks. OCPD was measured using the Compulsive Personality Assessment Scale (CPAS). Participants completed tests from the Cambridge Automated Neuropsychological Test Battery including tests of set shifting (Intra-Extra Dimensional [IED] Set Shifting) executive planning (Stockings of Cambridge [SOC]), and decision making (Cambridge Gamble Task [CGT]).ResultsThe OCPD group made significantly more IED-ED shift errors and total shift errors, and also showed longer mean initial thinking time on the SOC at moderate levels of difficulty. No differences emerged on the CGT.ConclusionsNonclinical cases of OCPD showed significant cognitive inflexibility coupled with executive planning deficits, whereas decision-making remained intact. This profile of impairment overlaps with that of OCD and implies that common neuropsychological changes affect individuals with these disorders.

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