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Results for “Obsessivecompulsive Symptoms”

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4 recordsLinked to original sources

PubMed1999

[Not Available].

OBJECTIVE: The present study examines the question of whether concomitant narcissistic self-disorders indicate a poorer prognosis in patients with anorexia nervosa (AN) and bulimia nervosa (BN). METHOD: Ninety-one female inpatients who met the DSMIV criteria fo AN or BN were investigated during inpatient treatment by using: a semistructured diagnostic interview, the Eating Disorder Inventory (EDI), the Narcissism Inventory (NI), the Hamburg Obsession-Compulsion Inventory, and the Inventory of Interpersonal Problems (IIP). The patients were divided into two groups: those with and those without narcissistic self-disorders as measured by the NI. Seventy-five patients were assessed at follow-up thirty months after discharge. RESULTS: Fifty-one percent of the follow-up group no longer fulfilled the DSM-IV criteria for AN or BN, and there was no significant correlation with the earlier presence of concomitant narcissistic self-disorders. At follow-up, patients with narcissistic self-disorders had significantly more pathological mean scores than patients without such disorders on four of the eight EDI scales and on four of the eight IIP scales. ANOVA for repeated measures revealed significant improvement over time on seven of the eight EDI scales in both groups. However, significant group-by-time interactions demonstrated that patients with narcissistic self-disorders had improved more over time than patients without selfdisturbances. Furthermore, the obsessive-compulsive Symptoms of those patients with narcissistic self-disorders who no longer fulfilled DSM-IV criteria for AN or BN had significantly decreased. CONCLUSION: Our findings indicate that the improvement of eating disorder Symptoms corresponds to a decrease in obsessive-compulsive Symptoms. In addition, there is a certain degree of independence between the severity of narcissistic self-disorders and the outcome of AN or BN. The results suggest that concomitant narcissistic self-disorders do not indicate a significantly poorer prognosis in patients with AN and BN.

Anorexia nervosa↗

PubMed2005

Child psychoanalysis and obsessive-compulsive symptoms: the treatment of a ten-year-old boy.

Obsessive-compulsive symptoms have long held interest for psychoanalysts. Currently, pharmacological and behavioral treatments are commonly viewed as the standard of care, and psychoanalytic clinicians are often uncertain of how best to approach these patients. The successful two-year psychoanalytic treatment of a ten-year-old boy with obsessivecompulsive disorder, who remained symptom-free eight years after termination, is reported. While this is but a single case, its outcome implies that for some patients psychoanalysis may be the treatment of choice.

Child↗

PubMed2002

Comparison of clinical characteristics in good and poor insight obsessive-compulsive disorder.

Beginning with DSM-III-R, the condition of an intact insight towards obsessive-compulsive symptoms, which was essential for the classical definition of obsessivecompulsive neurosis, has been removed, permitting inclusion of cases with poor insight. A total of 94 cases who met DSM-III-R criteria for obsessive-compulsive disorder were included in this study. The Structured Clinical Interview for DSM-III-R (SCID-P), YaleBrown Obsessive Compulsive Scale (Y-BOCS), Hamilton Rating Scale for Depression (HRSD), Hamilton Rating Scale for Anxiety (HRSA), and State-Trait Anxiety Inventory (STAI) were administered to each patient. Two subgroups determined by DSM-IV item "poor insight" were compared for demographic variables and the scores obtained on the scales. Scores on the Y-BOCS, HRSA, HRSD and STAI-state were significantly higher in the poor insight group. Current and past major depression were also more frequent. Among personality disorders (PDs), avoidant PD was more common in the good insight group and borderline and narcissistic PDs were more common in the poor insight group. HRSA, HRSD, and STAI-state scores had weak to moderate but significant correlations with insight as defined by the item 11 of Y-BOCS. Findings are discussed in view of previous reports.

Adult↗

PubMed2001

Obsessivecompulsive disorder and traumatic brain injury: behavioral, cognitive, and neuroimaging findings.

OBJECTIVE: The goal of this study was to evaluate behavior and cognition in a consecutive series of patients who developed obsessive-compulsive disorder (OCD) after suffering a traumatic brain injury (TBI). BACKGROUND: Because OCD is a rare sequelae of TBI, the phenomenology of obsessions and compulsions, the comorbid psychiatric disorders, the performance on cognitive tests, and the neural correlates have not been well characterized. METHODS: Ten adult patients who met DSM-IV diagnostic criteria for OCD after suffering either mild (6 cases), moderate (2 cases), or severe (2 cases) TBI were studied using structured psychiatric rating scales (i.e., Yale-Brown Obsessive Compulsive Scale), cognitive tests, and magnetic resonance imaging (MRI). RESULTS: Global severity of OCD ranged from moderate to severe, and all patients had multiple obsessions and compulsions. There was a high frequency of aggressive, contamination, need for symmetry/exactness, somatic, and sexual obsessions as well as cleaning/washing, checking, and repeating compulsions. Unusual features such as obsessional slowness (3 cases) and compulsive exercising (3 cases) were also documented. Comorbid psychiatric diagnoses were common and included posttraumatic stress disorder, anxiety with panic attacks, depression, and intermittent explosive disorder. Compared with 10 age-matched normal controls, the OCD group had poor performance on tests of general intelligence, attention, learning, memory, word-retrieval, and executive functions; these cognitive deficits were more pervasive among patients displaying obsessional slowness. All OCD patients with mild TBI had normal MRI scans, whereas focal contusions in the frontotemporal cortices, subcortical structures (caudate nucleus), or both were found in OCD patients with moderate and severe TBI. CONCLUSIONS: Posttraumatic OCD has a relatively specific pattern of symptoms even in patients with mild TBI and is associated with a variety of other psychiatric disorders, particularly non-OCD anxiety. The patterns of cognitive deficits and MRI findings suggest dysfunction of frontal-subcortical circuits.

Adult↗