Are obsessive-compulsive symptoms impulsive, compulsive or both?

被引:26
作者
Chamberlain, Samuel R. [1 ,2 ]
Leppink, Eric W. [3 ]
Redden, Sarah A. [3 ]
Grant, Jon E. [3 ]
机构
[1] Univ Cambridge, Dept Psychiat, Cambridge CB2 1TN, England
[2] Cambridge & Peterborough NHS Fdn Trust, Cambridge, England
[3] Univ Chicago, Dept Psychiat & Behav Neurosci, Chicago, IL 60637 USA
关键词
NEUROCOGNITIVE ENDOPHENOTYPES; NEUROPSYCHOLOGICAL DEFICITS; COGNITIVE FLEXIBILITY; 1ST-DEGREE RELATIVES; EXECUTIVE FUNCTION; MOTOR INHIBITION; PADUA INVENTORY; DISORDER; PERFORMANCE; PERSONALITY;
D O I
10.1016/j.comppsych.2016.04.010
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: The relationships between obsessive-compulsive symptoms and distinct forms of impulsivity and compulsivity are unclear. Such examination would be relevant in terms of how best to classify psychiatric disorders and in understanding candidate 'traits' that extend across a continuum between normalcy and clinical disorders. Method: 515 young adults (aged 18-29 years) completed the Padua Inventory and undertook detailed clinical and neurocognitive assessments. Relationships between obsessive-compulsive symptoms and distinct types of impulsivity and compulsivity were evaluated using linear regression modeling. Results: Obsessive-Compulsive symptoms were significantly predicted by female gender, lower quality of life, psychiatric disorders in general (but not impulse control disorders), and worse extra-dimensional set-shifting. Obsessive-Compulsive symptoms were not significantly predicted by alcohol/nicotine consumption, stop-signal reaction times, or decision-making abilities. Conclusion: These data indicate that obsessive-compulsive symptoms are more related to certain forms of compulsivity than to impulsivity. These findings have important implications for diagnostic conceptualizations and neurobiological models. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:111 / 118
页数:8
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