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P01-130 - Alexithymia and Suicide Risk among Patients with Obsessive-compulsive Disorder

Published online by Cambridge University Press:  17 April 2020

D. De Berardis ,
N. Serroni ,
C. Ranalli ,
D. Campanella ,
F.S. Moschetta ,
A. Carano ,
M. Caltabiano ,
L. Olivieri ,
R.M. Salerno  and
G. Martinotti
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D. De Berardis
Affiliation:
University of Chieti, Chieti, Italy NHS, Department of Mental Health, Teramo, Italy
N. Serroni
Affiliation:
NHS, Department of Mental Health, Teramo, Italy
C. Ranalli
Affiliation:
NHS, Department of Mental Health, Teramo, Italy
D. Campanella
Affiliation:
NHS, Department of Mental Health, Teramo, Italy
F.S. Moschetta
Affiliation:
NHS, Department of Mental Health, Teramo, Italy
A. Carano
Affiliation:
University of Chieti, Chieti, Italy
M. Caltabiano
Affiliation:
NHS, Department of Mental Health, Teramo, Italy
L. Olivieri
Affiliation:
NHS, Department of Mental Health, Teramo, Italy
R.M. Salerno
Affiliation:
University of Chieti, Chieti, Italy
G. Martinotti
Affiliation:
Catholic University of Sacred Heart, Rome, Italy
L. Janiri
Affiliation:
Catholic University of Sacred Heart, Rome, Italy
M. Di Giannantonio
Affiliation:
University of Chieti, Chieti, Italy

Abstract

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Objective

The aim of our study was to evaluate the relationships between alexithymia and suicidal ideation in a sample of adult outpatients with obsessive-compulsive disorder (OCD).

Methods

A sample of 90 adult outpatients with DSM-IV diagnosis of OCD were tested with tested with the Yale-Brown Obsessive Compulsive Scale, Toronto Alexithymia Scale (TAS-20), Scale for Suicide Ideation (SSI) and Montgomery-Asberg Depression Rating Scale (MADRS).

Results

35 subjects were categorized as alexithymics and showed earlier onset, longer duration of illness and more likelihood to have a chronic course than nonalexithymics; they also scored higher on the MADRS and SSI. Results of a linear regression showed that chronic OCD course together with Difficulty in Identifying Feelings dimension of TAS-20 and higher MADRS scores were significantly associated with higher scores on the SSI.

Conclusions

Suicidal ideation is frequent among adult outpatients with OCD and is strongly related to the presence of alexithymia and depressive symptoms. Implications are discussed.

Type
Anxiety disorders
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E335
Copyright
Copyright © European Psychiatric Association 2010

References

De Berardis, D, Campanella, D, Gambi, F, Sepede, G, Salini, G, Carano, A, et al. Insight and alexithymia in adult outpatients with obsessive-compulsive disorder. Eur Arch Psychiatry Clin Neurosci 2005; 255: 350–358Google Scholar
De Berardis, D, Campanella, D, Serroni, N, Sepede, G, Carano, A, Conti, C, et al. The Impact of Alexithymia on Anxiety Disorders: a Review of the Literature. Curr Psychiatry Rev 2008; 4: 80–86Google Scholar
De Berardis, D, Campanella, D, Serroni, N, Gambi, F, Carano, A, La Rovere, R, et al. Insight and perceived expressed emotion among adult outpatients with obsessive-compulsive disorder. J Psychiatr Pract 2008; 14: 154–159Google Scholar
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