Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-05T05:37:12.313Z Has data issue: false hasContentIssue false

Relationship of skin conductance activity to clinical features in obsessive-compulsive ritualizers

Published online by Cambridge University Press:  09 July 2009

P. T. Lelliott
Affiliation:
Department of Experimental Psychopathology, Institute of Psychiatry, London
H. F. Noshirvani
Affiliation:
Department of Experimental Psychopathology, Institute of Psychiatry, London
I. M. Marks
Affiliation:
Department of Experimental Psychopathology, Institute of Psychiatry, London
W. O. Monteiro
Affiliation:
Department of Experimental Psychopathology, Institute of Psychiatry, London
M. Basoglu
Affiliation:
Department of Experimental Psychopathology, Institute of Psychiatry, London
S. D. Cohen
Affiliation:
Department of Experimental Psychopathology, Institute of Psychiatry, London

Synopsis

Before treatment 49 obsessive-compulsive (o-c) ritualizers were presented with two series of brief stimuli – 15, 100db tones (brief neutral) and 15 presentations of a ritual-evoking object (brief aversive). Habituation of skin conductance (SC) responses to the tones was reduced compared with that previously found in normal subjects. Neither habituation rates to tones nor aversive stimuli were related to coexisting anxiety or depression or to the severity of o-c symptoms. The increased arousal induced by the aversive stimuli was sustained, that induced by the tones was short-lived and SC level and subjective anxiety had returned to resting levels by the end of the tone series. Concordance between SC activity and subjective anxiety was much greater during and after the presentations of ritual evoking stimuli than of tones. There were few correlations between SC and clinical measures, though patients who strongly resisted and were able to control their compulsive urges were more aroused.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders III. American Psychiatric Association: Washington.Google Scholar
Averill, J. R., Opton, E. M. & Lazarus, R. S. (1969). Cross-cultural studies of psychophysiological responses during stess and emotion. International Journal of Psychology 4, 83102.CrossRefGoogle Scholar
Beck, A T., Rial, W. Y. & Rickels, K. (1974). Short form of Depression Inventory: cross validation. Psychological Reports 34, 11841186.CrossRefGoogle ScholarPubMed
Boulougouris, J. C., Rabavilas, A. D. & Stefanis, C. (1977). Psychophysiological responses in obsessive-compulsive patients. Behaviour Research and Therapy 15, 221230.CrossRefGoogle ScholarPubMed
Foa, E. B. (1979). Failure in treating obsessive-compulsives. Behaviour Research and Therapy 17, 169176.CrossRefGoogle ScholarPubMed
Frith, C. D., Stevens, M., Johnstone, E. C. & Crow, T. J. (1979). Skin conductance responsivity during acute episodes of schizophrenia as a predictor of symptomatic improvement. Psychological Medicine 9, 101106.CrossRefGoogle ScholarPubMed
Frith, C. D., Stevens, M., Johnstone, E. C. & Crow, T. J. (1982). Skin conductance habituation during acute episodes of schizophrenia: qualitative differences from anxious and depressed patients. Psychological Medicine 12, 575583.CrossRefGoogle ScholarPubMed
Gelder, M. G. & Marks, I M. (1966). Severe agoraphobia: a controlled prospective trial of behaviour therapy. British Journal of Psychiatry 112, 309319.CrossRefGoogle ScholarPubMed
Gruzelier, J H & Venables, P. H. (1972). Skin conductance orienting activity in a heterogeneous sample of schizophrenics: possible evidence of limbic dysfunction. Journal of Nervous and Mental Disease 155, 277287.CrossRefGoogle Scholar
Hamilton, M. (1969). Standardized assessment and recording of depressive symptoms. Psychiatrica, Neurologia, Neurochirurgia 72, 201205.Google ScholarPubMed
Hills, M. & Armitage, P. (1979). The two-period cross-out clinical trial. British Journal of Clinical Pharmacology 8, 720.CrossRefGoogle Scholar
Hodgson, R. & Rachman, S. (1974). Desynchrony in measures of fear. Behaviour Research and Therapy 12, 319326.CrossRefGoogle ScholarPubMed
Hyman, E. T. & Gale, E. N. (1973). Galvanic skin response and reported anxiety during systematic desensitization. Journal of Consulting and Clinical Psychology 40, 108114.CrossRefGoogle ScholarPubMed
Katkin, E. S. (1965). Relationship between manifest anxiety and two indices of autonomic response to stress. Journal of Personality and Social Psychology 2, 324333.CrossRefGoogle ScholarPubMed
Katkin, E. S. & McCubbin, R. J. (1969). Habituation of the orienting response as a function of individual differences in anxiety and autonomic lability. Journal of Abnormal Psychology 74, 5460.CrossRefGoogle ScholarPubMed
Klein, D. F. (1964). Delineation of two drug responsive anxiety syndromes. Psychopharmacologia 5, 397408.CrossRefGoogle ScholarPubMed
Koriat, A., Averill, J. R. & Malmstrom, E. J. (1973). Individual differences in habituation: some methodological and conceptual issues. Journal of Research in Personality 7, 88101.CrossRefGoogle Scholar
Lader, M. H. (1967). Palmar skin conductance measures in anxiety and phobic states. Journal of Psychosomatic Research 11, 271281.CrossRefGoogle ScholarPubMed
Lader, M. H. & Marks, I. M. (1971). Clinical Anxiety. Heinemann Medical: London.CrossRefGoogle Scholar
Lader, M. H. & Wing, L. (1966). Physiological Measures, Sedative Drugs and Morbid Anxiety. Institute of Psychiatry, Maudsley Monograph. Oxford University Press: London.Google Scholar
Lader, M. H. & Wing, L. (1969). Physiological measures in agitated and retarded depressed patients. Journal of Psychiatric Research 7, 89100.CrossRefGoogle ScholarPubMed
Lader, M. H., Gelder, M. G. & Marks, I. M. (1967). Palmar skin conductance measures as predictors of response to desensitization. Journal of Psychosomatic Research 11, 283290.CrossRefGoogle ScholarPubMed
Lang, P. J. (1967). Fear reduction and fear behaviour: problems in treating a construct. In Research in Psychotherapy, Vol III, (ed. Shlien, J. M.), pp. 90102. American Psychological Association: Washington.Google Scholar
Lang, P. J., Melamed, B. G. & Hart, J. (1970). A psychophysiological analysis of fear modification using an automated desensitization procedure. Journal of Abnormal Psychology 76, 220234.CrossRefGoogle ScholarPubMed
Levinson, D. F., Edelberg, R. & Bridger, W. H. (1984). The orienting response in schizophrenia: proposed resolution of a controversy. Biological Psychiatry 19, 489507.Google ScholarPubMed
Marks, I. M. (1987). Fears, Phobias and Rituals. Oxford University Press: New York.Google Scholar
Marks, I. M. & Huson, J. (1973). Physiological aspects of neutral and phobic imagery: further observations. British Journal of Psychiatry 122, 567572.CrossRefGoogle ScholarPubMed
Marks, I. M., Marset, P., Boulougouris, J. & Huson, J. (1971). Physiological accompaniments of neutral and phobic imagery. Psychological Medicine 1, 299307.CrossRefGoogle ScholarPubMed
Rabavilas, A. D. & Boulougouris, J. C. (1974). Physiological accompaniments of ruminations, flooding and thought-stopping in obsessive patients. Behaviour Research and Therapy 12, 239243.CrossRefGoogle Scholar
Rabavilas, A. D., Boulougouris, J C. & Stefanis, C (1977). Synchrony and concordance on subjective and psychophysiological measures after beta-blockade and flooding in obsessive-compulsive patients. In The Treatment of Phobic and Obsessive-Compulsive Disorders (ed. Boulougouris, J. C. and Rabavilas, A D.), pp. 115125. Pergamon Press: London.Google Scholar
Raskin, M. (1975). Decreased skin conductance response habituation in chronically anxious patients. Biological Psychology 2, 309319.CrossRefGoogle ScholarPubMed
Snaith, R. P., Ahmed, S. N., Mehta, S. & Hamilton, M. (1971). Assessment of the seventy of primary depressive illness Wakefield Self-Assessment Depression Inventory. Psychological Medicine 1, 143149.CrossRefGoogle Scholar
Stern, R. S, Marks, I M., Mawson, D. & Luscombe, D. K. (1980). Clomipramine and exposure for compulsive rituals. II. Plasma levels, side effects and outcome. British Journal of Psychiatry 136, 161166.CrossRefGoogle ScholarPubMed
Toone, B. K., Cooke, E. & Lader, M. H. (1981). Electrodermal activity in the affective disorders and schizophrenia. Psychological Medicine 11, 497508.CrossRefGoogle ScholarPubMed