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Impulsiveness in Obsessive-Compulsive Patients

Published online by Cambridge University Press:  29 January 2018

Rudolf Hoehn-Saric  and
Vernon C. Barksdale
Rudolf Hoehn-Saric
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
Vernon C. Barksdale
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
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Summary

Obsessive-compulsive patients with a history of poor impulse control were identified and compared with non-impulsive obsessive-compulsive patients. Although both groups reported comparable obsessive-compulsive symptoms, the impulsive group rated significantly higher on disturbances during childhood, which included learning problems, low frustration tolerance, poor interpersonal relationships and attention-seeking behaviour. The impulsive group also scored highly on the neuroticism scale of the Eysenck Personality Questionnaire and reported a higher incidence of somatic symptoms. It appears that poor impulse control was related to disturbances which had already manifested themselves during childhood, while the obsessive-compulsive disorder was superimposed at a later time.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 143 , Issue 2 , August 1983 , pp. 177 - 182
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

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References

Barratt, E. S. (1972) Anxiety and impulsiveness: Toward a neuropsychological model. In Anxiety: Current Trends in Theory and Research (ed. Spielberger, C. D.). Vol. 1, pp. 195–222. New York: Academic Press.Google Scholar
Black, A. (1974) The natural history of obsessional neurosis. In Obsessional States (ed. Beech, H. R.), pp. 19–54. London: Methuen.Google Scholar
Derogatis, L. R. (1977) SCL-90: Administration, Scoring, and Procedures Manual I. Baltimore: Clinical Psychometrics Research.Google Scholar
DSM III: Diagnostic and Statistical Manual of Mental Disorders (Third Edition) (1980) pp. 234–5. Washington, D.C.: American Psychiatric Association.Google Scholar
Eysenck, S. B. G. & Eysenck, H. J. (1975) Manual of the Eysenck Personality Questionnaire. London: Hodder and Stoughton.Google Scholar
Frank, J. D., Hoehn-Saric, R., Imber, S. D., Liberman, B. L. & Stone, A. R. (1978) Effective Ingredients of Successful Psychotherapy, pp. 202–6. New York: Brunner-Mazel.Google Scholar
Gomez, R. L., Janowsky, D., Zeitn, M., Huey, L. & Clopton, P. L. (1981) Adult psychiatric diagnosis and symptoms compatible with the hyperactive child syndrome: A retrospective study. Journal of Clinical Psychiatry, 42, 389–94.Google ScholarPubMed
Hamilton, M. (1959) The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–5.Google Scholar
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.Google Scholar
Hoehn-Saric, R. (1981) Characteristics of chronic anxiety patients. In Anxiety: New Research and Changing Concepts (eds. Klein, D. F. and Rabkin, J.), pp. 399–409. New York: Raven Press.Google Scholar
Morrison, J. R. (1979) Diagnosis of adult psychiatric patients with childhood hyperactivity. American Journal of Psychiatry, 136, 955–8.Google Scholar
Noyes, R. Jr., Clancy, J., Hoenk, P. R. & Slymen, D. J. (1980) The prognosis of anxiety neurosis. Archives of General Psychiatry, 37, 173–8.Google Scholar
Quitkin, F. & Klein, D. F. (1969) Two behavioral syndromes in young adults related to possible ***ninimal brain dysfunction. Journal of Psychiatric Research, 7, 131–42.Google Scholar
Quitkin, F., Rifkin, A. & Klein, D. F. (1976) Neurologic soft signs in schizophrenia and character disorders. Archives of General Psychiatry, 33, 845–53.CrossRefGoogle ScholarPubMed
Rotter, J. B. (1966) Generalized expectancies for internal vs. external control of reinforcement. Psychological Monographs, 80(1), 1–28.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970) Manual for the State-Trait Anxiety Inventory. Palo Alto, California: Consulting Psychologists Press.Google Scholar
Tarter, R. E., McBride, H., Buonpane, N. & Schneider, D. U. (1977) Differentiation of alcoholics. Childhood history of minimal brain dysfunction, family history, and drinking patterns. Archives of General Psychiatry, 34, 761–8.CrossRefGoogle Scholar
Walker, V. J. (1973) Explanation on obsessional neurosis. British Journal of Psychiatry, 123, 675–80.Google Scholar
Wender, P. H., Reimherr, F. W. & Wood, D. R. (1981) Attention deficit disorder (“minimal brain dysfunction”) in adults. Archives of General Psychiatry, 449–56.Google Scholar
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