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Related Experiment Videos

Dissociative symptoms in obsessive-compulsive dimensions.

H J Grabe1, F Goldschmidt, L Lehmkuhl

  • 1Department of Psychiatry, Ernst-Moritz-Arndt-Universität Greifswald, Klinikum der Hansestadt Stralsund, Germany.

Psychopathology
|November 27, 1999
PubMed
Summary
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Obsessive-compulsive disorder (OCD) dimensions like checking and symmetry are linked to dissociative symptoms. Other OCD symptoms, such as washing or counting, showed no association with dissociation.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Obsessive-compulsive disorder (OCD) and dissociation are frequently co-occurring conditions.
  • Previous research indicates a link between these two conditions, but a precise phenomenological association requires further investigation.

Purpose of the Study:

  • To precisely evaluate the phenomenological association between specific obsessive-compulsive and dissociative symptoms.
  • To determine which dimensions of OCD correlate with dissociative symptomatology.

Main Methods:

  • Seventy patients diagnosed with OCD (DSM-IV) were assessed.
  • The Hamburg Obsessive-Compulsive Inventory (HZI) and the Dissociation Experience Scale were utilized.
  • Correlation and discriminant analyses were performed to analyze the data.

Related Experiment Videos

Main Results:

  • The 'Checking' and 'Symmetry and Ordering' dimensions of OCD showed a significant relationship with dissociative symptomatology.
  • No significant association was found between dissociative symptoms and the OCD dimensions of 'Washing and Cleaning', 'Counting and Touching', or 'Aggressive Impulses and Fantasies'.
  • HZI dimensions effectively discriminated between patients with high and low levels of dissociative symptomatology.

Conclusions:

  • Specific OCD symptom dimensions, particularly 'Checking' and 'Symmetry and Ordering', are phenomenologically associated with dissociative symptoms.
  • These findings suggest distinct pathways or underlying mechanisms for different OCD symptom clusters in relation to dissociation.
  • The results have implications for understanding the psychodynamic and therapeutic approaches for patients with comorbid OCD and dissociation.