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Characterizing impulsivity profile in patients with obsessive-compulsive disorder.
Beatrice Benatti1, Bernardo Dell'Osso, Chiara Arici
1Dipartimento di fisiopatologia medico-chirurgica e dei trapianti, Università degli Studi di Milano, Dipartimento di Salute Mentale, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico , Via Francesco Sforza 35, Milano , Italy.
Obsessive-compulsive disorder (OCD) patients exhibit higher impulsivity, especially in attentional control, compared to healthy individuals. This suggests a cognitive aspect to OCD impulsivity, regardless of comorbidities.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Impulsivity is a significant factor influencing the outcome and progression of obsessive-compulsive disorder (OCD).
- The Barratt Impulsiveness Scale (BIS) is a validated instrument for assessing impulsivity across attentional, motor, and nonplanning domains.
Purpose of the Study:
- To evaluate and compare impulsivity levels in individuals with OCD against a healthy control group.
- To investigate the influence of psychiatric comorbidities on impulsivity in OCD patients.
Main Methods:
- Seventy-five OCD outpatients and 70 healthy controls were assessed using the Barratt Impulsiveness Scale (BIS).
- Statistical analysis involved Student's t-test for independent samples to compare BIS scores between groups.
- Demographic and clinical characteristics were considered in the analysis.
Main Results:
- OCD patients demonstrated significantly higher overall BIS scores compared to controls (P=0.01).
- Attentional impulsivity was significantly elevated in both pure and comorbid OCD groups (P<0.001) versus controls.
- No significant differences in total or attentional impulsivity were found between pure and comorbid OCD patients.
Conclusions:
- Individuals with OCD exhibit heightened impulsivity compared to healthy controls, with a notable increase in attentional impulsivity.
- These findings highlight a potential cognitive deficit related to impulsivity in OCD.
- Impulsivity levels did not differ significantly based on the presence of psychiatric comorbidities in the OCD sample.
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