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Impulsiveness in obsessive-compulsive patients.

R Hoehn-Saric, V C Barksdale

    The British Journal of Psychiatry : the Journal of Mental Science
    |August 1, 1983
    PubMed
    Summary
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    Impulsive obsessive-compulsive disorder (OCD) patients show significant childhood disturbances, including behavioral issues and low frustration tolerance. These early problems appear related to later OCD development, distinct from core OCD symptoms.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Neuroscience

    Background:

    • Obsessive-compulsive disorder (OCD) is a debilitating mental health condition.
    • Impulse control difficulties are sometimes observed in OCD patients.
    • Understanding the origins and correlates of impulsivity in OCD is crucial for effective treatment.

    Purpose of the Study:

    • To investigate the relationship between poor impulse control and childhood disturbances in patients with obsessive-compulsive disorder.
    • To compare impulsive and non-impulsive OCD patient groups on various psychological and developmental factors.

    Main Methods:

    • Comparative study design.
    • Identification and comparison of two groups of obsessive-compulsive patients: those with a history of poor impulse control and those without.

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  • Assessment of childhood disturbances, personality traits (Eysenck Personality Questionnaire), and somatic symptoms.

    • Main Results:

    • Both impulsive and non-impulsive OCD groups reported comparable obsessive-compulsive symptoms.
    • The impulsive OCD group reported significantly higher levels of childhood disturbances, including learning problems, low frustration tolerance, poor interpersonal relationships, and attention-seeking behavior.
    • The impulsive group also exhibited higher scores on the neuroticism scale and a greater incidence of somatic symptoms.

    Conclusions:

    • Poor impulse control in obsessive-compulsive disorder appears linked to pre-existing childhood disturbances.
    • These childhood issues may precede the onset of obsessive-compulsive disorder, suggesting a developmental pathway.
    • Impulsivity may represent a distinct phenotype within OCD, associated with specific early life adversities and personality traits.