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Body dysmorphic disorder, pathological gambling, and sexual compulsions
1Department of Psychiatry, Mount Sinai School of Medicine, New York, NY 10029, USA.
The Journal of Clinical Psychiatry
|January 1, 1995
Summary
Body dysmorphic disorder (BDD), pathological gambling, and sexual compulsions are discussed as part of the obsessive-compulsive spectrum. These conditions share early onset, chronic courses, and responsiveness to serotonin reuptake inhibitors (SRIs).
Area of Science:
- Psychiatry
- Neuroscience
- Behavioral Science
Background:
- Body dysmorphic disorder (BDD), pathological gambling, and sexual compulsions are significant mental health concerns.
- These disorders are increasingly recognized within the obsessive-compulsive spectrum.
- They share common features like early onset, chronic duration, and high comorbidity.
Purpose of the Study:
- To examine the characteristics and classification of BDD, pathological gambling, and sexual compulsions.
- To explore their relationship within the obsessive-compulsive spectrum disorders.
- To highlight the need for further research and reconceptualization of these disorders.
Main Methods:
- Literature review and conceptual analysis.
- Comparison of clinical features and treatment responses.
- Dimensional assessment within the obsessive-compulsive spectrum model.
Main Results:
- BDD aligns with compulsive/risk-aversive traits; pathological gambling with impulsivity/novelty-seeking.
- Sexual compulsions represent a heterogeneous group with varied SRI responses.
- All three disorders show comorbidity with OCD, depression, and impulse control disorders.
Conclusions:
- These disorders represent an evolving area requiring further investigation.
- Reconceptualizing these conditions may lead to improved treatment outcomes.
- Understanding their placement within the obsessive-compulsive spectrum is crucial for effective management.