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Obsessive compulsive spectrum disorder

S L McElroy1, K A Phillips, P E Keck

  • 1Department of Psychiatry, University of Cincinnati College of Medicine, Ohio.

The Journal of Clinical Psychiatry
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

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Obsessive compulsive spectrum disorders share similarities with obsessive compulsive disorder (OCD), including phenomenological, clinical, and biological patterns. Further research may clarify their relationship within a broader affective spectrum disorder family.

Area of Science:

  • Psychiatry
  • Neuroscience
  • Behavioral Science

Background:

  • Obsessive compulsive disorder (OCD) is hypothesized to be related to various psychiatric and medical disorders.
  • These related conditions are grouped as obsessive compulsive (OCD) spectrum disorders based on shared phenomenological, clinical, and biological characteristics with OCD.

Purpose of the Study:

  • To review the evidence supporting the classification of proposed OCD spectrum disorders.
  • To explore the relationship between OCD, impulse control disorders, and affective spectrum disorders.

Main Methods:

  • Literature review of studies examining phenomenological similarities, comorbidity, family history, biological abnormalities, and treatment responses.
  • Analysis of conditions with compulsive features (e.g., body dysmorphic disorder, anorexia nervosa) and impulsive features (e.g., impulse control disorders, Tourette's disorder).

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Main Results:

  • Proposed OCD spectrum disorders exhibit both differences and similarities with OCD.
  • Evidence suggests these disorders may be related to each other and to OCD.
  • A dimension of compulsivity versus impulsivity may explain some variations among these disorders.

Conclusions:

  • The grouping of these disorders into an OCD spectrum is supported by shared characteristics.
  • These disorders may be related to mood disorders, suggesting a potential link to the broader affective spectrum disorder family.
  • Understanding the compulsivity-impulsivity dimension is crucial for differentiating and relating these conditions.