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Related Experiment Videos

Do patients suffering from obsessions alone differ from other obsessive-compulsives?

W Arts1, K Hoogduin, C Schaap

  • 1Psychiatrische Polikliniek Delft, The Netherlands.

Behaviour Research and Therapy
|January 1, 1993
PubMed
Summary

Patients with obsessions and compulsions differ from those with obsessions alone in demographics, symptom severity, and intelligence, but not treatment outcomes. Obsessions alone may represent a distinct subgroup.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Obsessive-compulsive disorder (OCD) is a complex mental health condition.
  • Understanding distinct patient subgroups is crucial for targeted interventions.
  • Differentiating between obsessions with and without compulsions aids in refining diagnostic criteria.

Purpose of the Study:

  • To investigate differences between patients with obsessions and compulsions (OCD) and those with obsessions alone.
  • To compare demographic, clinical, psychological, and treatment outcome variables between these two groups.
  • To determine if obsessions alone constitute a unique subtype of obsessive-compulsive disorder.

Main Methods:

  • Comparative study involving 48 patients with obsessions and compulsions and 26 patients with obsessions alone.

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  • Assessment of demographic variables (marital status, education).
  • Evaluation of clinical variables (age at onset, medication, symptom severity, depression, intelligence).
  • Analysis of treatment outcomes.

    • Main Results:

    • Significant differences were observed in marital status, education level, age at onset, psychoactive medication use, obsessive-compulsive symptom severity, depression levels, and intelligence.
    • No significant differences were found in treatment outcomes between the two groups.
    • Patients with obsessions alone exhibited distinct characteristics compared to those with full OCD.

    Conclusions:

    • The findings suggest that patients with obsessions alone represent a distinct subgroup within the broader spectrum of obsessive-compulsive related disorders.
    • These differences highlight the heterogeneity of obsessive-compulsive presentations.
    • Further research into this subgroup may inform specialized treatment approaches.