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Title: Correlates of insight into different symptom dimensions in obsessive-compulsive disorder
Authors: Fontenelle, Julia M.
Harrison, Ben J.
Santana, Livia
Rosario, Maria Conceicao do [UNIFESP]
Versiani, Marcio
Fontenelle, Leonardo F.
Universidade Federal do Rio de Janeiro (UFRJ)
Univ Melbourne
Universidade Federal de São Paulo (UNIFESP)
Universidade Federal Fluminense (UFF)
DOr Inst Res & Educ
Keywords: obsessive-compulsive disorder
Issue Date: 1-Feb-2013
Publisher: Quadrant Healthcom Inc
Citation: Annals Of Clinical Psychiatry. Parsippany: Quadrant Healthcom Inc, v. 25, n. 1, p. 11-16, 2013.
Abstract: BACKGROUND: In this study, we evaluated insight into different obsessive-compulsive disorder (OCD) symptom dimensions and their impact on clinical and sociodemographic features of patients with OCD.METHODS: Sixty OCD patients were assessed with the Brown Assessment of Beliefs Scale (BABS), the Dimensional Yale-Brown Obsessive-Compulsive Scale-Short Version, the Beck Depression Inventory, and the Sheehan Disability Scale. Two methods of using BABS were employed: 1) a traditional approach, which considers a composite of the insight into existing OCD symptoms, and 2) an alternative approach, which includes assessments of insight into each OCD symptom dimension separately.RESULTS: Composite BABS scores correlated with global severity of OCD and depressive symptoms, and degree of interference on social life/leisure activities and family life/home responsibilities. Dimension-specific correlations between severity of symptoms and insight ranged from very high (P = .87, for hoarding) to moderate (P = .61, for miscellaneous symptoms). Greater severity of depression and concomitant generalized anxiety disorder were independently associated with lower levels of insight into aggressive/checking symptoms. While earlier-onset OCD was associated with lower insight into sexual/religious and symmetry symptoms, later-onset OCD displayed lower insight into hoarding.CONCLUSIONS: Assessing insight into dimension-specific OCD symptoms may challenge the existence of clear-cut OCD with fair or poor insight.
ISSN: 1040-1237
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