Influence of specific obsessive-compulsive symptom dimensions on strategic planning in patients with obsessive-compulsive disorder

Revista Brasileira de Psiquiatria

Paula Sanders Pereira Pinto²  Sandro Iego²  Samantha Nunes²  Hemanny Menezes²  Rosana Sávio Mastrorosa¹  Irismar Reis De Oliveira²  Maria Conceição Do Rosário² 

[1] ,Consórcio Brasileiro de Pesquisa em TOC

关键词: Obsessive-compulsive disorder;    Evaluation;    Signs and symptoms;    Executive function;    Strategic planning;    Transtorno obsessivo-compulsivo;    Avaliação;    Sinais e sintomas;    Função executiva;    Planejamento estratégico;   

DOI  :  10.1590/S1516-44462011000100009

来源: SciELO

【 摘 要 】

OBJECTIVE: This study investigates obsessive-compulsive disorder patients in terms of strategic planning and its association with specific obsessive-compulsive symptom dimensions. METHOD: We evaluated 32 obsessive-compulsive disorder patients. Strategic planning was assessed by the Rey-Osterrieth Complex Figure Test, and the obsessive-compulsive dimensions were assessed by the Dimensional Yale-Brown Obsessive-Compulsive Scale. In the statistical analyses, the level of significance was set at 5%. We employed linear regression, including age, intelligence quotient, number of comorbidities, the Yale-Brown Obsessive-Compulsive Scale score, and the Dimensional Yale-Brown Obsessive-Compulsive Scale. RESULTS: The Dimensional Yale-Brown Obsessive-Compulsive Scale "worst-ever" score correlated significantly with the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test (r = 0.4, p = 0.04) and was the only variable to show a significant association after linear regression (β = 0.55, t = 2.1, p = 0.04). Compulsive hoarding correlated positively with strategic planning (r = 0.44, p = 0.03). None of the remaining symptom dimensions presented any significant correlations with strategic planning. CONCLUSION: We found the severity of obsessive-compulsive symptoms to be associated with strategic planning. In addition, there was a significant positive association between the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test copy score and the hoarding dimension score on the Dimensional Yale-Brown Obsessive-Compulsive Scale. Our results underscore the idea that obsessive-compulsive disorder is a heterogeneous disorder and suggest that the hoarding dimension has a specific neuropsychological profile. Therefore, it is important to assess the peculiarities of each obsessive-compulsive symptom dimension.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License