Insight and alexithymia in adult outpatients with obsessive-compulsive disorder

被引：89

作者：

De Berardis, D ^{[1
]}

Campanella, D ^{[1
]}

Gambi, F ^{[1
]}

Sepede, G ^{[1
]}

Salini, G ^{[1
]}

Carano, A ^{[1
]}

La Rovere, R ^{[1
]}

Pelusi, L ^{[1
]}

Penna, L ^{[1
]}

Cicconetti, A ^{[1
]}

Cotellessa, C ^{[1
]}

Salerno, RM ^{[1
]}

Ferro, FM ^{[1
]}

机构：

[1] Univ GD Annunzio Chieti, Inst Psychiat, Dept Oncol & Neurosci, Inst Psychiat,Palazzina SE BI,Scuole Specializzaz, I-66013 Chieti, Italy

来源：

EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE | 2005年 / 255卷 / 05期

关键词：

insight; alexithymia; obsessive-compulsive disorder; depression;

D O I：

10.1007/s00406-005-0573-y

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective To elucidate the relationships between insight and alexithymia in a sample of adult outpatients with obsessive-compulsive disorder (OCD). Method 112 adult outpatients with OCD were tested. Severity of OCD was assessed with the first 10-items of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and score for item #11 on the Y-BOCS was considered as a measure of insight. Alexithymia was measured with 20-item Toronto Alexithymia Scale (TAS-20). Additional measures were Maudsley Hospital Obsessive Compulsive Inventory (MOCI) and Montgomery angstrom sberg Depression Rating Scale (MADRS). Results Of the patients, 29.5% showed poor or no insight. Patients with poor or no insight were more alexithymic than patients with excellent, good and moderate insight. TAS-20 total score and subfactors positively correlated with score for item #11 on the Y-BOCS, severity of OCD and MADRS scores. In stepwise regression model, MADRS scores, factor 3 of TAS-20 (Externally Oriented Thinking), somatic and hoarding-saving obsessions were significantly associated with lower insight. Conclusions Results show a relationship between poor or absent insight and high alexithymia levels in OCD patients.

引用

页码：350 / 358

页数：9

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