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Are obsessive-compulsive symptoms impulsive, compulsive or both?

Accepted version
Peer-reviewed

Repository DOI


Type

Article

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Authors

Chamberlain, Samuel R 
Leppink, Eric W 
Redden, Sarah A 
Grant, Jon E 

Abstract

BACKGROUND: The relationships between obsessive-compulsive symptoms and distinct forms of impulsivity and compulsivity are unclear. Such examination would be relevant in terms of how best to classify psychiatric disorders and in understanding candidate 'traits' that extend across a continuum between normalcy and clinical disorders. METHOD: 515 young adults (aged 18-29years) completed the Padua Inventory and undertook detailed clinical and neurocognitive assessments. Relationships between obsessive-compulsive symptoms and distinct types of impulsivity and compulsivity were evaluated using linear regression modeling. RESULTS: Obsessive-Compulsive symptoms were significantly predicted by female gender, lower quality of life, psychiatric disorders in general (but not impulse control disorders), and worse extra-dimensional set-shifting. Obsessive-Compulsive symptoms were not significantly predicted by alcohol/nicotine consumption, stop-signal reaction times, or decision-making abilities. CONCLUSION: These data indicate that obsessive-compulsive symptoms are more related to certain forms of compulsivity than to impulsivity. These findings have important implications for diagnostic conceptualizations and neurobiological models.

Description

Keywords

Adult, Compulsive Behavior, Disruptive, Impulse Control, and Conduct Disorders, Female, Humans, Impulsive Behavior, Male, Obsessive-Compulsive Disorder, Quality of Life, Sex Factors, Surveys and Questionnaires, Young Adult

Journal Title

Compr Psychiatry

Conference Name

Journal ISSN

0010-440X
1532-8384

Volume Title

68

Publisher

Elsevier BV
Sponsorship
Wellcome Trust (110049/Z/15/Z)
This research was supported by a grant from the National Center for Responsible Gaming to Dr. Grant. Dr. Chamberlain’s involvement in this work was funded by a grant from the Academy of Medical Sciences, UK. Dr. Grant has received research grants from NIMH, National Center for Responsible Gaming, and Forest and Roche Pharmaceuticals Dr. Grant receives yearly compensation from Springer Publishing for acting as Editor-in-Chief of the Journal of Gambling Studies and has received royalties from Oxford University Press, American Psychiatric Publishing, Inc., Norton Press, and McGraw Hill. Dr. Chamberlain consults for Cambridge Cognition. The other authors have no disclosures.