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Titolo:
Insight and resistance in patients with obsessive-compulsive disorder
Autore:
Catapano, F; Sperandeo, R; Perris, F; Lanzaro, M; Maj, M;
Indirizzi:
Univ Naples, Fac Med 1, Dept Psychiat, I-80138 Naples, Italy Univ Naples Naples Italy I-80138 1, Dept Psychiat, I-80138 Naples, Italy
Titolo Testata:
PSYCHOPATHOLOGY
fascicolo: 2, volume: 34, anno: 2001,
pagine: 62 - 68
SICI:
0254-4962(200103/04)34:2<62:IARIPW>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHOTIC FEATURES; SCHIZOPHRENIA; PHENOMENOLOGY; DELUSIONS; NEUROSIS; BELIEFS; SCALE;
Keywords:
obsessive-compulsive disorder; insight; serotonin reuptake inhibitors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Catapano, F Univ Naples, Fac Med 1, Dept Psychiat, Largo Madonna Grazie, I-80138 Naples, Italy Univ Naples Largo Madonna Grazie Naples Italy I-80138, Italy
Citazione:
F. Catapano et al., "Insight and resistance in patients with obsessive-compulsive disorder", PSYCHOPATH, 34(2), 2001, pp. 62-68

Abstract

The aim of this study was to evaluate the degree of insight and resistancein a sample of obsessive-compulsive patients, and the predictive value of poor insight with respect to response to treatment with serotonin reuptake inhibitors (SRls). Ninety-three patients fulfilling DSM-IV criteria for obsessive-compulsive disorder were evaluated. Seventy patients were treated with an SRI in a 24-week open-label trial. Sixteen percent of the patients did not recognize obsessions and compulsions as unreasonable or senseless. Fifty-two percent of the patients did not try to resist, 72% had little or nocontrol over obsessions, and 64% were not able to exercise an effective control over compulsions. Patients with poor insight had a greater severity of obsessive-compulsive symptoms, a higher rate of schizophrenia spectrum disorders in their first-degree relatives and a higher frequency of a historyof psychiatric disorders during childhood. Fifty-two percent of the patients with normal insight responded to SRls, whereas none of the patients withpoor insight were found to be responders. These results suggest the utility of the assessment of insight and resistance in obsessive-compulsive patients, also for the prediction of response to treatment with SRls. Copyright(C)2001S.KargerAG,Basel.

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Documento generato il 25/01/20 alle ore 06:18:55