No CrossRef data available.
Article contents
Insight en el trastorno obsesivo-compulsivo: un estudio de una muestra italiana
Published online by Cambridge University Press: 12 May 2020
Resumen
El insight es un fenómeno complejo que se puede interpretar según un modelo dimensional. Dados los polémicos datos del insight en el trastorno obsesivo-compulsivo (TOC), nuestro estudio tenía el propósito de investigar este fenómeno en una muestra italiana de pacientes con TOC por medio del elemento específico en la Escala de Obsesión-Compulsión de Yale-Brown (Y-BOCS) y explorar las posibles correlaciones entre el insight y los rasgos clínicos. Se incluyó en el estudio a 117 pacientes ambulatorios con un diagnóstico del DSM IV de TOC y diferentes trastornos psiquiátricos comórbidos y se los evaluó por medio de la Y-BOCS, la Escala de Depresión de Hamilton (HRSD) y la Impresión Clínica Global. Los resultados mostraron que casi el 50% de los pacientes tenía un nivel excelente de insight y el 15% tenía poco o ningún insight. No se observó correlación entre los niveles de insight y los rasgos clínicos, excepto una tendencia negativa con la presencia de obsesiones somáticas. Además, se observó una tendencia hacia un nivel inferior de insight en los pacientes bipolares con antecedentes positivos de episodios maníacos o hipomaníacos repetidos. Parecen necesarios estudios adicionales para establecer si los pacientes de TOC con mal insight representan o no un subgrupo distinto de pacientes.
- Type
- Artículo original
- Information
- Copyright
- Copyright © European Psychiatric Association 2003
References
Bibliografía
Amador, XF, Strauss, DH, Yale, SA, Flaum, MM, Endicott, J, Gorman, JM.Assessment of insight in psychosis. Am J Psychiatr 1993;150(6):873-9.Google ScholarPubMed
Amador, XF, Strauss, DH, Yale, SA, Gorman, JM.Awareness of illness in schizophrenia. Schizophr Bull 1991;17(1):113-32.CrossRefGoogle Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-IV), 4th ed. Washington, DC: APA; 1994.Google Scholar
Black, DW, Monahan, P, Gable, J, Blum, N, Clancy, G, Baker, P.Hoarding and treatment response in 38 non-depressed subjects with obsessive-compulsive disorder. J Clin Psychiatr 1998;59(8):420-5.CrossRefGoogle Scholar
Catapano, F, Sperandeo, R, Di Martino, S, Bartoli, L, Maj, M.Insight e resistenza nei pazienti ossessivi. G lt Psicopatologia 1996;2:126-32.Google Scholar
Eisen, JL, Rasmussen, SA.Obsessive-compulsive disorder with psychotic features. San Francisco, CA: Poster presented at the meeting of the American Psychiatric Association; 1989.Google Scholar
Eisen, JL, Rasmussen, SA.Obsessive-compulsive disorder with psychotic features. J Clin Psychiatr 1993;54:373-9.Google ScholarPubMed
First, MB, Spitzer, RL, Gibbon, M, Williams, JBV.Structured clinical interview for DSM-IV axis I disorder-patient Edition (SCID-I/P, version 2.0, 4/97 revisión). New York State Psychiatric Institute: Biometrics Research Department; 1997.Google Scholar
Frost, RO, Krause, MS, Steketee, G.Hoarding and obsessivecompulsive symptoms. Behav Modif 1996;20:116-32.CrossRefGoogle Scholar
Ghaemi, SN, Boiman, E, Goodwin, FK.Insight and outcome in bipolar, unipolar, and anxiety disorders. Compr Psychiatr 2000;4l(3):167-71.CrossRefGoogle Scholar
Goodman, WK, Price, LH, Rasmussen, SA.The Yale-Brown obsessive-compulsive scale I development, use and reliability. Arch Gen Psychiatr 1986;46:1006-11.CrossRefGoogle Scholar
Goodman, WK, Price, LH, Rasmussen, SA, Masure, C, Delgado, P, Heniger, GR, et al.The Yale-Brown obsessive-compulsive scale (Y-BOCS), II: validity. Arch Gen Psychiatr 1989;46:1012-6.CrossRefGoogle Scholar
Greenberg, D, Witzum, E, Levy, A.Hoarding as a psychiatric symptom. J Clin Psychiatr 1990;51:417-21.Google ScholarPubMed
Greenfeld, D, Strauss, JS, Bowers, MB, Mandelkem, M.Insight and interpretation of illness in recovery from psychosis. Schizophr Bull 1989;15(2):245-52.CrossRefGoogle ScholarPubMed
Guy, W.ECDEU Assessment manual for psychopharmacology US Dept health, and welfare publication (ADM). Washington: Government Printing Office; 1976. p. 223-44.Google Scholar
Hamilton, M.A rating scale for depression. J Neurol Neurosurg Psychiatr 1960;6:189-92.Google Scholar
Insel, TR, Akiskal, HS.Obsessive-compulsive disorder with psychotic features: a phenomenological analysis. AmJ Psychiatr 1986;143:1527-33.Google Scholar
Kozak, MJ, Foa, EB.Obsessions, overvalued ideas, and delusions in obsessive-compulsive disorder. Behav Res Ther 1994;32:343-53.CrossRefGoogle ScholarPubMed
Lelliot, PT, Noshirvani, HF, Basoglu, M, Marks, IM, Mon-teiro, WO.Obsessive-compulsive beliefs and treatment outcome. Psychol Med 1988;18:697–702.CrossRefGoogle Scholar
Lensi, P, Cassano, GB, Correddu, G, Ravagli, S, Kunovac, JL, Akiskal, HS.Obsessive-compulsive disorder: familiar developmental history, symptomatology and course with special reference to gender-related pathogenic differences. Br J Psychiatr 1996;169:101-7.CrossRefGoogle Scholar
Minami, T.Obsessive-compulsive symptoms in children and preadolescents: clinical observation of inpatients. Seishin Shinkeigaku Zasshi 1998;100(2):92–112.Google Scholar
Nie, NH, Hull, CH, Steinbrermer, K, Bent, DH.Statistical package for the social Science (SPSS), 2nd ed.New York: Me Graw-Hill; 1975.Google Scholar
Robinson, S, Winnik, FIA, Weiss, AA.Obsessive psyeosis. Isr Ann Psychiatr Relat Disc 1976;14:39–48.Google Scholar
Rotter, M, Goodman, W.The relationship between insight and control in obsessive-compulsive disorder: implications for the insanity defense. Bull Acad Psychiatr Law 1993;21(2):245-52.Google ScholarPubMed
Solyom, L, Di Nicola, VF, Phil, M, Sookman, D, Luchinis, D.Is there an obsessive psychosis? Aetiological and prognostic factors of atypical form of obsessive-compulsive neurosis. Can J Psychiatr 1985;30:372-80.CrossRefGoogle ScholarPubMed
Winsberg, ME, Cassic, KS, Koran, LM.Hoarding in obsessive-compulsive disorder: a report of 20 cases. J Clin Psychiatr 1999;60(9):591-7.CrossRefGoogle ScholarPubMed