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Obsessive–Compulsive Disorder with and without a Chronic Tic Disorder

A Comparison of Symptoms in 70 Patients

Published online by Cambridge University Press:  02 January 2018

Jacob C. Holzer ,
Christopher J. McDougle ,
Beth K. Boyarsky ,
Lawrence H. Price ,
Wayne K. Goodman ,
Lee Baer  and
James F. Leckman
Jacob C. Holzer
Affiliation:
Abraham Ribicoff Research Facilities and the Connecticut Mental Health Center, Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
Christopher J. McDougle
Affiliation:
Abraham Ribicoff Research Facilities and the Connecticut Mental Health Center, Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
Beth K. Boyarsky
Affiliation:
Abraham Ribicoff Research Facilities and the Connecticut Mental Health Center, Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
Lawrence H. Price
Affiliation:
Abraham Ribicoff Research Facilities and the Connecticut Mental Health Center, Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
Wayne K. Goodman*
Affiliation:
Department of Psychiatry, University of Florida, PO Box 100256, Gainesville, FL, USA
Lee Baer
Affiliation:
Department of Psychiatry, Massachusetts General Hospital-East, Floor Nine, Charlestown, MA 02129, USA
James F. Leckman
Affiliation:
Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA
*
∗Correspondence
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Abstract

The phenomenological features of 35 obsessive–compulsive disorder (OCD) patients with a lifetime history of tics were compared to 35 age- and sex-matched OCD patients without tics. Seven categories of obsessions and nine categories of compulsions were determined using the symptom checklist of the Yale–Brown Obsessive–Compulsive Scale (YBOCS). Discriminant function analysis revealed that, compared to their counterparts without tics, OCD patients with tics had more touching, tapping, rubbing, blinking and staring rituals, and fewer cleaning rituals, but did not differ on obsessions. These preliminary findings suggest that the types of compulsions present may help to discriminate between two putative subgroups of OCD, i.e. those with and without tics.

Type
Papers
Information
The British Journal of Psychiatry , Volume 164 , Issue 4 , April 1994 , pp. 469 - 473
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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Footnotes

The results of this study were presented in part at the 29th Annual Meeting of the American College of Neuropsychopharmacology, 10–14 December 1990, San Juan, Puerto Rico.

Dr Holzer is now with the Behavioral Neurology Unit, Beth Israel Hospital, 330 Brookline Avenue, Boston, MA 02215, USA.

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