Articlehybrid2009

Autism and ADHD Symptoms in Patients with OCD: Are They Associated with Specific OC Symptom Dimensions or OC Symptom Severity?

Gideon Emanuel Anholt · Daniëlle C. Cath · Patricia van Oppen · Merijn Eikelenboom · Johannes H. Smit · Harold J.G.M. van Megen +1 more

121 citations0/0 files storedJournal of Autism and Developmental Disorders

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Obsessive-Compulsive Spectrum Disorders Psychoanalysis and Psychopathology Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

In obsessive-compulsive disorder (OCD), the relationship between autism spectrum disorders (ASD), attention-deficit/hyperactivity disorder (ADHD) symptom, and obsessive-compulsive (OC) symptom dimensions and severity has scarcely been studied. Therefore, 109 adult outpatients with primary OCD were compared to 87 healthy controls on OC, ADHD and ASD symptoms. OCD patients showed increased ADHD and autism symptom frequencies, OCD + ADHD patients reporting more autism symptoms (particularly attention switching and social skills problems) than OCD - ADHD patients. Attention switching problems were most significant predictors of OC symptom dimensions (except hoarding) and of symptom severity. Hoarding was not associated with elevated autism scale scores, but with inattention. In conclusion, attention switching problems may reflect both symptom overlap and a common etiological factor underlying ASD, ADHD and OCD.

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References

1989The Yale-Brown Obsessive Compulsive Scale 1997Structured Clinical Interview for DSM-IV Axis I Disorders 1989The Yale-Brown Obsessive Compulsive Scale 1984Six-Month Prevalence of Psychiatric Disorders in Three Communities 1997Symptoms of obsessive-compulsive disorder 1994The Cross National Epidemiology of obsessive-compulsive disorder 1994The cross national epidemiology of obsessive compulsive disorder. The Cross National Collaborative Group.2008Prevalence and correlates of hoarding behavior in a community-based sample

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