Hostname: page-component-7c8c6479df-ws8qp Total loading time: 0 Render date: 2024-03-29T07:10:35.208Z Has data issue: false hasContentIssue false

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
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

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
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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.

References

Baxter, L. R., Schwartz, J. M., Guze, B. H., et al (1990) Neuroimaging in obsessive-compulsive disorder: seeking the mediating neuroanatomy. In Obsessive-Compulsive Disorders - Theory and Management (2nd edn) (eds Jenike, M. A., Baer, L. & Minichiello, W. E.). New York: Year Book Medical Publishers.Google Scholar
Caine, E. D., McBride, M. C., Chiverton, R., et al (1988) Tourette Syndrome in Monroe county school children. Neurology, 8, 472475.CrossRefGoogle Scholar
George, M. S., Trimble, M. R., Ring, H. A., et al (1993) Obsessions in obsessive–compulsive disorder with and without Gilles de la Tourette's syndrome. American Journal of Psychiatry, 150, 9397.Google ScholarPubMed
Goodman, W. K., Price, L., Rasmussen, S., et al (1989) The Yale-Brown Obsessive–Compulsive Scale (Y-BOCS): I. Development, use and reliability. Archives of General Psychiatry, 46, 10061011.CrossRefGoogle Scholar
Goodman, W. K., McDouole, C. J., Price, L. H., et al (1990) Beyond the serotonin hypothesis: a role for dopamine in some forms of obsessive compulsive disorder? Journal of Clinical Psychiatry, Supplement, 51, 3643.Google ScholarPubMed
Griner, P. F., Mayewski, R. J., Mushlin, A. I., et al (1981) Selection and interpretation of diagnostic tests and procedures: principles and applications. Annals of Internal Medicine, 94, 553600.Google ScholarPubMed
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.CrossRefGoogle ScholarPubMed
LaPlane, D., Levasseur, M., Pillon, B. (1989) Obsessive–compulsive and other behavioural changes with bilateral basal ganglia lesions. Brain, 112, 699725.CrossRefGoogle ScholarPubMed
Leckman, J. F. (1986) The inheritance of Gilles de la Tourette's syndrome and associated behaviors - evidence for autosomal dominant transmission. New England Journal of Medicine, 315, 993997.Google Scholar
McDougle, C. J., Goodman, W. K., Price, L. H., et al (1990) Neuroleptic addition in fluvoxamine-refractory obsessive–compulsive disorder. American Journal of Psychiatry, 147, 652654.Google ScholarPubMed
McDouole, C. J., Goodman, W. K., Leckman, J. F., et al (1993) The efficacy of fluvoxamine in obsessive-compulsive disorder: effects of comorbid chronic tic disorder. Journal of Clinical Psychopharmacology, 13, 354358.Google Scholar
Pauls, D. L. (1990) Gilles de la Tourette syndrome and obsessive–compulsive disorder: familial relationships. In Obsessive–Compulsive Disorders - Theory and Management (2nd edn) (eds Jenike, M. A., Baer, L. & Minichiello, W. E.). New York: Year Book Medical Publishers.Google Scholar
Pauls, D. L. Towbin, K. E., Leckman, J. F., et al (1986) Gilles de la Tourette's syndrome and obsessive–compulsive disorder: evidence supporting a genetic relationship. Archives of General Psychiatry, to, 11801182.CrossRefGoogle Scholar
Pitman, R. K., Green, R. C., Jenike, M. A., et al (1987) Clinical comparison of Tourette's disorder and obsessive–compulsive disorder. American Journal of Psychiatry, 144, 11661171.Google ScholarPubMed
Robertson, M. M. (1989) The Gilles de la Tourette syndrome: the current status. British Journal of Psychiatry, 154, 147169.CrossRefGoogle ScholarPubMed
Tabachnick, B. G. & Fidell, L. S. (1989) Using Multivariate Statistics (2nd edn). New York: Harper Collins.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.