Obsessive-compulsive disorder and the impulsivity-compulsivity disorder spectrum: A review of research

Michael L. Sulkowski, Amy Mariaskin, Cary Jordan, Eric A. Storch

Research output: Chapter in Book/Report/Conference proceedingChapter

4 Scopus citations

Abstract

This paper reviews research on the association between obsessive-compulsive disorder (OCD) and obsessive-compulsive spectrum disorders (OCSDs). Since a unidimensional impulsivity-compulsivity dimension has been proposed to classify OCSDs (Bartz and Hollander, 2006), consisting of "compulsive" or anxiety-driven disorders such as OCD on one end of the spectrum and impulse-control disorders (ICDs) on the other end, research on relationships between OCD and various OCSDs has been reviewed to determine if data exist to support a continuous impulsive-compulsive disorder spectrum. Disorders are compared with respect to the following criteria: 1) degrees of co-occurring behaviors and symptomology, 2) phenotypic associations (including comorbidity and familial linkages), 3) neurological and brain-based similarities, and 4), identified response patterns to psychological and medical treatments. In general, there is limited support for a unified impulsivity-compulsivity dimension that includes OCD as a central disorder. However, considerably stronger evidence exists for a narrower cluster of anxiety-driven OCSDs that are characterized by obsessive-compulsive features and body image/sensitization obsessions (e.g., OCD, body dysmorphic disorder, hypochondriasis).

Original languageEnglish (US)
Title of host publicationImpulsivity
Subtitle of host publicationCauses, Control and Disorders
PublisherNova Science Publishers, Inc.
Pages31-58
Number of pages28
ISBN (Print)9781607419518
StatePublished - Dec 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • Psychology(all)
  • Medicine(all)

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    Sulkowski, M. L., Mariaskin, A., Jordan, C., & Storch, E. A. (2009). Obsessive-compulsive disorder and the impulsivity-compulsivity disorder spectrum: A review of research. In Impulsivity: Causes, Control and Disorders (pp. 31-58). Nova Science Publishers, Inc..