Obsessions and compulsions in autistic-spectrum disorders
- Type: #article
- Year read:#read2017
- Subject: ASD OCD
- Bibtex: @russell2005
- Bibliography: Russell, A. J., Mataix-Cols, D., Anson, M. & Murphy, D. G. M. Obsessions and compulsions in Asperger syndrome and high-functioning autism. Br. J. Psychiatry 186, 525–528 (2005).
Key takeaways
- somatic obsessions, checking compulsions, and repeating compulsions, were more common in OCD
Like the paper McDougle1995 - A case-controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder, they used YBOCS checklist to investigate whether certain obsessions or compulsions were more or less common in ASD compared to OCD. They found that somatic obsessions, checking compulsions, and repeating compulsions, were more common in OCD.
The main difference compared to the McDougle paper is that the participants with ASD all had WISC IQ > 70 and were able to report symptoms themselves. They also checked that the ASD participants understood obsessions and compulsions before administering the YBOCS checklist.
Page 1: Highlight annotation by Oskar Flygare on December 22nd 2017, 8:50:48 am:
Obsessive^compulsive behaviours are common and disablinginbehaviours are common and disablingin autistic-spectrum disorders (ASD) butautistic-spectrum disorders (ASD) but littleisknown abouthow theycomparelittle is known about how theycompare withthose experienced by people withwith those experienced by people with obsessive^compulsive disorder (OCD).obsessive^compulsive disorder (OCD)
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The two groups had similar frequencies ofobsessive^compulsivefrequencies ofobsessive^compulsive symptoms, with only somatic obsessionssymptoms, with only somatic obsessions andrepeatingritualsbeingmore commonand repeating rituals being more common intheOCDgroup.TheOCDgrouphadinthe OCD group.The OCD group had higher obsessive^compulsive symptomhigher obsessive ^ compulsive symptom severity ratings but up to 50 % of the ASDseverityratingsbutupto 50% ofthe ASD groupreportedatleastmoderatelevelsofgroupreportedatleastmoderatelevelsof interference fromtheir symptoms.interference from their symptoms.
Page 1: Highlight annotation by Oskar Flygare on December 22nd 2017, 8:51:14 am:
Obsessions andObsessions and compulsions are both commonin adultscompulsions are both commonin adults with high-functioning ASD and arewith high-functioning ASD and are associated with significant levels ofassociated with significant levels of distress.distress.
Page 3: Highlight annotation by Oskar Flygare on December 22nd 2017, 8:56:39 am:
Obsessive^compulsive disorder (OCD) symptoms should be carefully distinguished from other common repetitive behaviours and special interests in ASD.
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Patients with prominent obsessive^compulsive symptoms may benefit from standard treatments for OCD but controlled trials are needed to confirm this.