Obsessive-compulsive disorder and trichotillomania : a phenomenological comparison

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dc.contributor.author Lochner, Christine
dc.contributor.author Seedat, Soraya
dc.contributor.author Du Toit, Pieter L.
dc.contributor.author Nel, Daniel G.
dc.contributor.author Niehaus, Dana J. H.
dc.contributor.author Sandler, Robin
dc.contributor.author Stein, Dan J.
dc.date.accessioned 2010-12-15T07:34:17Z
dc.date.available 2010-12-15T07:34:17Z
dc.date.issued 2005-01
dc.identifier.citation Lochner, C, Seedat, S, Du Toit, PL, Nel, DG, Niehaus, DJH, 1, Robin Sandler & Stein, DJ 2005, 'Obsessive-compulsive disorder and trichotillomania: a phenomenological comparison', BMC Psychiatry, 5(1):2. en_ZA
dc.identifier.issn 1471-244X
dc.identifier.other http://dx.doi.org/10.1186/1471-244X-5-2
dc.identifier.uri http://hdl.handle.net/10019.1/5130
dc.description.abstract Background: Similarities between obsessive-compulsive disorder (OCD) and trichotillomania (TTM) have been widely recognized. Nevertheless, there is evidence of important differences between these two disorders. Some authors have conceptualized the disorders as lying on an OCD spectrum of conditions. Methods: Two hundred and seventy eight OCD patients (n = 278: 148 male; 130 female) and 54 TTM patients (n = 54; 5 male; 49 female) of all ages were interviewed. Female patients were compared on select demographic and clinical variables, including comorbid axis I and II disorders, and temperament/character profiles. Results: OCD patients reported significantly more lifetime disability, but fewer TTM patients reported response to treatment. OCD patients reported higher comorbidity, more harm avoidance and less novelty seeking, more maladaptive beliefs, and more sexual abuse. OCD and TTM symptoms were equally likely to worsen during menstruation, but OCD onset or worsening was more likely associated with pregnancy/puerperium. Conclusions: These findings support previous work demonstrating significant differences between OCD and TTM. The classification of TTM as an impulse control disorder is also problematic, and TTM may have more in common with conditions characterized by stereotypical self-injurious symptoms, such as skin-picking. Differences between OCD and TTM may reflect differences in underlying psychobiology, and may necessitate contrasting treatment approaches. en_ZA
dc.format.extent 10 p.
dc.language.iso en_ZA en_ZA
dc.publisher BioMed Central en_ZA
dc.subject Obsessive-compulsive disorder (OCD) en_ZA
dc.subject Trichotillomania (TTM) en_ZA
dc.title Obsessive-compulsive disorder and trichotillomania : a phenomenological comparison en_ZA
dc.type Article en_ZA
dc.date.updated 2010-11-09T13:10:58Z
dc.description.version Peer Reviewed
dc.language.rfc3066 en
dc.rights.holder Lochner et al.; licensee BioMed Central Ltd. en_ZA
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