Artigo de Periódico
Influence of specific obsessive-compulsive symptom dimensions on strategic planning in patients with obsessive-compulsive disorder
Fecha
2011-03Registro en:
1809-452X
v. 33, n. 1.
Autor
Pinto, Paula Sanders Pereira
Iego, Sandro
Nunes, Samantha
Menezes, Hemanny
Mastrorosa, Rosana Sávio
Oliveira, Irismar Reis de
Rosário, Maria Conceição do
Pinto, Paula Sanders Pereira
Iego, Sandro
Nunes, Samantha
Menezes, Hemanny
Mastrorosa, Rosana Sávio
Oliveira, Irismar Reis de
Rosário, Maria Conceição do
Institución
Resumen
Objective: This study investigates obsessive-compulsive disorder patients in terms of strategic planning and its association with specific obsessivecompulsive symptom dimensions. Method: We evaluated 32 obsessivecompulsive disorder patients. Strategic planning was assessed by the Rey-
Osterrieth Complex Figure Test, and the obsessive-compulsive dimensions were assessed by the Dimensional Yale-Brown Obsessive-Compulsive Scale. In the statistical analyses, the level of significance was set at 5%. We employed
linear regression, including age, intelligence quotient, number of comorbidities, the Yale-Brown Obsessive-Compulsive Scale score, and the Dimensional Yale-Brown Obsessive-Compulsive Scale. Results: The Dimensional Yale-Brown
Obsessive-Compulsive Scale “worst-ever” score correlated significantly with the
planning score on the copy portion of the Rey-Osterrieth Complex Figure Test (r = 0.4, p = 0.04) and was the only variable to show a significant association after linear regression (β = 0.55, t = 2.1, p = 0.04). Compulsive hoarding correlated positively with strategic planning (r = 0.44, p = 0.03). None of the remaining symptom dimensions presented any significant correlations with strategic planning. Conclusion: We found the severity of obsessive-compulsive symptoms to be associated with strategic planning. In addition, there was a significant positive association between the planning score on the copy portion of the Rey-Osterrieth Complex Figure Test copy score and the hoarding
dimension score on the Dimensional Yale-Brown Obsessive-Compulsive
Scale. Our results underscore the idea that obsessive-compulsive disorder is a
heterogeneous disorder and suggest that the hoarding dimension has a specific
neuropsychological profile. Therefore, it is important to assess the peculiarities
of each obsessive-compulsive symptom dimension.