Cognitive disengagement syndrome symptoms in obsessive-compulsive disorder with and without attention deficit hyperactivity disorder.

IF 1.5 4区医学 Q3 PSYCHIATRY

Nordic Journal of Psychiatry Pub Date : 2025-04-07 DOI:10.1080/08039488.2025.2488386

Yigit Ozaydin, Doga Sevincok, Ufuk Uyar, Borte Gurbuz Ozgur, Hatice Aksu, Levent Sevincok

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引用次数: 0

Abstract

Objective: Comorbidity between Obsessive-Compulsive Disorder (OCD) and Attention Deficit/Hyperactivity Disorder (ADHD) appears complex in terms of etiology, phenomenology, and treatment. There is a need to identify possible factors which are related to the co-occurrence of OCD and ADHD in adults. Cognitive Disengagement Syndrome (CDS) may contribute to this comorbidity through its associations with ADHD, emotional dysregulation, cognitive processes, and neuropsychological deficits.

Methods: In this study, we compared CDS and various sociodemographic and clinical characteristics in OCD patients with (n = 44) and without ADHD (n = 72), and healthy controls (n = 43), using the Yale Brown Obsessive-Compulsive Scale, Wender Utah Rating Scale, Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale, Barkley's Adult Sluggish Cognitive Tempo Rating Scale, Beck Depression Inventory, and Beck Anxiety Inventory.

Results: In addition to contamination obsessions (OR = 7.733, p = 0.002), male gender (OR = 3.732, p = 0.031), high anxiety (OR = 1.053, p = 0.02), and high CDS symptoms (OR = 1.145, p = 0.037) were associated with comorbidity between OCD and ADHD.

Conclusion: We suggest that CDS may serve as a valuable construct for understanding the nature of comorbidity between OCD and ADHD.

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伴有或不伴有注意缺陷多动障碍的强迫症的认知脱离综合征症状。

目的：强迫症（OCD）和注意缺陷多动障碍（ADHD）的共病在病因、现象和治疗方面都很复杂。有必要确定与成人强迫症和注意力缺陷多动障碍同时发生有关的可能因素。认知脱离综合征（CDS）可能与ADHD、情绪失调、认知过程和神经心理缺陷相关，从而导致这种共病。方法：本研究采用耶鲁布朗强迫症量表、Wender Utah量表、成人ADD/ADHD基于DSM-IV的诊断筛选评定量表、Barkley成人迟缓认知节奏评定量表、Beck抑郁量表和Beck焦虑量表，比较了44例患有ADHD和72例未患有ADHD的强迫症患者和43例健康对照者的CDS和各种社会人口统计学和临床特征。结果：除了污染强迫症（OR = 7.733, p = 0.002）外，男性（OR = 3.732, p = 0.031）、高焦虑（OR = 1.053, p = 0.02）和高CDS症状（OR = 1.145, p = 0.037）与强迫症和ADHD合并症相关。结论：我们认为CDS可以作为理解强迫症和多动症合并症本质的一个有价值的结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nordic Journal of Psychiatry 医学-精神病学

CiteScore

3.60

自引率

5.60%

发文量

审稿时长

12 months

期刊介绍： Nordic Journal of Psychiatry publishes international research on all areas of psychiatry. Nordic Journal of Psychiatry is the official journal for the eight psychiatry associations in the Nordic and Baltic countries. The journal aims to provide a leading international forum for high quality research on all themes of psychiatry including: Child psychiatry Adult psychiatry Psychotherapy Pharmacotherapy Social psychiatry Psychosomatic medicine Nordic Journal of Psychiatry accepts original research articles, review articles, brief reports, editorials and letters to the editor.