Clinical and psychological features distinguishing obsessive-compulsive and chronic tic disorders.

Abstract:

:Medical and biogenetic research has suggested that obsessive-compulsive disorder and chronic (multiple) tic disorder may share a common etiology. This article reviews corresponding evidence for psychological similarities and differences between the two disorders. There are similarities in self-management strategies, psychological traits (both report high scores on different aspects of perfectionism) and in the ego-syntonic-ego-dystonic cycle of the impulsive-compulsive behavior. Situational cues likely to elicit or worsen the problem differ between the disorders as do associated emotions, comorbidity and background styles of action. In both disorders, cognitive factors, such as anticipations and appraisals of the problem, can play a role in onset and maintenance of the problem, and this raises the question as to whether cognitive or behavioral factors are best addressed in treatment. Psychological characteristics, such as lack of confidence, may contribute to apparent performance deficit. Psychological evaluation, particularly functional analysis, may aid in differential diagnosis between the two disorders, lead to improvement in treatment matching, and in understanding of the multidetermined etiology.

journal_name

Clin Psychol Rev

authors

O'Connor KP

doi

10.1016/s0272-7358(00)00055-6

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

631-60

issue

4

eissn

0272-7358

issn

1873-7811

pii

S0272-7358(00)00055-6

journal_volume

21

pub_type

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