Impulse Control Disorders and Depression
作者:
MICHEL,
LEJOYEUX MARIE,
ARBARETAZ MARY,
McLOUGHLIN JEAN,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 2002)
卷期:
Volume 190,
issue 5
页码: 310-314
ISSN:0022-3018
年代: 2002
出版商: OVID
数据来源: OVID
摘要:
This study assessed the frequency of impulse control disorders (ICDs) and their association with bulimia, compulsive buying, and suicide attempts in a population of depressed inpatients. We investigated ICDs using the Minnesota Impulsive Disorders Interview. Patients answered the Zuckerman Sensation-Seeking Scale and the Barratt Impulsivity Rating Scale. Among the 31 depressed patients who met criteria for ICD (ICD+ group), we found 18 cases of intermittent explosive disorder, three cases of pathological gambling, four cases of kleptomania, three cases of pyromania, and three cases of trichotillomania. Patients with co-occurring ICDs were significantly younger (mean age = 37.7 versus 42.8 years). Patients with kleptomania had a higher number of previous depressive episodes (5.7 versus 1.3), and patients with pyromania had a higher number of previous depressions (3.3 versus 1.3,p= .01). Bipolar disorders were more frequent in the ICD+ group than in the ICD− group (19% versus 1.3%,p= .002), whereas antisocial personality was not (3% versus 1%,p= ns). Bulimia (42% versus 10.5%,p= .005) and compulsive buying (51% versus 22%,p= .006) were significantly more frequent in the ICD+ group. Patients from the ICD+ group had higher scores of motor impulsivity assessed with the Barratt Impulsivity rating scale (p= .01).
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