[The OCD spectrum disorder revisited. Toward a bipolar impulsion-compulsion configuration].

Olivier Doumy, Bruno Aouizerate
La Presse Médicale. 2014-02-01; 43(2): 118-123
DOI: 10.1016/j.lpm.2013.03.011

PubMed

1. Presse Med. 2014 Feb;43(2):118-23. doi: 10.1016/j.lpm.2013.03.011. Epub 2013
Jul 23.

[The OCD spectrum disorder revisited. Toward a bipolar impulsion-compulsion
configuration].

[Article in French]

Doumy O(1), Aouizerate B(2).

Author information:
(1)Centre hospitalier Charles-Perrens, centre référence pathologies anxieuses et
de la dépression, 121, rue de la Béchade, CS 81285, 33076 Bordeaux, France;
Université Bordeaux Segalen, Neurocentre François-Magendie, Inserm U862, 146,
rue Léo-Saignat, 33076 Bordeaux, France. Electronic address:
.
(2)Centre hospitalier Charles-Perrens, centre référence pathologies anxieuses et
de la dépression, 121, rue de la Béchade, CS 81285, 33076 Bordeaux, France;
Université Bordeaux Segalen, Neurocentre François-Magendie, Inserm U862, 146,
rue Léo-Saignat, 33076 Bordeaux, France.

The so-called obsessive-compulsive spectrum disorder (OCD spectrum) is
represented by a large variety of clinical entities. There are in general
obsessive-compulsive disorder, trichotillomania or Gilles de la Tourette disease
among the impulse control disorders, body dysmorphic disorder and
hypochondriasis among the somatoform disorders. Updated overview of the OCD
spectrum through a bipolar configuration with the impulsion-compulsion (I-C)
spectrum, characterized by a failure to resist and control intrusive thoughts
associated with repetitive behaviors that seem to be uncontrollable or require
considerable efforts to suppress their execution. There are several disrupted
processes in the I-C spectrum, including cognitive control, flexibility and
behavioural inhibition. All these psychiatric affections demonstrated to share
apparent similarities regarding clinical symptomatology, demographic
considerations, comorbidity and course pattern, and responses to the serotonine
reuptake inhibitors and cognitive behavioural therapy. The concept of I-C
spectrum pleads for less categorical and more dimensional approach that seems to
be consistently adapted to clinical, genetic, pathophysiology and therapeutic
realities.