Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features

Objective: The aim of the present study was to test hypothesis that obsessive compulsive disorder (OCD) patients who have autogenous obsessions and reactive obsessions show different sociodemographic and clinical characteristics with different insight and cognitive insight levels. Method: Sixty-o...

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Main Authors: Katre ÇAMLI, M. Hakan TÜRKÇAPAR, A. Emre SARGIN
Format: Article
Language:English
Published: Kare Publishing 2012-03-01
Series:Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=18849
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author Katre ÇAMLI
M. Hakan TÜRKÇAPAR
A. Emre SARGIN
author_facet Katre ÇAMLI
M. Hakan TÜRKÇAPAR
A. Emre SARGIN
author_sort Katre ÇAMLI
collection DOAJ
description Objective: The aim of the present study was to test hypothesis that obsessive compulsive disorder (OCD) patients who have autogenous obsessions and reactive obsessions show different sociodemographic and clinical characteristics with different insight and cognitive insight levels. Method: Sixty-one patients diagnosed as OCD according to the Structured Clinical Interview for DSM-III-R (SCID-I) are recruited. 31 patients had reactive obsessions and 30 had autogenous obsessions. The sociodemographic characteristics of patients and the symptomatology were evaluated using psychiatric scales including SCID-I, Yale Brown Obsessive- Compulsive Scale (YBOCS), Yale Brown Obsessive-Compulsive Scale-Symptom Checklist (YBOCS-SC) and Beck Insight Scale. Results: The percentage of women in reactive obsessive group was higher and also this group had significantly less antipsychotic medication prescribed than the autogenous obsessive group. No significant difference was found for the other demographic variables. No significant difference was identified for the Beck Insight Self-Reflectiveness subscale but for the Self-Certainty subscale, reactive obsessives had higher scores. Although there was no significant difference for the composit index points, which is the subtraction of the two subscales, the p value was close to the limit. On the other hand YBOCS item- 11 scores which evaluates insight were higher in autogenous obsessives meaning low levels of insight. Conclusion: For the sociodemographic and clinical characteristics; there was no significant difference between the groups except gender distribution and antipsychotic medication. Our data about insight seems inconsistent but insight and cognitive insight can be different entities which show different levels of insight. Further investigation with different obsession types is needed.
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series Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi
spelling doaj-art-1388ac5965124532b99ae3c3e92bb72d2025-02-03T10:15:45ZengKare PublishingBilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi2146-94902146-94902012-03-01112835Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus FeaturesKatre ÇAMLI0M. Hakan TÜRKÇAPAR1A. Emre SARGIN2Uzm Dr. Boyabat 75. Yıl Devlet Hastanesi/SİNOPDoç. Dr. Ankara Dışkapı Yıldırım Beyazıt Eğt ve Arş. Hast.Uzm. Dr. Çankırı Devlet Hastanesi Psikiyatri KliniğiObjective: The aim of the present study was to test hypothesis that obsessive compulsive disorder (OCD) patients who have autogenous obsessions and reactive obsessions show different sociodemographic and clinical characteristics with different insight and cognitive insight levels. Method: Sixty-one patients diagnosed as OCD according to the Structured Clinical Interview for DSM-III-R (SCID-I) are recruited. 31 patients had reactive obsessions and 30 had autogenous obsessions. The sociodemographic characteristics of patients and the symptomatology were evaluated using psychiatric scales including SCID-I, Yale Brown Obsessive- Compulsive Scale (YBOCS), Yale Brown Obsessive-Compulsive Scale-Symptom Checklist (YBOCS-SC) and Beck Insight Scale. Results: The percentage of women in reactive obsessive group was higher and also this group had significantly less antipsychotic medication prescribed than the autogenous obsessive group. No significant difference was found for the other demographic variables. No significant difference was identified for the Beck Insight Self-Reflectiveness subscale but for the Self-Certainty subscale, reactive obsessives had higher scores. Although there was no significant difference for the composit index points, which is the subtraction of the two subscales, the p value was close to the limit. On the other hand YBOCS item- 11 scores which evaluates insight were higher in autogenous obsessives meaning low levels of insight. Conclusion: For the sociodemographic and clinical characteristics; there was no significant difference between the groups except gender distribution and antipsychotic medication. Our data about insight seems inconsistent but insight and cognitive insight can be different entities which show different levels of insight. Further investigation with different obsession types is needed.http://www.scopemed.org/fulltextpdf.php?mno=18849obsessive compulsive disorderreactive obsessionautogenous obsessioninsight.
spellingShingle Katre ÇAMLI
M. Hakan TÜRKÇAPAR
A. Emre SARGIN
Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features
Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi
obsessive compulsive disorder
reactive obsession
autogenous obsession
insight.
title Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features
title_full Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features
title_fullStr Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features
title_full_unstemmed Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features
title_short Insight, Cognitive Insight and Sociodemographic Features in Obsessive Compulsive Disorder Presenting with Reactive and Autogeneus Features
title_sort insight cognitive insight and sociodemographic features in obsessive compulsive disorder presenting with reactive and autogeneus features
topic obsessive compulsive disorder
reactive obsession
autogenous obsession
insight.
url http://www.scopemed.org/fulltextpdf.php?mno=18849
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AT aemresargin insightcognitiveinsightandsociodemographicfeaturesinobsessivecompulsivedisorderpresentingwithreactiveandautogeneusfeatures