Obsessive Slowness Revisited

Ratnasuriya, R. H.; Marks, Isaac; Forshaw, D. M.; Hymas, Nigel

doi:10.1192/bjp.159.2.273

Cited by 29 publications

(15 citation statements)

References 8 publications

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“…Women are more prone to contamination obsessions, 22 usually associated with cleaning rituals; 6,19,23,24 whereas sexual obsessions are more common among men. 19,22,23,35 Several studies combine rates of sexual and religious symptoms, which are more frequent in males. 6,24,36 Results are inconclusive regarding aggressive obsessions, with studies showing varying predominance between genders.…”

Section: Phenotypical Studiesmentioning

confidence: 99%

Gender differences in obsessive-compulsive disorder: a literature review

Mathis

Alvarenga

Funaro

et al. 2011

Rev. Bras. Psiquiatr.

152

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Introduction: Obsessive-compulsive disorder (OCD) is a heterogeneous condition, in which subtypes have been proposed. Previous studies suggested that gender plays a relevant role in OCD phenotypic expression. This study aimed to review the literature on gender differences in clinical, genetic or familial aspects of OCD. Method: A conventional review was conducted, including all papers that investigated demographic, clinical, and genetic aspects of OCD according to gender. The search was based on data available in Medline and PsycINFO databases in the last 20 years, using as keywords: obsessive-compulsive disorder; and: gender, sex, male, female, demographic characteristics, clinical features, clinical characteristics, genetic, genes, genetics gender OCD, genes OCD, genes OCD males, genes OCD females. Results: Sixty three of 487 phenotypical and genetics studies were selected. Most studies indicate that male patients are more likely than females to be single, present early onset of symptoms and chronic course of the disorder, greater social impairment, more sexual-religious and aggressive symptoms, and greater comorbidity with tic and substance use disorders. Female patients present more contamination/cleaning symptoms and greater comorbidity with eating and impulse-control disorders. Genetic and family studies are inconclusive, but suggest that gender may play a role in the disease expression. Conclusions: Gender is a relevant factor that should be taken into account when evaluating OCD patients. More studies are necessary to determine whether in fact it defines a homogeneous and particular group in OCD. ©2011 Elsevier Editora Ltda. All rights reserved. Gender differences in obsessive- DesCRIPToRs:Obsessive-compulsive disorder; Gender identity; Sex; Phenotype; Genetics. ReVIeW ARTICLe 391Gender differences in obsessive-compulsive disorder: a literature review Diferenças de gênero no transtorno obsessivo-compulsivo: uma revisão da literatura ResumoIntrodução: O transtorno obsessivo-compulsivo (TOC) é um quadro heterogêneo, no qual subtipos têm sido propostos. Estudos anteriores sugerem que gênero desempenha papel relevante na expressão fenotípica. O objetivo foi realizar uma revisão convencional da literatura sobre diferenças de gênero em relação a aspectos clínicos e genéticos ou familiares do TOC. Método: Realizou-se uma revisão convencional da literatura incluindo todos os artigos que investigaram aspectos sociodemográficos, clínicos e genéticos do TOC, de acordo com o gênero. A pesquisa foi baseada em publicações disponíveis nas bases de dados Medline e PsycInfo nos últimos 20 anos, usando como palavras-chave: obsessive-compulsive disorder (OCD), e: gender, sex, male, female, demographic characteristics, clinical features, clinical characteristics, genetic, genes, genetics gender OCD, genes OCD, genes OCD males, genes OCD females. Resultado: Sessenta e três artigos de fenótipo e genética foram selecionados. Na maioria dos estudos, o sexo masculino associou-se mais que o feminino com: ser solteiro, ap...

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Section: Phenotypical Studiesmentioning

confidence: 99%

Gender differences in obsessive-compulsive disorder: a literature review

Mathis

Alvarenga

Funaro

et al. 2011

Rev. Bras. Psiquiatr.

152

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“…It is characterized by prominent debilitating slowness especially in self care, behavior, extreme meticulousness, absence of an increase in anxiety or discomfort either before or following the behavior (or with initiation of treatment) and relative lack of resistance. Subsequently, others published case reports or case series (4-10 patients) that detailed features of this syndrome (Bennun, 1980;Bilsubury and Morley, 1979;Clark et al, 1982;Hymas et al, 1991;Ratnasuriya et al, 1991;Takeuchi et al, 1997). Veale in 1993 challenged the proposed syndrome by pointing out that slowness in most of these patients is secondary to behavioral or mental rituals, aimed at suppressing or neutralizing obsessional thoughts.…”

Section: Introductionmentioning

confidence: 93%

Obsessive slowness presenting as catatonia in a patient with Borderline Intelligence

Saha

Singh

Nischal

2015

Asian Journal of Psychiatry

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“…In three subsequent reports, investigators debated whether or not obsessional slowness seemed to be a severe form of OCD or better explained as a primary problem. Ratnasuriya et al. (1991) reported that all of the 22 cases of slowness they found in a retrospective chart review displayed obsessive and compulsive symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…While obsessional slowness is thought to be exceedingly rare in the general population (Ratnasuriya et al. 1991), some have the impression it occurs more frequently in people with DS (A. D. Hurley, personal communication).…”

Section: Introductionmentioning

confidence: 99%

Obsessional slowness in Down's syndrome

Charlot

Fox²,

Friedlander³

2002

J intellect Disabil Res

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Obsessional slowness may be a severe variant of OCD. Although it appears to occur infrequently, there may be an elevated rate in people with DS. The current report is severely limited in scope since the case descriptions were based on a retrospective review. However, because of the paucity of published information about this clinical phenomena, it was felt that the case series might serve to establish the need for further, more systematic, prospective evaluation of individuals with DS and clinically significant slowness.

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Obsessive Slowness Revisited

Cited by 29 publications

References 8 publications

Gender differences in obsessive-compulsive disorder: a literature review

Gender differences in obsessive-compulsive disorder: a literature review

Obsessive slowness presenting as catatonia in a patient with Borderline Intelligence

Obsessional slowness in Down's syndrome

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