Impulse control disorders and depression
Impulse control disorders and depression
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DOI：
10.1097/00005053-200205000-00007
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发表时间：
2002-05-01
影响因子：
1.9
通讯作者：
Adès, J
中科院分区：
文献类型：
--
作者：
Lejoyeux, M;Arbaretaz, M;Adès, J
这项研究评估了抑郁症住院患者群体中冲动控制障碍(ICD)的频率及其与暴食症、强迫购买和自杀企图的关系。我们使用明尼苏达冲动障碍访谈来调查ICD。患者回答了Zuckerman感觉寻求量表和Barratt冲动评定量表。在符合ICD标准的31例抑郁症患者(ICD+组)中，我们发现18例间歇性爆发性障碍，3例病理性赌博，4例盗窃症，3例纵火狂，3例拔毛症。合并ICD的患者明显年轻(平均年龄为37.7岁对42.8岁)。盗窃狂患者有较高的抑郁发作次数(5.7比1.3)，纵火狂患者有较高的抑郁发作次数(3.3比1.3，p=0.01)。双相情感障碍在ICD+组比ICD-组更常见(19%比1.3%，p=0.002)，而反社会人格不常见(3%比1%，p=ns)。在ICD+组中，暴食症(42%比10.5%，p=.005)和强迫购买(51%比22%，p=.006)明显更常见。在Barratt冲动性评定量表中，ICD+组患者的运动冲动性得分较高(p=.01)。
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).