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Insight en el trastorno obsesivo-compulsivo: un estudio de una muestra italiana

Published online by Cambridge University Press:  12 May 2020

Donatella Marazziti
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
Liliana Dell’Osso
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
Elena Di Nasso
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
Chiara Pfanner
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
Silvio Presta
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
Francesco Mungai
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
Giovanni B. Cassano
Affiliation:
Departamento de Psiquiatría, Neurobiología, Farmacología y Biotecnología, Universidad de Pisa, via Roma, 67, 56100Pisa, Italia.
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Resumen

El insight es un fenómeno complejo que se puede interpretar según un modelo dimensional. Dados los polémicos datos del insight en el trastorno obsesivo-compulsivo (TOC), nuestro estudio tenía el propósito de investigar este fenómeno en una muestra italiana de pacientes con TOC por medio del elemento específico en la Escala de Obsesión-Compulsión de Yale-Brown (Y-BOCS) y explorar las posibles correlaciones entre el insight y los rasgos clínicos. Se incluyó en el estudio a 117 pacientes ambulatorios con un diagnóstico del DSM IV de TOC y diferentes trastornos psiquiátricos comórbidos y se los evaluó por medio de la Y-BOCS, la Escala de Depresión de Hamilton (HRSD) y la Impresión Clínica Global. Los resultados mostraron que casi el 50% de los pacientes tenía un nivel excelente de insight y el 15% tenía poco o ningún insight. No se observó correlación entre los niveles de insight y los rasgos clínicos, excepto una tendencia negativa con la presencia de obsesiones somáticas. Además, se observó una tendencia hacia un nivel inferior de insight en los pacientes bipolares con antecedentes positivos de episodios maníacos o hipomaníacos repetidos. Parecen necesarios estudios adicionales para establecer si los pacientes de TOC con mal insight representan o no un subgrupo distinto de pacientes.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2003

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