Obsessive-compulsive spectrum disorder

The forced spectrum disorder (also: OC spectrum disorder) is a meta category for a number of psychological disorders , by their symptomatic proximity to obsessive-compulsive disorder are presented. What they have in common is the repetitive nature of individual symptoms and the inability to suppress inappropriate impulses or behavioral tendencies. Neurobiological similarities also suggest a connection. In addition to behavior and thought constraints, these are diseases with impaired impulse control, certain neurological diseases and pathological preoccupation with one's own body image or one's own health. Eating disorders are also classified as obsessive-compulsive-spectrum disorders by some authors.

The currently valid 5th edition of the DSM summarizes this group of disorders for the first time in a separate chapter under the heading "Obsessive-compulsive disorder and related disorders". In addition to the relationship of the symptoms, the guideline-based therapeutic procedure also has similarities. From a psychotherapeutic point of view, behavioral approaches prove to be effective. Serotonin reuptake inhibitors (SSRI) are primarily used pharmacologically .

Compulsory spectrum

The term obsessive-compulsive spectrum disorder includes:

• Obsessive-compulsive disorder

Impulse control disorders or behavioral addictions , such as B.

• Trichotillomania ("pulling hair out"),
• Dermatotillomania ("skin-picking disorder"),
• Pathological buying ("shopping addiction"),
• Pathological gambling ("gambling addiction"),
• Pathological stealing (kleptomania),
• Pathological internet use ("internet addiction"),
• Pathological hoarding ("messie syndrome")

Certain neuropsychological disorders such as B.

• Tic disorder
• Tourette syndrome

Illnesses that are associated with constant preoccupation with one's own physical appearance and / or illnesses, such as B. the

• Body Dysmorphic Disorder and the
• Hypochondriac disorder (hypochondria)

Eating disorders , such as B.

• Anorexia nervosa and
• Bulimia nervosa

Some authors take the concept of the compulsive spectrum wider and include schizophrenia and neurological diseases such as Huntington's disease and epilepsy .

Web links

S3 guideline for obsessive-compulsive disorder of the German Society for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN). In: AWMF online (as of 2013)

Individual evidence

1. ↑ Michele Fornaro, Filippo Gabrielli, Claudio Albano a. a .: Obsessive-compulsive disorder and related disorders: a comprehensive survey. In: Annals of General Psychiatry. 2009, 8, p. 13. annals-general-psychiatry.com
2. ↑ Stefan Lautenbacher, Siegfried Gauggel: The concept of obsessive-compulsive spectrum disorder. In: Neuropsychology of mental disorders . Springer, 2013, ISBN 978-3-662-08959-0 , pp. 213 .
3. ^ Dan J. Stein: Neurobiology of the obsessive compulsive spectrum disorders . In: Biol. Psychiatry . tape 47 , 2000, pp. 296-304 .
4. ↑ Swiss Society for Obsessive Compulsive Disorders: What's new compared to DSM-IV?
5. ^ Anne-Katrin Külz, Ulrich Förstner, Ulrich Voderholzer: Disorder-specific treatment of obsessive-compulsive disorder . Kohlhammer, 2011, ISBN 978-3-17-022752-1 , pp. 46-49 .
6. ↑ Michael Zaudig, Nico Niedermeier: Diagnosis and differential diagnosis of obsessive-compulsive disorder . In: Michael Zaudig (Ed.): The Obsessive Compulsive Disorder - Diagnostics and Therapy . Schattauer, 2002, ISBN 978-3-7945-2145-6 .