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Alexithymia and perfectionism traits are associated with suicidal risk in patients with obsessive-compulsive disorder

Authors
 Heeyeon Kim  ;  Jiwoo Seo  ;  Kee Namkoong  ;  Eun Hee Hwang  ;  Sung Yun Sohn  ;  Se Joo Kim  ;  Jee In Kang 
Citation
 Journal of Affective Disorders, Vol.192 : 50-55, 2016 
Journal Title
 Journal of Affective Disorders 
ISSN
 0165-0327 
Issue Date
2016
MeSH
Adult ; Affective Symptoms/psychology* ; Depression/psychology ; Female ; Humans ; Logistic Models ; Male ; Obsessive-Compulsive Disorder/psychology* ; Psychiatric Status Rating Scales ; Risk Factors ; Self Report ; Suicidal Ideation ; Suicide/psychology* ; Suicide, Attempted
Keywords
Alexithymia ; Obsessive–compulsive disorder ; Perfectionism ; Suicidality ; Suicide ; Unacceptable thoughts
Abstract
BACKGROUND: There is limited evidence on suicidality and its associated factors in patients with obsessive-compulsive disorder (OCD). The present study investigated the potential contributing traits such as alexithymia and perfectionism and clinical risk factors including symptom dimensions associated with high suicidality in OCD patients. METHODS: A total of 81 patients with OCD were included (mean age: 28.89 years, SD=7.95 years, 62% men). Suicidal risk was assessed using the Scale for Suicide Ideation and history taking. To assess alexithymia and perfectionism, the Toronto Alexithymia Scale-20 and the Measure of Constructs Underlying Perfectionism were applied. Clinical characteristics of OCD were assessed with the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Obsessive-Compulsive Scale, and the Montgomery-Asberg Depression Rating Scale. Among OCD patients, 37% had a history of previous suicidal attempt, and 56.8% had current suicidal ideation. RESULTS: Those with lifetime suicide attempts scored significantly higher for alexithymia and ego-dystonic perfectionism than those without such history. In the binary logistic regression analysis, high score for alexithymia and the responsibility for harm, injury, or bad luck were significant determinants for lifetime suicide attempts. As for current suicide ideation, ego-dystonic perfectionism and the dimension of unacceptable thought were significant predictors of suicidal risk. LIMITATIONS: The classification of suicidal risk and personality traits relied on self-report measures. CONCLUSION: The present findings indicate that personality traits such as alexithymia and perfectionism may contribute to high suicidality in patients with OCD, and patients suffering with unacceptable thoughts need to be assessed more carefully for warning signs of suicide.
Full Text
http://www.sciencedirect.com/science/article/pii/S0165032715307217
DOI
10.1016/j.jad.2015.12.018
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jee In(강지인) ORCID logo https://orcid.org/0000-0002-2818-7183
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
Namkoong, Kee(남궁기) ORCID logo https://orcid.org/0000-0003-1400-8057
Seo, Jiwoo(서지우) ORCID logo https://orcid.org/0000-0002-6143-9805
Sohn, Sung Yun(손성연)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146393
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