TY - JOUR
T1 - Musical obsessions
T2 - A comprehensive review of neglected clinical phenomena
AU - Taylor, Mark Steven
AU - McKay, Dean
AU - Miguel, Euripedes Constantino
AU - de Mathis, Maria Alice
AU - Andrade, Chittaranjan
AU - Ahuja, Niraj
AU - Sookman, Debbie
AU - Kwon, Jun Soo
AU - Huh, Min Jung
AU - Riemann, Bradley C.
AU - Cottraux, Jean
AU - O'Connor, Kieron
AU - Hale, Lisa R.
AU - Abramowitz, Jonathan S.
AU - Fontenelle, Leonardo F.
AU - Storch, Eric A.
PY - 2014/8
Y1 - 2014/8
N2 - Intrusive musical imagery (IMI) consists of involuntarily recalled, short, looping fragments of melodies. Musical obsessions are distressing, impairing forms of IMI that merit investigation in their own right and, more generally, research into these phenomena may broaden our understanding of obsessive-compulsive disorder (OCD), which is phenomenologically and etiologically heterogeneous. We present the first comprehensive review of musical obsessions, based on the largest set of case descriptions ever assembled ( N= 96). Characteristics of musical obsessions are described and compared with normal IMI, musical hallucinations, and visual obsessional imagery. Assessment, differential diagnosis, comorbidity, etiologic hypotheses, and treatments are described. Musical obsessions may be under-diagnosed because they are not adequately assessed by current measures of OCD. Musical obsessions have been misdiagnosed as psychotic phenomena, which has led to ineffective treatment. Accurate diagnosis is important for appropriate treatment. Musical obsessions may respond to treatments that are not recommended for prototypic OCD symptoms.
AB - Intrusive musical imagery (IMI) consists of involuntarily recalled, short, looping fragments of melodies. Musical obsessions are distressing, impairing forms of IMI that merit investigation in their own right and, more generally, research into these phenomena may broaden our understanding of obsessive-compulsive disorder (OCD), which is phenomenologically and etiologically heterogeneous. We present the first comprehensive review of musical obsessions, based on the largest set of case descriptions ever assembled ( N= 96). Characteristics of musical obsessions are described and compared with normal IMI, musical hallucinations, and visual obsessional imagery. Assessment, differential diagnosis, comorbidity, etiologic hypotheses, and treatments are described. Musical obsessions may be under-diagnosed because they are not adequately assessed by current measures of OCD. Musical obsessions have been misdiagnosed as psychotic phenomena, which has led to ineffective treatment. Accurate diagnosis is important for appropriate treatment. Musical obsessions may respond to treatments that are not recommended for prototypic OCD symptoms.
KW - Earworms
KW - Intrusive musical imagery
KW - Involuntary musical imagery
KW - Musical obsessions
KW - Obsessive-compulsive disorder
KW - Orhwurms
UR - http://www.scopus.com/inward/record.url?scp=84903726558&partnerID=8YFLogxK
U2 - 10.1016/j.janxdis.2014.06.003
DO - 10.1016/j.janxdis.2014.06.003
M3 - Review Article
AN - SCOPUS:84903726558
SN - 0887-6185
VL - 28
SP - 580
EP - 589
JO - Journal of Anxiety Disorders
JF - Journal of Anxiety Disorders
IS - 6
ER -