O conceito do insight em pacientes com transtorno obsessivo-compulsivo

Translated title of the contribution: The concept of insight in patients with obsessive-compulsive disorder

Júlia M. Fontenelle, Lívia Da S Santana, Larissa Da R Lessa, Mara Sizino Da Victoria, Mauro Vitor Mendlowicz, Leonardo F. Fontenelle

Research output: Contribution to journalArticleResearchpeer-review

14 Citations (Scopus)

Abstract

Objective: To update clinicians regarding the existence of a putative subtype of obsessive-compulsive disorder based on poor insight. Method: Opinionative review based on studies indexed in the PubMed and PsychINFO databases, identified by means of the keywords "obsessive-compulsive disorder" AND "insight" OR "ego-syntonic", and published between 1966 and October 2009. The results were analyzed according to the approach adopted, i.e. a categorical or dimensional view of insight in obsessive-compulsive disorder. Results: The review of recent studies led us to identify some issues that cast doubts over the existence of a clear-cut poor insight subtype of obsessivecompulsive disorder. These issues include 1) an extremely variable prevalence of poor insight obsessive-compulsive disorder in categorical studies, 2) a significant degree of homogeneity in the phenotypical findings (i.e. greater severity) associated with lower levels of insight in obsessive-compulsive disorder in both categorical and dimensional studies and, 3) a lack of studies investigating zones of rarity between poor and good insight obsessive-compulsive disorder. Conclusion: Although a categorical approach to the insight issue in obsessive-compulsive disorder is still important in clinical settings, where decision-making is often a critical issue, a dimensional approach seems to reflect levels of impairment in these patients more reliably.

Translated title of the contributionThe concept of insight in patients with obsessive-compulsive disorder
Original languagePortuguese
Pages (from-to)77-82
Number of pages6
JournalRevista Brasileira de Psiquiatria
Volume32
Issue number1
DOIs
Publication statusPublished - Mar 2010
Externally publishedYes

Keywords

  • Decision making
  • Obsessive-compulsive disorder
  • Phenotype
  • Prevalence
  • Psychopathology

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