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Obsessive-compulsive disorder in hypersexual patients

Smas-Myszczyszyn, M1; Lew-Starowicz, M2

1: Lew-Starowicz Therapy Center, Warsaw, Poland; 2: III Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland

Objectives: The aim of this study was to assess differences in the level of obsessiveness and compulsivity in 3 groups of patients 1) compulsively masturbating; 2) having uncontrolled sexual relationships with multiple partners; 3) compulsively masturbating and having uncontrolled sexual relationships with many partners.

Material & Methods: 108 patients meeting diagnostic criteria of hypersexual disorder (HD) by Kafka et al. (2010) were interviewed. The content (type) of obsessions and compulsions and their intensity were assessed using the Y-BOCS (Yale-Brown Obsessive-Compulsive Scale). Patients have also completed the OCI-R (Obsessive – Compulsive Inventory – Revised) and STAI Test (State-Trait Anxiety Inventory).

Results: We found differences in the intensity of obsessive thoughts, compulsive behavior and anxiety (trait) between the three groups. According to the OCI-R scores, 34% of the subjects indicated high probability for OCD. Patients from the Group 2 presented with the lowest total OCI-R scores and in the obsessive subscale. High levels of anxiety (trait) were found in 45.5% of the subjects with the highest scores in Group 1 and the lowest in Group 2. The patients were presenting different types of obsessions: aggression (74%), pollution (37%), sexual (81.5%), gathering (28%), religious (25%), symmetry / accuracy (35%) and other (74%). Compulsions was character: somatic (38%), washing / cleaning (25%), checking (55%), ritualization (18%), ordering / laying (15%), collection / gathering (16%), ), sexual (97%). According to the Y-BOCS, 62% of all hypersexual patients experienced moderate and 18% severe obsessive-compulsive symptoms. The majority of subjects with severe OCD symptoms were from Group 1 (70%). Patients from Group 3 scored significantly higher in the compulsivity subscale (Y-BOCS) as compared to Group 2.

Conclusions: The nature of obsessions and compulsions presented by hypersexual patients is highly differentiated and includes many non–sexual aspects. Significant differences were found according to intensity of obsessive-compulsive symptoms and the level of anxiety between the three groups. Compulsively masturbating patients indicated the highest level of anxiety and obsessive-compulsive symptoms. This should be taken into account in therapy planning.

Disclosure:

Work supported by industry: no.

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