Impulse control disorders and depression.
This study assessed the frequency of impulse control disorders (ICDs) and their association with bulimia, compulsive buying, and suicide attempts in a population of depressed inpatients. We investigated ICDs using the Minnesota Impulsive Disorders Interview. Patients answered the Zuckerman Sensation-Seeking Scale and the Barratt Impulsivity Rating Scale. Among the 31 depressed patients who met criteria for ICD (ICD+ group), we found 18 cases of intermittent explosive disorder, three cases of pathological gambling, four cases of kleptomania, three cases of pyromania, and three cases of trichotillomania. Patients with co-occurring ICDs were significantly younger (mean age = 37.7 versus 42.8 years). Patients with kleptomania had a higher number of previous depressive episodes (5.7 versus 1.3), and patients with pyromania had a higher number of previous depressions (3.3 versus 1.3, p =.01). Bipolar disorders were more frequent in the ICD+ group than in the ICD- group (19% versus 1.3%, p =.002), whereas antisocial personality was not (3% versus 1%, p = ns). Bulimia (42% versus 10.5%, p =.005) and compulsive buying (51% versus 22%, p =.006) were significantly more frequent in the ICD+ group. Patients from the ICD+ group had higher scores of motor impulsivity assessed with the Barratt Impulsivity rating scale (p =.01).
Lejoyeux
Michel
M
Department of Psychiatry, Louis Mourier Hospital, 178 Rue des Renouillers AP-HP, 92700, Colombes, France.
Arbaretaz
Marie
M
McLoughlin
Mary
M
Adès
Jean
J
D000328:Adult; D000367:Age Factors; D002032:Bulimia / Q000175:diagnosis / Q000453:epidemiology; D015897:Comorbidity; D003192:Compulsive Behavior / Q000175:diagnosis / Q000453:epidemiology; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D005391:Firesetting Behavior / Q000175:diagnosis / Q000453:epidemiology; D005715:Gambling / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality / Q000145:classification; D010552:Personality Assessment; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012008:Recurrence; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D014256:Trichotillomania / Q000175:diagnosis / Q000453:epidemiology