Screening for Impulse Control Disorders Among Patients Admitted to a French Psychiatric Emergency Service~!2008-09-16~!2008-11-06~!2008-11-28~!

Abstract

Abstract:Objective: The authors want to examine the prevalence of all impulse control disorders (ICD) among patients examined in a French psychiatric emergency ward and to compare patients with and without ICD.Method: 210 consecutive patients examined in a psychiatric emergency ward were included. We used the Minnesota Impulsive Disorders Interview, a semi-structured clinical interview assessing impulse control disorders (ICD): compulsive buying, trichotillomania, compulsive sexual behavior, kleptomania, pyromania and intermittent explosive disorder. We assessed the DSM-IV-TR criteria for personality disorders and we used the Zuckerman scale to study the level of sensation-seeking. All patients answered in addition the South Oaks Gambling Screen (SOGS) for pathological gambling, the Lejoyeux scale of compulsive buying, the DETA questionnaire for alcohol use disorders and the Fagerström questionnaire for nicotine consumption.Results: Fifty-four patients (25%) showed signs of at least one ICD. Fifteen patients (7%) reported current symptoms of two impulse control disorders. The most common impulse control disorders were compulsive buying (N=41, 19.5%), pathological gambling (N=13, 6.2%) and intermittent explosive disorder (N=11, 5.2%). Psychiatric comorbidity was not different between patients from the ICD+ and the ICD-groups. Alcohol, nicotine and cannabis consumption were equivalent in the ICD+ and ICD-groups.Patients with co-occurring impulse control disorders were younger. They had a higher score of pathological gambling assessed with the SOGS and a higher level of sensation seeking. Sub-scores of disinhibition, experience seeking and boredom susceptibility were also significantly higher.Conclusion: An important proportion of patients (25%) examined in a French psychiatric emergency service shows at least one diagnosis of impulse control disorder. Emergency ward may give them an opportunity for identifying ICD and offering information and treatment. Additional research could try to validate effective treatment for psychiatric patients with impulse control disorder.

A study investigating the association between compulsive buying with measures of anxiety and obsessive–compulsive behavior among internet shoppers

“…Dittmar [28] have argued that "given that men and women have been shown to differ in their attitudes toward both the Internet and shopping (in conventional environments), it seems surprising that there is little research that explicitly addresses gender differences in on-line buying". A previous study showed high prevalence in compulsive buying in women among patients admitted to a French Psychiatric Emergency Service [29]. Another study which used a random sample, national household telephone survey among 2513 adults from the general population in the US did not find a significant gender effect in their sample [30].…”

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