Incidence and clinical correlates of anger attacks in Chinese patients with obsessive-compulsive disorder.

Ying-ying Zhang; Heng-fen Gong; Xiao-li Zhang; Wen-juan Liu; Hai-yan Jin; Fang Fang; Sophie Schneider; Elizabeth Mcingvale; Chen-cheng Zhang; Wayne K Goodman; Xi-rong Sun; Eric A Storch

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Incidence and clinical correlates of anger attacks in Chinese patients with obsessive-compulsive disorder.

Author: Ying-Ying ZHANG ¹ ; Heng-Fen GONG ² ; Xiao-Li ZHANG ³ ; Wen-Juan LIU ⁴ ; Hai-Yan JIN ⁵ ; Fang FANG ⁶ ; Sophie SCHNEIDER ⁷ ; Elizabeth MCINGVALE ⁷ ; Chen-Cheng ZHANG ¹ ; Wayne K GOODMAN ⁷ ; Xi-Rong SUN ² ; Eric A STORCH ⁷
Author Information

1. Department of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
2. Department of Psychiatry, Pudong New District Mental Health Center, Shanghai 200124, China.
3. The People's Hospital of Leshan, Sichuan 614000, China.
4. Department of Psychological Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
5. Department of Psychiatry, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
6. Department of Psychotherapy, Shanghai Hongkou Mental Health Center, Shanghai 200030, China.
7. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX 77030, USA.
Publication Type:Journal Article
Keywords: Obsessive-compulsive disorder; Anger attacks; Assessment; China
MeSH: Adolescent; Adult; Age Factors; Anger; China; Depression/complications*; Emotions; Executive Function; Female; Humans; Incidence; Male; Middle Aged; Obsessive-Compulsive Disorder/psychology*; Regression Analysis; Severity of Illness Index; Stress, Psychological; Young Adult
From: Journal of Zhejiang University. Science. B 2019;20(4):363-370
CountryChina
Language:English
Abstract: OBJECTIVE:Anger attacks have been observed in patients with obsessive-compulsive disorder (OCD), often triggered by obsessional triggers. However, few studies have reported the clinical characteristics and correlates of anger attacks among Chinese patients with OCD.
METHODS:A total of 90 adults with a primary diagnosis of OCD, ranging from 15 to 78 years old, participated in the study. Participants were administered the Rage Outbursts and Anger Rating Scale (ROARS), Yale-Brown Obsessive-Compulsive Scale-Second Edition, and Brown Assessment of Beliefs Scale by a trained clinician. Patients completed the Obsessive-Compulsive Inventory-Revised and Depression Anxiety Stress Scale-21.
RESULTS:A total of 31.3% of participants reported anger outbursts in the past week, and ROARS scores had no significant correlation with age, duration of illness, OCD severity, depression, or stress. However, ROARS scores were negatively related to education level, and positively related to obsessing symptoms and anxiety.
CONCLUSIONS:These data suggest that anger attacks are relatively common in Chinese patients with OCD. The severity of anger attacks is related to educational level, obsessing symptoms, and anxiety, which may be a latent variable reflecting executive functioning and emotion regulation skills.