Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment

Due to similar manifestations, some authors have proposed a potential correlation between autism spectrum disorder (ASD) and obsessive–compulsive disorder (OCD). This link has long been recognized and debated, with some authors arguing that these disorders frequently occur comorbid but distinct whil...

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Main Authors: Liliana Dell’Osso, Benedetta Nardi, Chiara Bonelli, Giulia Amatori, Maria Alessandra Pereyra, Enrico Massimetti, Ivan Mirko Cremone, Stefano Pini, Barbara Carpita
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/14/1/64
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author Liliana Dell’Osso
Benedetta Nardi
Chiara Bonelli
Giulia Amatori
Maria Alessandra Pereyra
Enrico Massimetti
Ivan Mirko Cremone
Stefano Pini
Barbara Carpita
author_facet Liliana Dell’Osso
Benedetta Nardi
Chiara Bonelli
Giulia Amatori
Maria Alessandra Pereyra
Enrico Massimetti
Ivan Mirko Cremone
Stefano Pini
Barbara Carpita
author_sort Liliana Dell’Osso
collection DOAJ
description Due to similar manifestations, some authors have proposed a potential correlation between autism spectrum disorder (ASD) and obsessive–compulsive disorder (OCD). This link has long been recognized and debated, with some authors arguing that these disorders frequently occur comorbid but distinct while others believe they are part of the same spectrum. The aim of our study was to explore the prevalence and correlates of autistic traits in 55 OCD patients and 55 matched controls and to assess possible autistic dimensions predictive of higher OCD symptoms. All participants were assessed with the Obsessive–Compulsive Spectrum-Short Version (OBS-SV) and the Adult Autism Subthreshold Spectrum (AdAS Spectrum). The OCD group scored significantly higher in both questionnaires. Total OBS-SV scores and domains were significantly correlated with all AdAS Spectrum domains and total score. The AdAS Spectrum total, <i>Verbal Communication</i> and <i>Inflexibility and adherence to routine</i> domain scores were significant positive predictors of higher OBS-SV scores. Lastly, when two clusters of subjects (<i>high</i> and <i>low autism</i>) were determined, <i>Inflexibility and adherence to routine domain</i> presented the greatest influence in forming the clusters. Our findings support the association between OCD and autistic traits in the adult population, supporting the hypothesis of a neurodevelopmental basis for these psychiatric conditions.
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spelling doaj.art-bbda0f5eb7cc412c9c95f0dd1360c85c2024-01-26T15:24:41ZengMDPI AGBrain Sciences2076-34252024-01-011416410.3390/brainsci14010064Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication ImpairmentLiliana Dell’Osso0Benedetta Nardi1Chiara Bonelli2Giulia Amatori3Maria Alessandra Pereyra4Enrico Massimetti5Ivan Mirko Cremone6Stefano Pini7Barbara Carpita8Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyUFSMA Val di Cornia, Azienda USL Toscana Nord Ovest, 54100 Massa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDue to similar manifestations, some authors have proposed a potential correlation between autism spectrum disorder (ASD) and obsessive–compulsive disorder (OCD). This link has long been recognized and debated, with some authors arguing that these disorders frequently occur comorbid but distinct while others believe they are part of the same spectrum. The aim of our study was to explore the prevalence and correlates of autistic traits in 55 OCD patients and 55 matched controls and to assess possible autistic dimensions predictive of higher OCD symptoms. All participants were assessed with the Obsessive–Compulsive Spectrum-Short Version (OBS-SV) and the Adult Autism Subthreshold Spectrum (AdAS Spectrum). The OCD group scored significantly higher in both questionnaires. Total OBS-SV scores and domains were significantly correlated with all AdAS Spectrum domains and total score. The AdAS Spectrum total, <i>Verbal Communication</i> and <i>Inflexibility and adherence to routine</i> domain scores were significant positive predictors of higher OBS-SV scores. Lastly, when two clusters of subjects (<i>high</i> and <i>low autism</i>) were determined, <i>Inflexibility and adherence to routine domain</i> presented the greatest influence in forming the clusters. Our findings support the association between OCD and autistic traits in the adult population, supporting the hypothesis of a neurodevelopmental basis for these psychiatric conditions.https://www.mdpi.com/2076-3425/14/1/64obsessive–compulsive spectrumautism spectrum disorderautistic traitssubthreshold autism spectrumcognitive inflexibility
spellingShingle Liliana Dell’Osso
Benedetta Nardi
Chiara Bonelli
Giulia Amatori
Maria Alessandra Pereyra
Enrico Massimetti
Ivan Mirko Cremone
Stefano Pini
Barbara Carpita
Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment
Brain Sciences
obsessive–compulsive spectrum
autism spectrum disorder
autistic traits
subthreshold autism spectrum
cognitive inflexibility
title Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment
title_full Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment
title_fullStr Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment
title_full_unstemmed Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment
title_short Autistic Traits as Predictors of Increased Obsessive–Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment
title_sort autistic traits as predictors of increased obsessive compulsive disorder severity the role of inflexibility and communication impairment
topic obsessive–compulsive spectrum
autism spectrum disorder
autistic traits
subthreshold autism spectrum
cognitive inflexibility
url https://www.mdpi.com/2076-3425/14/1/64
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