Comorbid obsessive–compulsive personality disorder in obsessive–compulsive disorder (OCD): A marker of severity

Löchner, Christine; Serebro, Paul; Merwe, Lize van der; Hemmings, Sı̂an M.J.; Kinnear, Craig; Seedat, Soraya; Stein, Dan J.

doi:10.1016/j.pnpbp.2011.03.006

Cited by 51 publications

(60 citation statements)

References 41 publications

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“…This result was expected given that OC personality traits (i.e., having strict standards about what is right or wrong) would emphasize OCD symptomatology in terms of inflated responsibility [41]. Surprisingly, none of the OCD patients with OCPD showed symmetry, completeness, and exactness symptoms and this result differs from other studies in the literature [42]. The lack of association between the symmetry OCD symptom dimension and OCPD may be surprising.…”

Section: Discussionmentioning

confidence: 66%

“…This result is controversial. For example, co-occurring OCD and OCPD is sometimes associated with greater self-reported OCD severity [42,44], but there are a number of studies that do not support the notion that OCD with OCPD is a marker for OCD clinician-rated severity based on the Y-BOCS-SS total scores [11,45]. A possible explanation for this result is that OCD patients with comorbid OCPD might suffer less from their OC symptoms and may also report lower distress because of ego-syntonicity [46].…”

Section: Discussionmentioning

confidence: 99%

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Comorbid Personality Disorders in Obsessive–Compulsive Disorder and Its Symptom Dimensions

Bulli¹,

Melli

Cavalletti³

et al. 2015

Psychiatr Q

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The current paper was aimed at: (1) investigating the comorbidity between obsessive-compulsive disorder (OCD) and personality disorders (PDs) using an OCD sample and clinician-administered structured interviews; (2) exploring the associations of different cluster comorbid PDs with the specific symptom dimensions of OCD; (3) analyzing the variables which could play a significant role in the probability of having at least one comorbid PD, controlling for confounding variables. The SCID-II and Y-BOCS, together with a series of self-report measures of OCD, depression and anxiety symptoms were administered to a clinical sample of 159 patients with a primary diagnosis of OCD. 20.8 % of the participants suffered from at least one comorbid PD; the most common was obsessive-compulsive PD (9.4 %), followed by narcissistic PD (6.3 %). In OCD patients with comorbid cluster C PDs, the percentage of responsibility for harm, injury, or bad luck symptoms was significantly greater than other OCD symptom dimensions (p < .005). Logistic regression found some evidence supporting the association between severity of OCD symptoms and comorbid PDs. PDs are prevalent among Italian people with OCD and should be routinely assessed, as comorbidity may affect help-seeking behaviour and response to treatment.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Comorbid Personality Disorders in Obsessive–Compulsive Disorder and Its Symptom Dimensions

Bulli¹,

Melli

Cavalletti³

et al. 2015

Psychiatr Q

View full text Add to dashboard Cite

show abstract

“…Similarly, studies with adults have noted that OCPD is associated with greater contamination, symmetry, and doubting symptoms [4,7,13]. While these results are compelling, longitudinal studies are necessary to evaluate the trajectory of childhood OCPTs into adulthood and determine whether OCPTs may serve as a marker for OCD youth who are at risk of developing OCPD.…”

Section: Discussionmentioning

confidence: 99%

“…Studies report significantly higher rates of OCPD amongst those with OCD (23-47 %), relative to healthy community controls (1-3 %) [4,5]. Examination of the impact of OCPD on OCD symptoms in adults has yielded discrepant information regarding the relationship between OCPD and OCD, with some noting that the presence of OCPD was associated with greater OCD severity and disability, whereas others found that no association existed [4,6,7]. Still some studies have noted that even when OCPD was not associated with OCD severity, OCPD was significantly associated with increased psychosocial impairment [6].…”

Section: Introductionmentioning

confidence: 99%

Obsessive–Compulsive Personality Traits in Youth with Obsessive–Compulsive Disorder

Park

Storch

Pinto

et al. 2015

Child Psychiatry Hum Dev

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While interest in the relationship between obsessive-compulsive disorder (OCD) and obsessive compulsive personality disorder has increased, there are currently no studies that have examined the presence of obsessive compulsive personality traits (OCPTs) in youth. The current study sought to determine the latent factors and psychometric properties of a modified version of the Childhood Retrospective Perfectionism Questionnaire (CHIRP) and examine the correlates of specific OCPTs (e.g., rigidity, perfectionism) in youth with OCD. Participants included 96 treatment-seeking youth diagnosed with primary OCD (and a parent). Parents and youth completed measures of OCPTs, OCD severity, depression, and disability. A confirmatory factor analysis of the modified CHIRP resulted in a two-factor model: perfectionism and preoccupation with details. The CHIRP and its subscales demonstrated acceptable internal consistency and preliminary evidence for convergent and divergent validity. Obsessive compulsive traits in youth were also found to be associated with the checking, symmetry and contamination symptom dimensions.

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“…OCPD is relatively common in OCD patient populations, with prevalence estimates of comorbid OCPD ranging from 23 to 35 % (Albert et al 2004;Pinto et al 2006Pinto et al , 2011Samuels et al 2000). Compared to OCD patients without OCPD, individuals with both conditions tend to have poorer insight into the senselessness of their symptoms (Lochner et al 2011), and OCPD has also been linked to worse treatment outcomes. For example, Pinto et al (2011) found that OCD patients with comorbid OCPD benefited less from E/RP.…”

Section: Complicating Factorsmentioning

confidence: 99%

Treatment of an Adult with Obsessive-Compulsive Disorder with Limited Treatment Motivation

Wheaton

Puliafico

Zuckoff

et al. 2015

Clinical Handbook of Obsessive-Compulsive and Related Disorders

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Comorbid obsessive–compulsive personality disorder in obsessive–compulsive disorder (OCD): A marker of severity

Cited by 51 publications

References 41 publications

Comorbid Personality Disorders in Obsessive–Compulsive Disorder and Its Symptom Dimensions

Comorbid Personality Disorders in Obsessive–Compulsive Disorder and Its Symptom Dimensions

Obsessive–Compulsive Personality Traits in Youth with Obsessive–Compulsive Disorder

Treatment of an Adult with Obsessive-Compulsive Disorder with Limited Treatment Motivation

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