Obsessive–compulsive personality disorder: a review of current empirical findings

Reus, Rob J M de; Emmelkamp, P.M.G.

doi:10.1002/pmh.144

Cited by 41 publications

(28 citation statements)

References 133 publications

(159 reference statements)

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“…Obsessive-compulsive personality disorder (OCPD; DSM classification [11][12][13][14]) or anankastic personality disorder (APD; ICD classification) is the most prevalent personality disorder among the general population (3%-8%) and outpatient groups. It co-occurs with anxiety disorders, affective disorders, and substance-related disorders.…”

Section: Ocpd/apd: the Most Prevalent And Understudied Personality DImentioning

confidence: 99%

“…Recent review papers have emphasized that OCPD/APD needs consistent conceptualization and studies undertaken that separate its genuine co-occurrence with other disorders from the overlapping due to unclear distinction of OCPD/APD from similar conditions [13,14]. At present, there is very little that can be conclusively said about OCPD/APD, let alone its relationship with work addiction and burn-out.…”

Section: Ocpd/apd: the Most Prevalent And Understudied Personality DImentioning

confidence: 99%

See 1 more Smart Citation

Work Addiction, Obsessive-Compulsive Personality Disorder, Burn-Out, and Global Burden of Disease: Implications from the ICD-11

Atroszko

Demetrovics

Griffiths

2020

IJERPH

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Occupational stress and high workload are being increasingly recognized as significant contributors to the diseases and disorders constituting major components of the global burden of disease. A more detailed definition of burn-out was recently included by the World Health Organization (WHO) in the eleventh revision of the International Classification of Diseases (ICD-11) which reflects a growing acknowledgment of the role of professional work in mental health. One of the symptoms of obsessive-compulsive personality disorder/anankastic personality disorder (OCPD/APD) is an undue preoccupation with productivity to the exclusion of pleasure and interpersonal relationships. This compulsive overworking is closely related to the concept of work addiction, and OCPD/APD was suggested to be its major risk factor. OCPD/APD is the most prevalent personality disorder and one that appears to produce the highest direct and indirect medical costs. At the same time, it is vastly understudied. In recent years, it has been repeatedly emphasized that it requires consistent conceptualization and clarification of its overlapping with similar conditions. Even though the limited existing studies suggest its strong relationship with burn-out and depression among employed individuals, there has been no systematic effort to investigate its role in the consequences of occupational stress and high workload. This paper identifies several substantial gaps in the current understanding of the relationships between work addiction, OCPD/APD, burn-out, and the global burden of disease within the context of the WHO’s plan of developing evidence-based guidelines on mental wellbeing in the workplace.

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Section: Ocpd/apd: the Most Prevalent And Understudied Personality DImentioning

confidence: 99%

Section: Ocpd/apd: the Most Prevalent And Understudied Personality DImentioning

confidence: 99%

Work Addiction, Obsessive-Compulsive Personality Disorder, Burn-Out, and Global Burden of Disease: Implications from the ICD-11

Atroszko

Demetrovics

Griffiths

2020

IJERPH

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“…The prevalence of OCPD in outpatient settings is between 8% -9% (Cain et al, 2014). Despite the fact that OCPD, unlike other personality disorders, has been included in all the revisions of the DSM, including its fifth edition, and the fact that it is the most common personality disorder in the general population (de Reus and Emmelkamp, 2012;Grant et al, 2012), very little is known about its neural basis.…”

Section: Introductionmentioning

confidence: 99%

Alterations of the default mode network connectivity in obsessive–compulsive personality disorder: A pilot study

Coutinho

Gonçalves

Soares

et al. 2016

Psychiatry Research: Neuroimaging

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Obsessive-compulsive personality (OCPD) disorder is characterized by a pattern of excessive self-control, perfectionism and behavioral and cognitive rigidity. Despite the fact that OCPD is the most common personality disorder in the general population, published studies looking at the brain correlates of this disorder are practically nonexistent. The main goal of this study was to analyze the presence of brain alterations in OCPD when compared to healthy controls, specifically at the level of the Default Mode Network (DMN). The DMN is a well-established resting state network which was found to be associated with psychological processes that may play a key role in OCPD (e.g., self-awareness, episodic future thinking and mental simulation). Ten individuals diagnosed with OCPD and ten healthy controls underwent a clinical assessment interview and a resting-state functional magnetic resonance imaging (fMRI) acquisition. The results show that OCPD patients presented an increased functional connectivity in the precuneus (i.e., a posterior node of the DMN), known to be involved in the retrieval manipulation of past events in order to solve current problems and develop plans for the future. These results suggest that this key node of the DMN may play an important role in the pathophysiology of OCPD.

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“…Moreover, given that some items in the OCI‐R do not describe induced negative or uncomfortable feelings, it is also possible that individuals with higher scores on the OCI‐R may have obsessive–compulsive personality disorder (OCPD), which is characterized by perfectionism and preoccupation with details (American Psychiatric Association, ). OCPD differs from OCD by its ego‐syntonic obsessions (de Reus & Emmelkamp, ) and thus individuals with OCPD may not be distressed by their perfectionism or preoccupation with details. This may lead to the positive correlation between OCI‐R scores and contextual anticipatory pleasure.…”

Section: Discussionmentioning

confidence: 99%

Network structure of anticipatory pleasure and risk features: Evidence from a large college sample

et al. 2019

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Investigating the relationship between anticipatory pleasure deficits and risk features of mental disorders not only theoretically benefits the understanding of anhedonia, but could also facilitate early detection and intervention of mental disorders. Using network analysis, the present study examined the pattern of relationship between anticipatory pleasure and risk features of schizophrenia spectrum, depressive, anxiety, autism spectrum, and obsessive-compulsive disorders in a large sample of college students (n = 2152). It was found that interpersonal features of schizotypal personality traits and poor social skills of autistic traits showed strong correlation with low social anticipatory pleasure. Depressive symptoms severity was weakly associated with reduced abstract anticipatory pleasure, while obsessive-compulsive traits were weakly associated with high contextual anticipatory pleasure. No significant correlation was found between anxiety symptoms severity and anticipatory pleasure.Social anticipatory pleasure had the highest strength centrality among all anticipatory pleasure components, while interpersonal features of schizotypal personality traits had the highest strength centrality in the whole network. Our findings suggest that impaired anticipatory pleasure, especially social anticipatory pleasure, is a particular feature of schizotypal personality traits and autistic traits. Our findings may have implications for intervention in that the social component may be a target to improve anhedonia in individuals with schizotypal and autistic traits, while interpersonal features may be a key treatment target given that it was central to the relationship between anticipatory pleasure and risk features.High incidence of comorbidity between diagnostic categories and heterogeneity in presentation within disorders (Kotov et al., 2017) suggest that discrete divisions between diagnostic categories may be less well-defined than previously assumed and evidence suggests that symptom expression is continuous between disorders (Lambert et al., 2018;

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Obsessive–compulsive personality disorder: a review of current empirical findings

Cited by 41 publications

References 133 publications

Work Addiction, Obsessive-Compulsive Personality Disorder, Burn-Out, and Global Burden of Disease: Implications from the ICD-11

Work Addiction, Obsessive-Compulsive Personality Disorder, Burn-Out, and Global Burden of Disease: Implications from the ICD-11

Alterations of the default mode network connectivity in obsessive–compulsive personality disorder: A pilot study

Network structure of anticipatory pleasure and risk features: Evidence from a large college sample

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