Obsessive–Compulsive Personality Disorder: A Review

Costa, Paul T.; Samuels, Jack; Bagby, Michael; Daffin, Lee W.; Norton, Hillary; Gabbard, Glen O.; Rothenberg, Albert; Shapiro, David L.; Serpell, Lucy; Hirani, Varsha; Hollander, Eric; Sharma, Lisa; Hand, Iver; Fricke, Susanne; Nestadt, Gerald; Riddle, Mark A.; Cottraux, Jean; Pull, Charles; Pull, Marie Claire; Bolwig, Tom G.; Pallanti, Stefano; Ansseau, Marc; Thomsen, Per Hove; Torres, Albina Rodrigues; Njenga, Frank; Nguithi, Anna; Kangethe, Rachel N.

doi:10.1002/0470090383.ch6

Cited by 15 publications

(19 citation statements)

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“…In 1952, with the publication of the first Diagnostic and Statistical Manual for Mental Disorders (DSM) [2], it became a diagnosable mental disorder. Since then, and unlike other personality disorders, it has been included in all revisions of the DSM including the Fifth Edition of the DSM (DSM-5) [3]. It is characterized by eight personality traits: preoccupation with details, perfectionism, excessive devotion to work and productivity, over-conscientiousness, inability to discard worthless objects, inability to delegate tasks, miserliness, and rigidity and stubbornness [4].…”

Section: Introductionmentioning

confidence: 99%

Obsessive–Compulsive Personality Disorder: a Current Review

Diedrich¹,

Voderholzer

2015

Curr Psychiatry Rep

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This review provides a current overview on the diagnostics, epidemiology, co-occurrences, aetiology and treatment of obsessive-compulsive personality disorder (OCPD). The diagnostic criteria for OCPD according to the recently published Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) include an official set of criteria for clinical practice and a new, alternative set of criteria for research purposes. OCPD is a personality disorder prevalent in the general population (3-8 %) that is more common in older and less educated individuals. Findings on sex distribution and course of OCPD are inconsistent. OCPD is comorbid with several other medical and psychological conditions. As for causes of OCPD, most empirical evidence provides support for disturbed attachment as well as the heritability of OCPD. So far, cognitive (behavioural) therapy is the best validated treatment of OCPD. Self-esteem variability, stronger early alliances as well as the distress level seem to predict cognitive (behavioural) therapy outcome. Future research is needed to further advance knowledge in OCPD and to resolve inconsistencies.

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Section: Introductionmentioning

confidence: 99%

Obsessive–Compulsive Personality Disorder: a Current Review

Diedrich¹,

Voderholzer

2015

Curr Psychiatry Rep

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“…Despite this long history, the construct described in the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV-TR ; APA, 2000), has traveled a winding road that has seen substantial changes to what are considered its essential features (see Costa, Samuels, Bagby, Daffin, and Norton, 2005, for a more complete historical review). For example, the DSM-I (APA, 1952) description of what was termed compulsive personality featured overconcern “with adherence to standards of conscience or of conformity,” overinhibition, overconscientiousness, “an inordinate capacity for work,” rigidity, chronic tension, and a “lack [of] a normal capacity for relaxation” (APA, 1952, p. 37).…”

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A Comparison of Obsessive–Compulsive Personality Disorder Scales

Samuel

Widiger

2010

Journal of Personality Assessment

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The current study utilized a large undergraduate sample (n = 536), oversampled for DSM-IV-TR obsessive-compulsive personality disorder (OCPD) pathology, to compare eight self-report measures of OCPD. No prior study has compared more than three measures and the results indicated that the scales had only moderate convergent validity. We also went beyond the existing literature to compare these scales to two external reference points: Their relationships with a well established measure of the five-factor model of personality (FFM) and clinicians' ratings of their coverage of the DSM-IV-TR criterion set. When the FFM was used as a point of comparison the results suggested important differences among the measures with respect to their divergent representation of conscientiousness, neuroticism, and agreeableness. Additionally, an analysis of the construct coverage indicated that the measures also varied in terms of their representation of particular diagnostic criteria. For example, while some scales contained items distributed across the diagnostic criteria, others were concentrated more heavily on particular features of the DSM-IV-TR disorder.

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“…Descriptions of OCPD have emphasized deliberateness and effortfulness (Shapiro, 1965) control over self and environment (Salzman, 1973), and the interpersonal rigidity associated with a demanding and uncompromising standards (Millon, 1981) that frequently results in interpersonal conflict (Pollak, 1987) - particularly with a spouse or partner (Costa, Samuels, Bagby, Daffin, & & Norton, 2005) - and aggressive or violent behavior (Pulay, et al, 2008; Villemarette-Pittman, Stanford, Greve, Houston, & Mathias, 2004). …”

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confidence: 99%

The prevalence and structure of obsessive-compulsive personality disorder in Hispanic psychiatric outpatients

Ansell¹,

Pinto²,

Crosby³

et al. 2010

Journal of Behavior Therapy and Experimental Psychiatry

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This study sought to confirm a multi-factor model of Obsessive-compulsive personality disorder (OCPD) in a Hispanic outpatient sample and to explore associations of the OCPD factors with aggression, depression, and suicidal thoughts. One hundred and thirty monolingual, Spanishspeaking participants were recruited from a community mental health center and were assessed by bilingual doctoral level clinicians. OCPD was highly prevalent (26%) in this sample. Multi-factor models of OCPD were tested and the two factors -perfectionism and interpersonal rigidity -provided the best model fit. Interpersonal rigidity was associated with aggression and anger while perfectionism was associated with depression and suicidal thoughts. KeywordsObsessive-compulsive personality disorder; Hispanic; perfectionism; rigidity Obsessive-compulsive personality disorder is one of the most prevalent personality disorders (PDs) in community and outpatient samples. Some studies suggest it has the highest prevalence rate (7.9%) of all PDs in community samples and one of the highest rates (8.7%) in outpatient groups (Grant, et al., 2004;Zimmerman, Rothschild, & Chelminski, 2005). Despite the high prevalence of OCPD, little empirical attention has been given to the validity and structure of the OCPD construct as outlined in DSM-IV (Pollak, 1995). The DSM-IV assumes a unidimensional structure for each of the personality disorder diagnoses. However, clinical views and the limited empirical literature suggest that a multifactorial approach may offer a Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. (Ansell, Pinto, Edelen, & Grilo, 2008; Pinto, Ansell, Grilo, & Shea, 2007;Pinto, Mancebo, Eisen, Pagano, & Rasmussen, 2006). NIH Public AccessTheoretical underpinnings of OCPD highlight the mutlifactorial nature of the diagnosis. Descriptions of OCPD have emphasized deliberateness and effortfulness (Shapiro, 1965) control over self and environment (Salzman, 1973), and the interpersonal rigidity associated with a demanding and uncompromising standards (Millon, 1981) (Pulay, et al., 2008;Villemarette-Pittman, Stanford, Greve, Houston, & Mathias, 2004).Exploratory and confirmatory examinations of factor structure in OCPD to date have suggested two-and three-factor solutions (see Table 1). Grilo (2004), in an exploratory factor-analytic study of DSM-IV OCPD criteria, identified a three-factor structure of OCPD in a homogeneous binge eating disorder (BED) patient group. Examinations of factor loadings suggested that perfectionism, rigidity, and miserliness factors underlie the OCPD construct. However, Grilo ...

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Obsessive–Compulsive Personality Disorder: A Review

Cited by 15 publications

References 0 publications

Obsessive–Compulsive Personality Disorder: a Current Review

Obsessive–Compulsive Personality Disorder: a Current Review

A Comparison of Obsessive–Compulsive Personality Disorder Scales

The prevalence and structure of obsessive-compulsive personality disorder in Hispanic psychiatric outpatients

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