Pattern of Comorbidity Among Anxious and Odd Personality Disorders: The Case of Obsessive-Compulsive Personality Disorder

Rossi, Alessandro; Marinangeli, Maria Grazia; Butti, Giancarlo; Kalyvoka, Artemis; Petruzzi, Concetta

doi:10.1017/s1092852900021623

Cited by 17 publications

(11 citation statements)

References 27 publications

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“…DSM-5 OCPD traits were also associated with the ICD-11 domains of low disinhibition and negative affectivity (17,21). The finding that OCPD traits overlap with different domains is consistent with work demonstrating that OCPD is comorbid with a number of other PDs including avoidant (52), paranoid (52,53), schizotypal (54), borderline and narcissistic (52) PDs. A dimensional structure for describing maladaptive personality traits may be helpful in addressing the artifactual comorbidity that occurs in a categorical system (13,55).…”

Section: The Clinical Utility Of the Icd-11 Pd Modelsupporting

confidence: 83%

Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

et al. 2021

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Introduction: With the shift from a categorical to a dimensional model, ICD-11 has made substantial changes to the diagnosis of personality disorders (PDs), including obsessive-compulsive (anankastic) personality disorder (OCPD). The ICD-11 PD model proposes a single diagnosis of PD with specifications regarding severity and domains. However, a systematic overview of ICD-11 anankastia is lacking. In this review we address the reformulation of the OCPD diagnosis in the ICD-11, and draw comparisons with the DSM-5, with a particular focus on diagnostic validity and clinical utility. We hypothesized that the ICD-11 PD model provides a diagnostically valid and clinically useful approach to OCPD, with specific emphasis on the anankastia domain as the primary trait qualifier.Methods: Literature published from 2010 to 2020 was systematically searched using the PubMed/MEDLINE, PsychInfo, Cochrane, and Web of Sciences search engines, in order to find all articles that addressed ICD-11 anankastia. Relevant articles were collated, and themes of these articles subsequently extracted.Results: Out of the 264 publications identified, 19 articles were included in this review. Four themes were identified, namely (a) overlap of DSM-5 OCPD with the ICD-11 PD model, (b) the factorial structure of the ICD-11 PD model with respect to the anankastia domain, (c) the clinical utility of the ICD-11 PD model, and (d) comparison of the ICD-11 PD model of anankastia with the DSM-5 alternative model for OCPD.Conclusions: The ICD-11 anankastia domain overlaps with DSM-5 OCPD traits, and the factor analyses of the ICD-11 PD model further support the diagnostic validity of this domain. There is some support for the clinical utility of the ICD-11 PD model of anankastia but further studies are needed, including of its relationship to obsessive-compulsive and related disorders.

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Section: The Clinical Utility Of the Icd-11 Pd Modelsupporting

confidence: 83%

Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

et al. 2021

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“…Lifetime prevalence rates for OCPD according to DSM-IV criteria range from 3 to 8 % [6••, 21,22]. In an outpatient population, OCPD was identified as the third most common personality disorder (diagnosed according to DSM-IV criteria) with a point prevalence rate of 8.7 % [23] and in a psychiatric inpatient population as the second most prevalent personality disorder with a rate of 23.3 % (not specified which kind of prevalence) when considering DSM-III-R-criteria [24]. As for sex distribution, some studies demonstrate the same rates for men and women [6••] whereas others indicate higher prevalence rates amongst men than women [25,26].…”

Section: Epidemiology and Course Of Ocpdmentioning

confidence: 99%

“…Studies from non-clinical populations indicate that a lifetime diagnosis of OCPD is moderately common in individuals with 12-month diagnoses of anxiety disorders ( (14 % [41]). Moreover, there is growing evidence for a considerable co-occurrence of OCPD with Cluster A personality disorders, in particular with paranoid and schizotypal personality disorders [16,24,42], which have led to the question whether OCPD should continue to be classified as a Cluster C personality disorder. Finally, it has recently been found that OCPD is very common amongst individuals suffering from medical conditions such as joint hypermobility syndrome/ Ehlers-Danlos syndrome hypermobility type [43] and Parkinson's disease [44].…”

Section: Co-occurrences Of Ocpdmentioning

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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“…In an outpatient population, Zimmerman, Rothschild and Chelminski (2005) found the OCPD being the third prevalent PD (8.7%) after the avoidant PD (14.3%) and the borderline PD (9.3%). In psychiatric inpatients, OCPD was the second most prevalent PD (28.3%; Rossi, Marinangeli, Butti, Kalyvoka, & Petruzzi, 2000).…”

Section: Epidemiology and Coursementioning

confidence: 99%

“…Not surprisingly, given that one of the defining characteristics of OCPD is overconscientiousness and scrupulosity, antisocial PD was diagnosed significantly less frequently in the OCPD group than in the other PD groups. In psychiatric inpatients, Rossi et al (2000) reported a mean of 2.7 PDs per person. The most elevated odds ratios were found for the co‐occurrence of OCPD with paranoid PD and schizoid PD.…”

Section: Epidemiology and Coursementioning

confidence: 99%

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

Reus

Emmelkamp

2010

Personality & Mental Health

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The aim of this article is to review the literature on aetiology, epidemiology and course, assessment and treatment of the obsessive–compulsive personality disorder (OCPD). OCPD is a rather prevalent personality disorder, being one of the most prevalent personality disorders in the general population. OCPD is associated with moderate Axis I and Axis II co‐occurrence and functional impairment is stable over time but generally mild. There is some evidence that the economic burden of OCPD may be considerable. Psychological treatment studies on patients with OCPD are rare, consisting of a few case studies and two open studies. Only one randomized controlled study on pharmacotherapy and no controlled study on psychological treatment directly focusing on OCPD as primary complaint have been reported. Finally, future areas of research are discussed. Copyright © 2010 John Wiley & Sons, Ltd.

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Pattern of Comorbidity Among Anxious and Odd Personality Disorders: The Case of Obsessive-Compulsive Personality Disorder

Cited by 17 publications

References 27 publications

Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

Obsessive–Compulsive Personality Disorder: a Current Review

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

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