The association between obsessive compulsive disorder and obsessive compulsive personality disorder: Prevalence and clinical presentation

Abstract

There may have been a sampling issue, as the study compared patients from a specialist clinic for the treatment of OCD and Panic disorder. Furthermore, OCD referrals were primary, secondary, or tertiary, whereas Panic disorder referrals were primary or secondary from the immediate catchment area only. This suggests the possibility of greater severity of the OCD sample relative to Panic disorder patients. All participants who met criteria for OCD were assessed for OCPD regardless of whether or not this was indicated by the SCID II screener self-report measure, while participants with Panic disorder were interviewed for OCPD only if indicated by the SCID-II screener. Had participants with Panic disorder been assessed for OCPD regardless of whether or not this was indicated by the SCID-II screener, there is a possibility that a higher rate of OCPD in the Panic disorder sample may have been found.

Obsessive–Compulsive Personality Disorder: a Current Review

“…Indication for this hypothesis comes from studies that utilized structured interviews and DSM-IV criteria demonstrating cooccurrence rates that range between 23 and 45 % [21,49,[52][53][54]. Lower co-occurrence rates were found in (earlier) studies in which DSM-III, DSM-III-R or ICD-10-criteria were utilized as well as clinical judgments, questionnaires, and semistructured interviews for diagnostic assessment purposes [e.g.…”

“…[55][56][57]. Further evidence for an overlap between OCD and OCPD originates from studies showing significantly higher cooccurrence rates between OCPD and OCD than between OCPD and the general population [21,22] or other mental disorders [52,58] (for contradictory findings, see Albert et al, 2004 [21]) (for more details, see Table 1). Even more evidence comes from studies demonstrating (significantly) higher comorbidity rates between OCPD and OCD than between other personality disorders and OCD [22,53,54,56,59,60].…”

“…Studies specifically focusing on characteristics of individuals suffering from both disorders show that these individuals suffer from higher rates of doubting, symmetry and hoarding obsessions [51,52]; cleaning, ordering, repeating and hoarding compulsions [49,51,61]; and alcohol consumption [52] as well as lower levels of insight and global functioning [49][50][51]53] than individuals suffering from OCD alone. However, findings also consistently demonstrate that individuals who only suffer from OCD and subjects with a comorbid OCPD do not differ significantly with respect to sex, clinician-rated severity of OCD, duration of OCD, morbidity risk for OCD, levels of disability, positive family history for tic disorder/Tourette syndrome and distribution of gene variants [51,58,61].…”

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

“…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].…”

Obsessive-compulsive (anankastic) personality disorder: toward the ICD-11 classification

“…On the other hand, other studies have shown that patients with OCD and comorbid OCPD are characterized by an increased frequency of hoarding symptoms compared to noncomorbid OCD. 47,71 Conversely, the presence of hoarding symptoms in patients with OCD was found to be associated with an increased frequency of OCPD traits, 72 even when the hoarding criterion was removed from analysis, 73 suggesting an association does exist between OCD, hoarding symptoms, and the remaining OCPD criteria. It is noteworthy, however, that the ICD-10 definition of anankastic personality disorder does not include a hoarding criterion.…”