Gender differences in social and interpersonal features and personality disorders among Japanese patients with obsessive-compulsive disorder

Matsunaga, Hisato; Kiriike, Nobuo; Matsui, Toshiyasu; Miyata, Akira; Iwasaki, Yuma; Fujimoto, Kayo; Kasai, Shinji; Kojima, Miho

doi:10.1053/comp.2000.7426

Cited by 47 publications

(34 citation statements)

References 20 publications

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“…However, OCD in male children and adolescents has been described as more severe. 23,24 Finally, our finding of a worse global functioning in men, although not statistically relevant, is consistent with other studies in which male patients with OCD were described as being more significantly impaired from the social and occupational point of view 25 and as being more frequently non-married 13,14,21,25 . We noticed a trend towards a greater severity of depressive symptoms among female patients.…”

Section: Discussionsupporting

confidence: 92%

“…The frequency of personality disorders has been also different between male and female OCD patients. A greater frequency of group A personality disorders, especially schizotypal personality disorder, 25 was found among men, whereas a greater frequency of borderline and dependent personality disorders was described among women. 25 Castle et al 21 found greater frequencies of anxious and meticulous personality traits among male patients.…”

Section: Discussionmentioning

confidence: 82%

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The effect of gender on the clinical features and therapeutic response in obsessive-compulsive disorder

Fontenelle

Marques

Versiani

2002

Rev. Bras. Psiquiatr.

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Keywords Resumo DescritoresObjective: To investigate the existence of clinical and therapeutic differences that could possibly characterize specific subgroups of patients with obsessive-compulsive disorder (OCD) based on their gender. Methods: Male (n=32) and female patients with OCD (n=37) were compared with regard to age and mode of onset, duration and course of the illness, number of obsessions and compulsions, and subtype of OCD according to the International Classification of Diseases, 10 th edition. The groups were also compared with regard to scores on the Yale-Brown Obsessive-Compulsive Scale, Clinical Global Impression, Beck Depression Inventory and Global Assessment of Functioning, before and after drug treatment for 10 weeks. Chi-square test with Yates correction or Fisher's exact test were employed for comparisons between categorical variables and Student's t or Mann-Whitney tests were used to compare continuous variables. The adopted level of significance was 5%. Results: Male patients with OCD were characterized by an earlier age of onset and greater global severity. Furthermore, a trend to display greater number of obsessions and compulsions and worse global functioning was found among male patients, whereas a trend to more severe depressive symptoms was observed in female patients. No significant differences between the groups were found with regard to treatment response. Conclusions: Our findings suggest that there may be OCD subtypes based on gender.Obsessive-compulsive disorder. Gender. Sex. Diagnosis, clinical.Objetivo: Investigar a existência de diferentes características clínicas e terapêuticas entre pacientes com transtorno obsessivo-compulsivo (TOC) de gêneros distintos, na tentativa de determinar possíveis subtipos. Métodos: Pacientes masculinos (n=32) e femininos (n=37), com o diagnóstico de TOC, foram comparados quanto a idade e modo de início, tempo e curso da doença, número de obsessões e compulsões e subtipo do TOC segundo o Código Internacional de Doenças, 10 a edição. Os grupos também foram comparados quanto aos escores na escala de Yale-Brown para avaliação dos sintomas obsessivo-compulsivos, na Impressão Clínica Global, no Inventário de Depressão de Beck e na Avaliação Global do Funcionamento, antes e após o tratamento medicamentoso por dez semanas. O teste do qui-quadrado com correção de Yates ou o teste exato de Fisher foram utilizados para comparação de variáveis categoriais, e o teste t de Student ou o teste de Mann-Whitney foram utilizados para comparar variáveis contínuas. O nível de significado estatístico escolhido foi 5%. Resultados: Pacientes do gênero masculino se caracterizaram por idade de início do TOC mais precoce e por maior gravidade global. Também foi encontrada uma tendência, não estatisticamente significativa, de maior número de diferentes obsessões e compulsões e de pior funcionamento global dentre pacientes masculinos e de maior gravidade de sintomas depressivos dentre pacientes femininos. Não foi observada diferença significativa entre os grupos e...

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 82%

The effect of gender on the clinical features and therapeutic response in obsessive-compulsive disorder

Fontenelle

Marques

Versiani

2002

Rev. Bras. Psiquiatr.

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“…Torresan et al 25 described earlier age of symptom interference among Brazilian men, who were also more likely than women to be single, which is consistent with findings from other countries. 18,23,34 Several other authors have also described that women with OCD are more frequently married than men. 14,22-24 Matsunaga et al, 34 evaluating 94 Japanese patients, found higher social interference of OCS among men, whereas women more frequently involved family members in their rituals.…”

Section: Phenotypical Studiesmentioning

confidence: 99%

“…18,23,34 Several other authors have also described that women with OCD are more frequently married than men. 14,22-24 Matsunaga et al, 34 evaluating 94 Japanese patients, found higher social interference of OCS among men, whereas women more frequently involved family members in their rituals. Therefore, an early onset among males can lead to a higher impact on several areas of daily life, including social adjustment and interpersonal relationships, which may be indirectly indicated by the lower rates of marriage in this population.…”

Section: Phenotypical Studiesmentioning

confidence: 99%

Gender differences in obsessive-compulsive disorder: a literature review

Mathis

Alvarenga

Funaro

et al. 2011

Rev. Bras. Psiquiatr.

154

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Introduction: Obsessive-compulsive disorder (OCD) is a heterogeneous condition, in which subtypes have been proposed. Previous studies suggested that gender plays a relevant role in OCD phenotypic expression. This study aimed to review the literature on gender differences in clinical, genetic or familial aspects of OCD. Method: A conventional review was conducted, including all papers that investigated demographic, clinical, and genetic aspects of OCD according to gender. The search was based on data available in Medline and PsycINFO databases in the last 20 years, using as keywords: obsessive-compulsive disorder; and: gender, sex, male, female, demographic characteristics, clinical features, clinical characteristics, genetic, genes, genetics gender OCD, genes OCD, genes OCD males, genes OCD females. Results: Sixty three of 487 phenotypical and genetics studies were selected. Most studies indicate that male patients are more likely than females to be single, present early onset of symptoms and chronic course of the disorder, greater social impairment, more sexual-religious and aggressive symptoms, and greater comorbidity with tic and substance use disorders. Female patients present more contamination/cleaning symptoms and greater comorbidity with eating and impulse-control disorders. Genetic and family studies are inconclusive, but suggest that gender may play a role in the disease expression. Conclusions: Gender is a relevant factor that should be taken into account when evaluating OCD patients. More studies are necessary to determine whether in fact it defines a homogeneous and particular group in OCD. ©2011 Elsevier Editora Ltda. All rights reserved. Gender differences in obsessive- DesCRIPToRs:Obsessive-compulsive disorder; Gender identity; Sex; Phenotype; Genetics. ReVIeW ARTICLe 391Gender differences in obsessive-compulsive disorder: a literature review Diferenças de gênero no transtorno obsessivo-compulsivo: uma revisão da literatura ResumoIntrodução: O transtorno obsessivo-compulsivo (TOC) é um quadro heterogêneo, no qual subtipos têm sido propostos. Estudos anteriores sugerem que gênero desempenha papel relevante na expressão fenotípica. O objetivo foi realizar uma revisão convencional da literatura sobre diferenças de gênero em relação a aspectos clínicos e genéticos ou familiares do TOC. Método: Realizou-se uma revisão convencional da literatura incluindo todos os artigos que investigaram aspectos sociodemográficos, clínicos e genéticos do TOC, de acordo com o gênero. A pesquisa foi baseada em publicações disponíveis nas bases de dados Medline e PsycInfo nos últimos 20 anos, usando como palavras-chave: obsessive-compulsive disorder (OCD), e: gender, sex, male, female, demographic characteristics, clinical features, clinical characteristics, genetic, genes, genetics gender OCD, genes OCD, genes OCD males, genes OCD females. Resultado: Sessenta e três artigos de fenótipo e genética foram selecionados. Na maioria dos estudos, o sexo masculino associou-se mais que o feminino com: ser solteiro, ap...

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“…panic disorder and major depressive disorder patients). However, other studies found that OCPD was not strongly associated with OCD; rather, OCD patients were more likely to present with avoidant, borderline, dependent, or schizotypal personality disorders (Baer et al, 1990;Maina, Bellino, Bogetto, & Ravizza, 1993;Matsunaga et al, 2000;Mavissakalian, Hamann, & Jones, 1990;Rodrigues-Torres & Del Porto, 1995;Thomsen & Mikkelsen, 1993). Thus, the relation between classical OCD and OCPD remains unclear.…”

mentioning

confidence: 99%

Parenting style and obsessive‐compulsive symptoms and personality traits in a student sample

Ayçiçeği¹,

Harris²,

Dinn³

2002

Clin Psychology and Psychoth

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There is widespread acceptance of the idea that aspects of parenting such as overprotectiveness and perfectionism contribute to the pathogenesis of obsessive-compulsive disorder (OCD). Less resolved is whether the important dimensions of parenting are overprotectiveness, lack of acceptance, authoritarian style, discouragement of risk-taking, and/or induction of guilt. It is also unclear whether different parenting characteristics are associated with the development of symptoms of OCD, compared to the traits of obsessive-compulsive personality disorder (OCPD). OCD symptoms and OC personality traits were measured in a non-clinical, student sample and correlated with students' report of parents' acceptance, disciplinary firmness, and psychological control (a construct which included psychological manipulation and guilt-induction). Following the literature on both clinical and subclinical OCD and OCPD, we predicted that all three scales would correlate with OCD symptoms and OCPD traits.Stepwise regression analysis revealed that psychological control was the unique predictor, controlling for depressive symptoms. Unexpectedly, a controlling parenting style was not selectively associated with classical OC symptoms or OC personality traits. Rather, psychological control was associated with a broad-spectrum of anxiety and depressive symptoms which cut across diagnostic boundaries. Findings are generally compatible with a single underlying vulnerability to both OCD and OCPD, as well as generalized/social anxiety and depressive symptoms, which can be shaped by cultural and familial factors to a specific clinical presentation.

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Gender differences in social and interpersonal features and personality disorders among Japanese patients with obsessive-compulsive disorder

Cited by 47 publications

References 20 publications

The effect of gender on the clinical features and therapeutic response in obsessive-compulsive disorder

The effect of gender on the clinical features and therapeutic response in obsessive-compulsive disorder

Gender differences in obsessive-compulsive disorder: a literature review

Parenting style and obsessive‐compulsive symptoms and personality traits in a student sample

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