The role of personality disorders in obsessive-compulsive disorder

Thamby, Abel; Khanna, Sumant

doi:10.4103/psychiatry.indianjpsychiatry_526_18

Cited by 24 publications

(11 citation statements)

References 49 publications

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“…Comorbid personality disorders have been consistently associated with a poor illness outcome and scarce treatment response. 30 In particular, borderline personality disorder has been previously proposed as part of a wider obsessive-compulsive spectrum of disorders. Within the obsessive-compulsive spectrum of disorders, each disorder may be located on a continuum of different conditions on the basis of specific symptom dimensions.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, the psychiatric comorbidities with personality disorders were more frequently associated to the worsened stage. Comorbid personality disorders have been consistently associated with a poor illness outcome and scarce treatment response 30 . In particular, borderline personality disorder has been previously proposed as part of a wider obsessive–compulsive spectrum of disorders.…”

Section: Discussionmentioning

confidence: 99%

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Application of a staging model in patients with obsessive–compulsive disorder: cross-sectional and follow-up results

et al. 2020

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Introduction Obsessive-compulsive disorder (OCD) is a prevalent and disabling condition with frequent chronic course. Staging models applied to psychiatric disorders seek to define their extent of progression at a particular time-point and differentiate early, milder clinical phenomena from those characterizing illness progression and chronicity. In OCD patients, a staging model has been recently proposed but not tested yet. This was the aim of the present study. Methods From an overall sample of 198 OCD patients, recruited across two psychiatric clinics in Northern Italy, 70 patients on stable treatment completed a follow-up assessment ranging from 12 to 24 months. At follow-up initiation, patients had been divided into four staging groups, according to the model proposed by Fontenelle and Yucel. At the end of the follow-up, patients were subdivided into three groups (no stage change, improved stage, or worsened stage) compared with statistical analyses. Results At the end of the follow-up, 67.1% patients showed no stage changes, 24.3% a stage improvement, and 8.6% a stage progression. Worsened patients showed higher rates of comorbid disorders and higher rates of unfavorable employment characteristics compared to the other subgroups (P < .05). Patients with worsened stage showed higher prevalence of somatic obsessions (P < .05), while patients with improved stage showed higher rates of magical thinking and violence/harm obsessions compared to other groups (P < .05). Discussion The present results provide epidemiologic and clinical correlates of the first application of a staging model in a sample of OCD patients, encouraging further studies to assess the utility of this approach in the field.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Application of a staging model in patients with obsessive–compulsive disorder: cross-sectional and follow-up results

et al. 2020

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“…However, she was diagnosed with personality disorder not otherwise specified (F60.9). Among other personality disorders diagnosed in patients with OCD are borderline (5%), avoidant (5-15%), and dependent (7.6%) [9,10].…”

Section: Komentarzmentioning

confidence: 99%

“…Among other personality disorders diagnosed in patients with OCD are borderline (5%), avoidant (5-15%), and dependent (7.6%) [ 9 , 10 ].…”

Section: Commentmentioning

confidence: 99%

Comorbidity of obsessive-compulsive disorder and anorexia nervosa – diagnostic difficulties: a case study of a 14-year old girl

Womperski¹,

Woźniak²

2021

ppn

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Purpose: The objective of this paper is to present the comorbidity of anorexia nervosa (AN) and obsessive-compulsive disorder (OCD) and to note the need for caution during the diagnostic process. Case description: We present a case of a 14-year old girl raised in a reconstructed family. The primary diagnosis was AN, which was changed to OCD in the course of hospitalisation. Symptoms of OCD and AN occurred in close time proximity and involved excessive focus on appearance, beautifying rituals disrupting circadian rhythm, rigid behaviours, school absence, and social isolation. In further therapy, schizotypal personality disorder was suspected. Pharmacotherapy involved SSRI drugs: sertraline followed by fluoxetine. Comment: OCD has a complex aetiology and a chronic course. However, proper management allows obtaining satisfactory control and enables the patient to function in society. The focus on anorexia in the diagnostic process can distract attention from the underlying disorders.

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“…Fifteen review articles were selected as relevant. 5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24] Ten articles were rejected because they did not meet the search criteria (articles on subclinical OCS). Additionally, 25 original research articles were identified after reference cross-checking and from the 15 selected relevant review articles.…”

Section: Articles Identifiedmentioning

confidence: 99%

Schizotypal personality disorder in clinical obsessive–compulsive disorder samples: a brief overview

Attademo¹,

Bernardini²

2020

CNS Spectr.

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Obsessive–compulsive disorder (OCD) is a chronic and disabling mental disorder characterized by the presence of obsessions and/or compulsions that cause major distress and impair important areas of functioning. About 9 out of 10 patients with OCD have comorbid psychiatric diagnoses. A high proportion of clinically diagnosed OCD patients fulfill diagnostic criteria of a schizophrenia spectrum disorder, to the point that significant evidence in the literature supports the existence and the clinical relevance of a schizo-obsessive spectrum of disorders, including schizotypal personality disorder (SPD) with OCD (schizotypal OCD). In this paper, we provide a brief but comprehensive analysis of the literature on the clinical coexistence between OCD and SPD. The clinical validity of the so-called schizotypal OCD is analyzed through a comprehensive investigation of the relationship between SPD features and obsessive–compulsive phenomena in clinical OCD samples. This review describes the potential connections between OCD and SPD on the epidemiological, sociodemographic, psychopathological, and clinical levels. SPD is commonly observed in OCD patients: about 10% of OCD patients have a full categorical diagnosis of SPD. Early clinical identification of SPD features—and, more generally, of psychotic features and personality disorders—in OCD patients is strongly recommended. In fact, a proper and early diagnosis with early treatment may have benefits for prognosis. However, although schizotypal OCD seems to have clinical and predictive validity, further neurobiological and genetic studies on etiological specificity are warranted.

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The role of personality disorders in obsessive-compulsive disorder

Cited by 24 publications

References 49 publications

Application of a staging model in patients with obsessive–compulsive disorder: cross-sectional and follow-up results

Application of a staging model in patients with obsessive–compulsive disorder: cross-sectional and follow-up results

Comorbidity of obsessive-compulsive disorder and anorexia nervosa – diagnostic difficulties: a case study of a 14-year old girl

Schizotypal personality disorder in clinical obsessive–compulsive disorder samples: a brief overview

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