The correlates of obsessive-compulsive, schizotypal, and borderline personality disorders in obsessive-compulsive disorder

被引:24
作者
Melca, Isabela A. [1 ]
Yuecel, Murat [2 ,3 ]
Mendlowicz, Mauro V. [4 ]
de Oliveira-Souza, Ricardo [5 ]
Fontenelle, Leonardo F. [1 ,2 ,3 ,5 ]
机构
[1] Univ Fed Rio de Janeiro, Inst Psychiat, Anxiety & Obsess Compuls Spectrum Program, BR-21941 Rio De Janeiro, Brazil
[2] Monash Univ, Sch Psychol Sci, Clayton, Vic 3800, Australia
[3] Monash Univ, Monash Biomed Imaging Facil, Clayton, Vic 3800, Australia
[4] Univ Fed Fluminense, Dept Psychiat & Mental Hlth, BR-24220000 Niteroi, RJ, Brazil
[5] DOr Inst Res & Educ IDOR, Rio De Janeiro, Brazil
基金
英国医学研究理事会;
关键词
Obsessive-compulsive disorder; Personality disorders; Borderline personality disorder; Obsessive-compulsive personality disorder; Schizotypal personality disorder; Antisocial personality disorder; BARRATT IMPULSIVENESS SCALE; IMPULSE CONTROL DISORDERS; HOARDING DISORDER; CLINICAL CHARACTERISTICS; PSYCHOMETRIC PROPERTIES; STRUCTURED INTERVIEW; ANXIETY DISORDERS; BIPOLAR DISORDER; RELIABILITY; INVENTORY;
D O I
10.1016/j.janxdis.2015.04.004
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We assessed correlates of obsessive-compulsive (OCPD), schizotypal (SPD) and borderline (BPD) personality disorders in 110 obsessive-compulsive disorder (OCD) patients. We found OCD patients with OCPD (20.9%) to exhibit higher rates of hoarding and bipolar disorders, increased severity of hoarding and symmetry, lower prevalence of unacceptable thoughts involving sex and religion and less non-planning impulsivity. Conversely, OCD patients with SPD (13.6%) displayed more frequently bipolar disorder, increased severity of depression and OCD neutralization, greater prevalence of "low-order" behaviors (i.e., touching), lower low-planning impulsivity and greater "behavioral" compulsivity. Finally, in exploratory analyses, OCD patients with BPD (21.8%) exhibited lower education, higher rates of several comorbid psychiatric disorders, greater frequency of compulsions involving interpersonal domains (e.g. reassurance seeking), increased severity of depression, anxiety and OCD dimensions other than symmetry and hoarding, more motor and non-planning impulsivity, and greater "cognitive" compulsivity. These findings highlight the importance of assessing personality disorders in OCD samples. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:15 / 24
页数:10
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