TY - JOUR
T1 - The correlates of obsessive-compulsive, schizotypal, and borderline personality disorders in obsessive-compulsive disorder
AU - Melca, Isabela A
AU - Yucel, Murat
AU - Mendlowicz, Mauro Vitor
AU - de Oliveira-Souza, Ricardo
AU - Fontenelle, Leonardo F
PY - 2015
Y1 - 2015
N2 - 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
AB - 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
UR - http://www.sciencedirect.com/science/article/pii/S0887618515000626
U2 - 10.1016/j.janxdis.2015.04.004
DO - 10.1016/j.janxdis.2015.04.004
M3 - Article
SN - 0887-6185
VL - 33
SP - 15
EP - 24
JO - Journal of Anxiety Disorders
JF - Journal of Anxiety Disorders
ER -