Standardized assessment of personality disorders in obsessive-compulsive disorder.
We assessed 96 patients with obsessive-compulsive disorder for DSM-III personality disorder diagnoses with a standardized interview instrument (Structured Interview for the DSM-III Personality Disorders). Fifty patients (52%) met criteria for at least one personality disorder, with mixed, dependent, and histrionic personality disorders most frequently diagnosed. Compulsive personality disorder was diagnosed in only 6 patients (6%), 5 of whom had had onset of obsessive-compulsive symptoms before the age of 10 years, indicating that DSM-III compulsive personality disorder is not invariably a premorbid condition for the development of obsessive-compulsive disorder. Schizotypal personality disorder, at 5%, was found to be less common than in past samples, reflecting differences in either assessment methods or sampling.
Baer
L
L
Massachusetts General Hospital, Boston, MA 02114.
Jenike
M A
MA
Ricciardi
J N
JN
Holland
A D
AD
Seymour
R J
RJ
Minichiello
W E
WE
Buttolph
M L
ML
D000293:Adolescent; D000328:Adult; D000368:Aged; D001900:Boston / Q000453:epidemiology; D003193:Compulsive Personality Disorder / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000150:complications*; D010552:Personality Assessment; D010554:Personality Disorders / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012569:Schizotypal Personality Disorder / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology