Clarifying the convergence between obsessive compulsive personality disorder criteria and obsessive compulsive disorder.
In this study we examined the convergence between obsessive-compulsive personality disorder (OCPD) criteria and obsessive-compulsive disorder (OCD). Baseline assessments of 629 participants of the Collaborative Longitudinal Personality Disorders Study were used to examine the associations between OCPD criteria and diagnoses of OCD. Three of the eight OCPD criteria--hoarding, perfectionism, and preoccupation with details--were significantly more frequent in subjects with OCD (n = 89) than in subjects without OCD (n = 540). Logistic regressions were used to predict the probability of each OCPD criterion as a function of Axis I diagnoses (OCD, additional anxiety disorders, and major depressive disorder). Associations between OCD and these three OCPD criteria remained significant in the logistic regressions, showing unique associations with OCD and odds ratios ranging from 2.71 to 2.99. In addition, other anxiety disorders and major depressive disorder showed few associations with specific OCPD criteria. This study suggests variability in the strength of the relationships between specific OCPD criteria and OCD. The findings also support a unique relationship between OCPD symptoms and OCD, compared to other anxiety disorders or major depression. Future efforts to explore the link between Axis I and Axis II disorders may be enriched by conducting analyses at the symptom level.
Eisen
Jane L
JL
Brown University Department of Psychiatry and Human Behavior, Butler Hospital, Providence 02906, USA. Jane_Eisen@brown.edu
Coles
Meredith E
ME
Shea
M Tracie
MT
Pagano
Maria E
ME
Stout
Robert L
RL
Yen
Shirley
S
Grilo
Carlos M
CM
Rasmussen
Steven A
SA
D000328:Adult; D003193:Compulsive Personality Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D015588:Observer Variation; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D012720:Severity of Illness Index