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The Impact of Obsessive Compulsive Personality Disorder on Cognitive Behaviour Therapy for Obsessive Compulsive Disorder

Published online by Cambridge University Press:  13 October 2015

Olivia M. Gordon ,
Paul M. Salkovskis  and
Victoria Bream
Olivia M. Gordon*
Affiliation:
Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
Paul M. Salkovskis
Affiliation:
University of Bath, UK
Victoria Bream
Affiliation:
Institute of Psychiatry, Psychology and Neuroscience, King's College London, and South London and Maudsley NHS Trust, UK
*
Reprint requests to Olivia Gordon, Centre for Anxiety Disorders and Trauma, 99 Denmark Hill, London SE5 8AZ, UK. E-mail: [email protected]
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Abstract

Background: It is often suggested that, in general, co-morbid personality disorders are likely to interfere with CBT based treatment of Axis I disorders, given that personality disorders are regarded as dispositional and are therefore considered less amenable to change than axis I psychiatric disorders. Aims: The present study aimed to investigate the impact of co-occurring obsessive-compulsive disorder (OCD) and obsessive-compulsive personality disorder (OCPD) on cognitive-behavioural treatment for OCD. Method: 92 individuals with a diagnosis of OCD participated in this study. Data were drawn from measures taken at initial assessment and following cognitive-behavioural treatment at a specialist treatment centre for anxiety disorders. Results: At assessment, participants with OCD and OCPD had greater overall OCD symptom severity, as well as doubting, ordering and hoarding symptoms relative to those without OCPD; however, participants with co-morbid OCD and OCPD demonstrated greater treatment gains in terms of OCD severity, checking and ordering than those without OCPD. Individuals with OCD and OCPD had higher levels of checking, ordering and overall OCD severity at initial assessment; however, at post-treatment they had similar scores to those without OCPD. Conclusion: The implications of these findings are discussed in the light of research on axis I and II co-morbidity and the impact of axis II disorders on treatment for axis I disorders.

Keywords

Obsessive compulsive disorderobsessive compulsive personality disorderAxis IIcognitive behaviour therapy
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 4 , July 2016 , pp. 444 - 459
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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