Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-29T04:03:55.111Z Has data issue: false hasContentIssue false
  • English
  • Français

Pattern of Comorbidity Among Anxious and Odd Personality Disorders: The Case of Obsessive-Compulsive Personality Disorder

Published online by Cambridge University Press:  07 November 2014

Alessandro Rossi ,
Maria Grazia Marinangeli ,
Giancarlo Butti ,
Artemis Kalyvoka  and
Concetta Petruzzi
Get access Rights & Permissions [Opens in a new window]

Abstract

The aim of this study was to examine the pattern of comorbidity among obsessive-compulsive personality disorder (OCPD) and other personality disorders (PDs) in a sample of 400 psychiatric inpatients. PDs were assessed using the Semistructured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Odds ratios (ORs) were calculated to determine significant comorbidity among OCPD and other axis II disorders. The most elevated odds ratios were found for the cooccurrence of OCPD with cluster A PDs (the “odd” PDs, or paranoid and schizoid PDs). These results are consistent with those of previous studies showing a higher cooccurrence of OCPD with cluster A than with cluster C (“anxious”) PDs. In light of these observations, issues associated with the nosologic status of OCPD within the Diagnostic and Statistical Manual of Mental Disorders clustering system remain unsettled.

Type
Feature Articles
Information
CNS Spectrums , Volume 5 , Issue 9: The Anxiety-Psychosis Spectrum , September 2000 , pp. 23 - 26
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Perugi, G, Akiskal, HS, Pfanner, C, et al.The clinical impact of bipolar and unipolar affective comorbidity on obsessive-compulsive disorder. J Affect Disord. 1997;46:15–23.CrossRefGoogle ScholarPubMed
2.Lensi, P, Cassano, GB, Correddu, G, Ravagli, S, Kunovac, JL, Akiskal, HS. Obsessive-compulsive disorder, familial-developmental history, symptomatology, comorbidity and course with special reference to gender-related differences. Br J Psychiatry. 1986;169:101–107.CrossRefGoogle Scholar
3.Black, DW, Noyes, R, Pfohl, B, Goldstein, RB, Blum, N. Personality disorder in obsessive-compulsive volunteers, well comparison subjects, and their first-degree relatives. Am J Psychiatry. 1993;150:1226–1232.Google ScholarPubMed
4.Ansseau, M. The obsessive-compulsive personality: diagnostic aspects and treatment possibilities. In: den Boer, JA, Westenberg, HGM, eds. Focus on Obsessive-Compulsive Spectrum Disorders. Amsterdam, The Netherlands: Syn-Thesis Publishers; 1997:61–73.Google Scholar
5.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Third Edition. Washington, DC: American Psychiatric Press; 1980.Google Scholar
6.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Third Edition, Revised. Washington, DC: American Psychiatric Press; 1987.Google Scholar
7.Bagby, RM, Joffe, RT, Parker, JDA, Schuller, DR. Re-examination of the evidence for the DSM-III personality disorder cluster. Journal of Personality Disorders. 1993;7:320–328.CrossRefGoogle Scholar
8.Hyler, SE, Lyons, M. Factor analysis of the DSM-III personality disorder clusters: a replication. Compr Psychiatry. 1988;29:304–308.CrossRefGoogle ScholarPubMed
9.Kass, F, Skodol, AE, Charles, MA. Scaled ratings of DSM-III personality disorders. Am J Psychiatry. 1985;142:627–630.Google ScholarPubMed
10.Blais, MA, McCann, JT, Benedict, KB, et al.Toward an empirical/theoretical grouping of the DSM-III-R personality disorders. J Pers Disord. 1997;11:191–198.CrossRefGoogle ScholarPubMed
11.Oldham, JM, Skodol, AE, Kellman, HD, Hyler, SE, Rosnick, L, Davies, M. Diagnosis of DSM-III-R personality disorders by two structured interviews: patterns of comorbidity. Am J Psychiatry. 1992;149:213–220.Google ScholarPubMed
12.Marinangeli, MG, Scinto, A, Di Cicco, L, Patruzzi, C, Daneluzzo, E, Rossi, A. Patterns of comorbidity among DSM-III-R personality disorders. Psychopathology. 2000;33:69–74.CrossRefGoogle ScholarPubMed
13.Loranger, AW, Susman, VL, Oldham, MM. The personality disorder examination: a preliminary report. Journal of Personality Disorders. 1987;1:1–13.CrossRefGoogle Scholar
14.Vaglum, P, Friis, S, Valgum, S. Comparison between personality disorder diagnoses in DSM-III and DSM-III-R: reliability, diagnostic overlap, predictive validity. Psychopathology. 1989;22:309–314.CrossRefGoogle ScholarPubMed
15.Spitzer, RL, Williams, JBW, Gibbon, M. Intervista Clinica Strutturata per il DSM-III-R Disturbi Della Personalità (SCID-II). Versione Italiana. Firenze, Italy: O. S. Organizzazioni Speciali; 1993.Google Scholar
16.Nussbaum, D, Rogers, R. Screening psychiatric patients for axis II disorders. Can J Psychiatry. 1992;37:658–660.CrossRefGoogle ScholarPubMed
17.Zimmerman, M. Diagnosing personality disorders. Arch Gen Psychiatry. 1994;51:225–245.CrossRefGoogle ScholarPubMed
18.Norusis, MS. SPSS for Windows: User's Guide Release 5.0. Chicago, Ill: SPSS Inc; 1992.Google Scholar
19.Morey, L. Personality disorders in DSM-III and DSM-III-R: an examination of emergence, coverage and consistence. Am J Psychiatry. 1988;145:573–577.Google Scholar
20.Oldham, JM, Skodol, AE, Kellman, HD, et al.Comorbidity of Axis I and Axis II disorders. Am J Psychiatry. 1995;152:571–578.Google ScholarPubMed
21.Widiger, TA, Trull, TJ, Hurt, SW, Clarkin, J, Frances, A. A multidimensional scaling of the DSM-III personality disorders. Arch Gen Psychiatry. 1987;44:557–563.CrossRefGoogle ScholarPubMed
22.Mulder, RT, Joyce, PR, Cloninger, CR. Temperament and early environment influence comorbidity and personality disorders in major depression. Compr Psychiatry. 1994;35:225–233.CrossRefGoogle ScholarPubMed
23.Pallanti, S. Personality disorders: myths and neuroscience. CNS Spectrums. 1997;2:2–11.CrossRefGoogle Scholar
24.Flick, N, Roy-Byrne, SN, Cowley, DS, Shores, MM, Dunner, DL. DSM-III-R personality disorders in a mood and anxiety disorders clinic: prevalence, comorbidity, and clinical correlates. J Affect Disord. 1993;27:71–79.CrossRefGoogle Scholar
25.Parker, G, Roussos, J, Wilhelm, K, Mitchell, P, Austin, MP, Hadzi-Pavlovic, D. On modelling personality disorders: are personality style and disordered functioning independent or interdependent constructs? J Nerv Ment Dis. 1988;186:709–715.CrossRefGoogle Scholar
26.Diaferia, G, Bianchi, I, Bianchi, ML, Cavedini, P, Erzegovesi, S, Belodi, L. Relationship between obsessive-compulsive personality disorder and obsessive-compulsive disorder. Compr Psychiatry. 1997;38:38–42.CrossRefGoogle ScholarPubMed
27.Insel, TR, Akiskal, HS. Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis. Am J Psychiatry. 1986;143:1527–1533.Google ScholarPubMed
28.McGlashan, TH. Schizophrenia and obsessive-compulsive disorder are they related disorders? CNS Spectrums. 1997;2:16–18.CrossRefGoogle Scholar
29.McDougle, CJ, Goodman, WK, Price, LH, et al.Neuroleptic addition in fluvoxamine-refractory obsessive-compulsive disorder. Am J Psychiatry. 1990;147:652–654.Google ScholarPubMed
30.Baer, L, Jenike, MA, Black, DW, Treece, C, Rolsenfeld, R, Greist, J. Effect of axis II diagnoses on treatment outcome with clomipramine in 55 patients with obsessive-compulsive disorder. Arch Gen Psychiatry. 1992;49:862–866.CrossRefGoogle ScholarPubMed
31.Cavedini, P, Erzegovesi, S, Ronchi, P, Bellodi, L. Predictive value of obsessive-compulsive personality disorder in antiobsessional pharmacological treatment. Eur Neuropshchopharmacol. 1997;7:45–49.CrossRefGoogle ScholarPubMed
32.Sussman, N. Augmentation of antipsychotic drugs with selective serotonin reuptake inhibitors. Primary Psychiatry. 1997;4:24–33.Google Scholar
33.Sobin, C, Blundell, ML, Weiller, F, et al.Evidence of a schizotypal subtype in OCD. J Psychiatry Res. 2000;34:15–24.CrossRefGoogle ScholarPubMed