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Interpersonal style in obsessive compulsive disorder

Published online by Cambridge University Press:  04 December 2015

Stian Solem ,
Aashild T. Haaland ,
Kristen Hagen ,
Gunvor Launes ,
Bjarne Hansen ,
Patrick A. Vogel  and
Joseph A. Himle
Stian Solem*
Affiliation:
Norwegian University of Science and Technology, Department of Psychology, Trondheim, Norway Division of Psychiatry, Department of Research and Development, St. Olav's University Hospital, Trondheim, Norway
Aashild T. Haaland
Affiliation:
Clinic of Mental Health, Psychiatry and Addiction Treatment, Sørlandet Hospital HF, Kristiansand, Norway
Kristen Hagen
Affiliation:
Hospital of Molde, Molde, Norway
Gunvor Launes
Affiliation:
Clinic of Mental Health, Psychiatry and Addiction Treatment, Sørlandet Hospital HF, Kristiansand, Norway
Bjarne Hansen
Affiliation:
Haukeland University Hospital, Department of Psychiatry, Bergen, Norway University of Bergen, Faculty of Psychology, Bergen, Norway
Patrick A. Vogel
Affiliation:
Norwegian University of Science and Technology, Department of Psychology, Trondheim, Norway
Joseph A. Himle
Affiliation:
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA University of Michigan of Social Work, Ann Arbor, MI, USA
*
*Author for correspondence: Dr S. Solem, Norwegian University of Science and Technology, Department of Psychology, 7491 Trondheim, Norway (email: [email protected]).
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Abstract

According to interpersonal theory of personality, interpersonal behaviours can be causal and maintaining factors in emotional disorders. However, interpersonal styles have not yet been investigated in the treatment of obsessive compulsive disorder (OCD). The aim of the study was to investigate interpersonal style in OCD. The Inventory of Interpersonal Problems – Circumplex was used to assess the interpersonal styles of 101 outpatients with OCD treated with cognitive behavioural therapy (CBT). Patients with OCD had more interpersonal problems than the healthy control group. However, the OCD group presented with slightly fewer interpersonal problems than a further comparison group of psychiatric outpatients. Interpersonal style did not predict improvement in OCD symptoms. Following CBT for OCD, there were small to moderate improvements in interpersonal problems. These changes remained stable at 12-month follow-up. Although the OCD group reported reduced interpersonal problems post-treatment, the group still experienced more submissiveness compared to healthy controls. Interpersonal problems in OCD appeared to be more attributable to comorbid conditions than to OCD-specific symptoms. Although patients with OCD were found to have interpersonal styles that might cause some problems, these were minimal at baseline and did not significantly affect OCD treatment outcomes. Interpersonal problems in this population might be more strongly related to depressive symptoms than to OCD-specific symptoms. CBT was associated with slight improvements in interpersonal problems.

Keywords

CBTdepressioninterpersonal problemsOCDoutcomepersonality
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e29
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

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Borkovec, TD, Newman, MG, Pincus, AL, Lytle, R (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology 70, 288–298.CrossRefGoogle ScholarPubMed
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