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Results for “Compulsive Personality Disorder”

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PubMed1984

Are religious compulsions religious or compulsive: a phenomenological study.

Religious compulsions in four patients are presented to show the phenomenological similarities and differences between religious and compulsive rituals. The role of religious ritual observance in predisposing to obsessive-compulsive neurosis is discussed and minor modifications in the usual course of behavioral treatment are suggested. The proportion of religious compulsions among obsessive-compulsive neurotics is compared with two other populations studied.

Adult↗
PubMed2004

Assessing suicide risk in cluster C personality disorders.

The aim of the study was to assess suicide risk in psychiatric outpatients with specific cluster C personality disorders (avoidant, dependent, and obsessive-compulsive). A sample of 142 psychiatric outpatients was used for the study. The sample was composed of 87 outpatients meeting diagnostic criteria for a personality disorder and 53 psychiatric outpatients meeting criteria for an axis I disorder only. The results showed that dependent, but not avoidant or obsessive-compulsive, personality disorders, as well as the clusters A and B personality disorders, were significantly associated with suicide attempts. This association remained significant after controlling for both a lifetime depressive disorder and severity of depression for the cluster A and the cluster B personality disorders, but not for dependent personality disorder. The results underline the importance of assessing suicide risk in patients with cluster A and cluster B personality disorders, while the assessment of suicide risk in patients with cluster C personality disorders seems to be irrelevant as long as assessment of a comorbid depressive disorder is appropriately conducted.

Adult↗
PubMedDate not supplied

Anorexia nervosa 6 years after onset: Part II. Comorbid psychiatric problems.

A sample of anorexia nervosa (AN) cases recruited after community screening were contrasted with an age-, sex-, and school-matched comparison (COMP) group with regard to comorbidity at age 21 years, approximately 6 years after the reported onset of the eating disorder. Both groups had originally been examined at age 16 years. Most of the AN cases no longer met criteria for AN, but many continued to meet criteria for bulimia nervosa (BN) or eating disorder NOS. In addition, there was a high rate of obsessive-compulsive disorders (OCDs). Affective disorders had been common throughout the follow-up period, but tended to follow the course of the eating disorder rather than to precede or postdate it. Underlying personality disorders tended to predict poor outcome.

Adolescent↗
PubMed1995

Relationship between the melancholic type of personality (Typus melancholicus) and DSM-III-R personality disorders in patients with major depression.

The relationship between the melancholic type of personality (TM) and DSM-III-R personality disorders (PD) in a sample of 96 outpatients with major depression was investigated using a series of multivariate analyses. The results showed that the personality features of TM were quite different from those of any DSM-III-R PD, including obsessive-compulsive PD, and gave only partial support to the DSM-III-R classification of PD into three clusters. It is suggested that if the personality description of TM be included in the Axis II of DSM-III-R, the description of the Axis could have a wider range of personality features and could be more useful for the clinical praxis and research of depressive patients.

Adult↗
PubMed2001

An update on obsessive-compulsive disorder.

It is now recognized that obsessive-compulsive disorder (OCD) affects almost 3% of the world's population and is a major worldwide health problem. Much has been learned in the past 2 decades about the treatment of these disorders. Recent developments in neuroimaging techniques have led to a better understanding of the biology of OCD and the brain circuits that may be involved in the production of symptoms. The most effective treatment approaches, based on controlled data, are behavior therapy consisting of exposure and response prevention and specific medications. Although controversial, more invasive neurosurgical and neurostimulation approaches may hold some promise for severely disabled patients. Despite impressive research efforts, a small minority of patients remain refractory to treatment. Future clinical research should focus on this refractory group.

Adult↗
PubMed2000

Perfectionism in anorexia nervosa: variation by clinical subtype, obsessionality, and pathological eating behavior.

OBJECTIVE: The purpose of this study was to examine the role of perfectionism as a phenotypic trait in anorexia nervosa and its relevance across clinical subtypes of this illness. METHOD: The Multidimensional Perfectionism Scale and the perfectionism subscale of the Eating Disorder Inventory were administered to 322 women with a history of anorexia nervosa who were participating in an international, multicenter genetic study of anorexia nervosa. All participants were additionally interviewed with the Yale-Brown Obsessive Compulsive Scale and the Yale-Brown-Cornell Eating Disorder Scale. Mean differences on dependent measures among women with anorexia nervosa and comparison subjects were examined by using generalized estimating equations. RESULTS: Persons who had had anorexia nervosa had significantly higher total scores on the Multidimensional Perfectionism Scale than did the healthy comparison subjects. In addition, scores of the anorexia subjects on the Eating Disorder Inventory-2 perfectionism subscale exceeded Eating Disorder Inventory-2 normative data. For the anorexia nervosa participants, the total score on the Multidimensional Perfectionism Scale and the Eating Disorder Inventory-2 perfectionism subscale score were highly correlated. Total score on the Multidimensional Perfectionism Scale was also significantly related to the total score and the motivation-for-change subscale score of the Yale-Brown-Cornell Eating Disorder Scale. CONCLUSIONS: These data show that perfectionism is a robust, discriminating characteristic of anorexia nervosa. Perfectionism is likely to be one of a cluster of phenotypic trait variables associated with a genetic diathesis for anorexia nervosa.

Adolescent↗
PubMed1982

Continuity of character neurosis from childhood to adulthood. A prospective longitudinal study.

In a prospective longitudinal study, stability of personality traits was examined between the age of 15 and the age of 25. Scales, derived from an Adjective Check List, intending to predict obsessive-compulsive character neurosis, anti-aggressive character neurosis and non-neurotic personality have been utilized. Temporal stability of the examined personality traits was demonstrated.

Adolescent↗