scholarly journals Assessment of DSM-IV Personality Disorders in Obsessive-Compulsive Disorder: Comparison of Clinical Diagnosis, Self-Report Questionnaire, and Semi-Structured Interview

2003 ◽  
Vol 17 (6) ◽  
pp. 550-561 ◽  
Author(s):  
Nienke H. Tenney ◽  
Chris K.W. Schotte ◽  
Damiaan A.J.P. Denys ◽  
Harold J.G.M. van van Megen ◽  
Herman G.M. Westenberg
2019 ◽  
Vol 7 (1-2) ◽  
pp. 44-50
Author(s):  
ASM Morshed ◽  
Sultana Algin ◽  
Ashrafuddin Ahmed ◽  
Mahjabeen Aftab Solaiman ◽  
Saif Bin Mizan ◽  
...  

Background & objective: Obsessive Compulsive Disorder (OCD) is the 4th most prevalent psychiatric disorder in Epidemiological Catchment Area (ECA) Survey and most individuals with OCD have co-morbid personality disorders (PD). The present study was undertaken to find the prevalence of PD among patients with OCD and the sociodemographic determinants that influence the development PD in patients with OCD. Methods:The cross-sectional analytical study was conducted in OCD clinic of Bangabandhu Sheikh Mujib Medical University from January 2015 to September 2016. Respondents were recruited from the OCD patients diagnosed on the basis of DSM-IV criteria and face to face interview was conducted with the help of the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II questionnaire). The main outcome variable was PD in patients of OCD and the exposure variables (determinants) were selected sociodemographic characteristics. Result: The mean age of the OCD patients was (28 ± 8.7) years. Almost half (49%) of OCD patients belonged to the age group 20-30 years. Female respondents were 53.6%. Among the respondents, 62% had co-morbid PD. The mean age of the OCD patients with PD was observed to be significantly higher (29.1 ± 9.1 years) than those without PD (26.2 ± 7.8 years) (p = 0.047). Male OCD patients were 2.4 (95% CI of OR: 1.2 – 4.7) times more likely to have PD than their female counterparts (p = 0.012). Ethnic groups other than Muslims tend to be associated with PD more often and carry more than 8-fold (95% CI of OR: 8.4 – 37.2) higher risk of having the condition (p = 0.001). Likewise, other occupants were nearly 2(95% CI of OR: 0.98 – 3.74) times more prone to have PD than the students (p = 0.056). Conclusion: Personality Disorders are highly prevalent among people with OCD which remains underdiagnosed & under-addressed. Male OCD patients, non-Muslims and occupants other than students are more prone to have PD. Persons with Personality Disorders are far more likely to refuse psychiatric help and deny their problems. Ibrahim Card Med J 2017; 7 (1&2): 44-50 


2014 ◽  
Vol 43 (4) ◽  
pp. 385-395 ◽  
Author(s):  
Meredith E. Coles ◽  
Casey A. Schofield ◽  
Jacob A. Nota

Background: Despite literature establishing a relationship between maladaptive beliefs and symptoms of obsessive-compulsive disorder (OCD), there are few studies addressing how these beliefs develop. Salkovskis and colleagues (1999) proposed specific domains of childhood experiences leading to heightened beliefs regarding responsibility. Prior studies in students and individuals who just completed treatment for OCD have found support for this theory. However, we are not aware of published data from individuals with current OCD. Aims: This paper presents initial data from adults currently meeting criteria for OCD as well as both anxious and non-anxious controls. Method: Recollections of childhood experiences, current OCD-related beliefs, and OCD symptoms were assessed using self-report measures in 39 individuals seeking treatment for OCD, 36 anxious controls and 39 healthy controls. Results: Initial data suggested that in individuals with OCD, increased reports of childhood exposure to overprotection and experiences where one's actions caused or influenced misfortune were associated with stronger OCD-related beliefs. Further, compared to community controls, individuals with OCD reported more childhood experiences where one's actions caused or influenced misfortune, though they did not differ from anxious controls in childhood responsibility experiences. Conclusions: These initial findings provide minimal support for the proposed model of the development of inflated responsibility beliefs, and highlight the need for research examining the etiology of OCD related beliefs with updated models, larger samples, and ultimately using prospective methods.


2019 ◽  
Vol 183 (4) ◽  
pp. 208-216 ◽  
Author(s):  
Dirk J. A. Smit ◽  
Danielle Cath ◽  
Nuno R. Zilhão ◽  
Hill F. Ip ◽  
Damiaan Denys ◽  
...  

2000 ◽  
Vol 45 (3) ◽  
pp. 274-278 ◽  
Author(s):  
YC Janardhan Reddy ◽  
P Srinivas Reddy ◽  
S Srinath ◽  
S Khanna ◽  
SP Sheshadri ◽  
...  

Objective: Using minimal exclusion criteria, to assess systematically the psychiatric comorbidity in children and adolescents with obsessive–compulsive disorder (OCD) and compare the findings with those of previous studies. Method: Fifty-four children and adolescents who satisfied DSM-III-R criteria for OCD were assessed using a structured interview schedule, the Children's version of the Yale-Brown Obsessive Compulsive Scale (CY-BOCS), and the questionnaire for tic disorders. All 54 subjects were recruited from the Child and Adolescent Psychiatry (CAP) services of the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, South India. Diagnoses were determined consensually after a review of all the available data. Results: Comorbidity was found in 69% of the sample: 22% were diagnosed with disruptive disorders; 20% met criteria for mood disorders; 19% had anxiety disorders; and 17% had tic disorders. Only 1 subject had bipolar disorder, and none had psychosis. The rates for individual diagnoses—in particular, the rates for disruptive disorders, bipolar disorder, and psychosis—were considerably lower than those reported in previous studies. Conclusions: Patterns of comorbidity in this study differed from those previously reported. Novel patterns of comorbidity with disruptive disorders, bipolar disorder, and psychosis reported in a few recent studies were not replicated in this study. These differences are probably due to different ascertainment methods. Comorbidity needs to be assessed in large epidemiological samples before definite associations can be made between certain comorbid disorders and juvenile OCD.


1987 ◽  
Vol 151 (1) ◽  
pp. 107-112 ◽  
Author(s):  
W. O. Monteiro ◽  
H. F. Noshirvani ◽  
I. M. Marks ◽  
P.T. Lelliott

Forty-six patients with obsessive-compulsive disorder undergoing a double-blind controlled study of clomipramine and placebo were interviewed to assess changes in sexual function. Of 33 patients with previously normal orgasm, nearly all of the 24 on clomipramine developed total or partial anorgasmia; none of the 9 on placebo did so. Anorgasmia persisted with minimal tolerance over the five months that clomipramine was taken. Men and women were equally affected. Sexual side-effects are easily missed without a structured interview, and can detract from the value of drug treatment.


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