Personality Beliefs in Obsessive-Compulsive Disorder: How Are They Related to Symptom Severity?
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Objective The comorbidity of obsessive-compulsive disorder (OCD) and personality disorders (PDs) is frequent but there are conflicting findings about which PDs are the most common. This study aimed to investigate the personality beliefs that exist on a more pathological level among OCD patients, to explore the association between personality beliefs and OCD severity, and to clarify the mediator effect of depression in this relationship.Methods 202 OCD patients and 76 healthy controls with similar sociodemographic features were included in the study. The Personality Belief Questionnaire-Short Form was administered to both groups. The Yale-Brown Obsessions and Compulsions Scale, Beck Depression Inventory, and the Beck Anxiety Inventory were administered only to the clinical sample.Results The dependent, histrionic, paranoid, borderline, and avoidant personality subscale scores were significantly higher in the OCD group than in the control group. There was an association only between OCD severity and narcissistic personality beliefs, also depression mediated the relationship between narcissistic personality and OCD severity.Conclusion Some personality beliefs at a pathological level are more common among OCD patients. Personality beliefs, as well as depression, should be routinely assessed, as they may affect OCD severity, help-seeking behavior, and response to treatment.
Abstract
Objective The comorbidity of obsessive-compulsive disorder (OCD) and personality disorders (PDs) is frequent but there are conflicting findings about which PDs are the most common. This study aimed to investigate the personality beliefs that exist on a more pathological level among OCD patients, to explore the association between personality beliefs and OCD severity, and to clarify the mediator effect of depression in this relationship.Methods 202 OCD patients and 76 healthy controls with similar sociodemographic features were included in the study. The Personality Belief Questionnaire-Short Form was administered to both groups. The Yale-Brown Obsessions and Compulsions Scale, Beck Depression Inventory, and the Beck Anxiety Inventory were administered only to the clinical sample.Results The dependent, histrionic, paranoid, borderline, and avoidant personality subscale scores were significantly higher in the OCD group than in the control group. There was an association only between OCD severity and narcissistic personality beliefs, also depression mediated the relationship between narcissistic personality and OCD severity.Conclusion Some personality beliefs at a pathological level are more common among OCD patients. Personality beliefs, as well as depression, should be routinely assessed, as they may affect OCD severity, help-seeking behavior, and response to treatment.
참고문헌 (30)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders (DSM-5)" (2013), American Psychiatric Publishing
- Salkovskis PM, "Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder", Behav Res Ther, 38, pp.347~372 (2000)
- Bulli F, "Comorbid personality disorders in obsessive–compulsive disorder and its symptom dimensions", Psychiatr Q, 87, pp.365~376 (2016)
- Pena-Garijo J, "Personality disorders in obsessive-compulsive disorder: a comparative study versus other anxiety disorders", Scientific World Journal (2013)[DOI]
- Friborg O, "Comorbidity of personality disorders in anxiety disorders : a metaanalysis of 30 years of research", J Affect Disord, 145, pp.143~155 (2013)
- Starcevic V, "New diagnostic perspectives on obsessivecompulsive personality disorder and its links with other conditions", Curr Opin Psychiatry, 27, pp.62~67 (2014)
- Gordon OM, "The association between obsessive compulsive disorder and obsessive compulsive personality disorder : Prevalence and clinical presentation", Br J Clin Psychol, 52, pp.300~315 (2013)
- Beck JS, "Complex cognitive therapy treatment for personality disorder patients", Bull Menninger Clin, 62, pp.170~194 (1998)
- Fricke S, "Do personality disorders predict negative treatment outcome in obsessive–compulsive disorders? A prospective 6-month follow-up study", Eur Psychiatry, 21, pp.319~324 (2006)
- Rufer M, "Long-term course and outcome of obsessive-compulsive patients after cognitive-behavioral therapy in combination with either fluvoxamine or placebo : a 7-year follow-up of a randomized double-blind trial", Eur Arch Psychiatry Clin Neurosci, 255, pp.121~128 (2005)
- Lochner C, "Comorbidity in obsessive-compulsive disorder(OCD) : a report from the International College of Obsessive-Compulsive Spectrum Disorders(ICOCS)", Compr Psychiatry, 55, pp.1513~1519 (2014)
- Hofmeijer-Sevink MK, "Clinical relevance of comorbidity in obsessive compulsive disorder : The Netherlands OCD Association study", J Affect Disord, 150, pp.847~854 (2013)
- Crino RD, "Obsessive-compulsive disorder and axis I comorbidity", J Anxiety Disord, 10, pp.37~46 (1996)
- Beck AT, "The Personality Belief Questionnaire. Unpublished Assessment Instrument" (1991), The Beck Institute for Cognitive Therapy and Research
- Turkcapar MH, "Reliability and validity of Turkish version of Personality Belief Questionnaire", J Clin Psychiatry, 10, pp.177~191 (2007)
- Butler AC, "The personality belief questionnaireshort form : Development and preliminary findings", Cognit Ther Res, 31, pp.357~370 (2007)
- Taymur I, "Validity and reliability of the Turkish cersion of the Personality Belief Questionnaire-Short Form(PBQ-STF)in the university students", J Clin Psychiatry, 14, pp.199~209 (2011)
- Goodman WK, "The Yale-Brown Obsessive Compulsive Scale : I. Development, use, and reliability", Arch Gen Psychiatry, 46, pp.1006~1011 (1989)
- Tek C, "Yale-Brown Obsessive Compulsive Scale and US National Institute of Mental Health Global Obsessive Compulsive Scale in Turkish : reliability and validity", Acta Psychiatr Scand, 91, pp.410~413 (1995)
- Hisli N, "Reliability and validity of Beck Depression Inventory among university students", Turk J Psychol, 7, pp.3~13 (1989)
- Beck AT, "An inventory for measuring clinical anxiety : Psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Rees CS, "Personality and symptom severity in Obsessive-Compulsive Disorder : the mediating role of depression", Pers Individ Dif, 71, pp.92~97 (2014)
- Starcevic V, "Current understanding of the relationships between obsessive-compulsive disorder and personality disturbance", Curr Opin Psychiatry, 30, pp.50~55 (2017)
- Torres AR, "Obsessive-compulsive disorder and personality disorder : evidence from the British National Survey of Psychiatric Morbidity 2000", Soc Psychiatry Psychiatr Epidemiol, 41, pp.862~867 (2006)
- Melca IA, "The correlates of obsessive-compulsive, schizotypal, and borderline personality disorders in obsessive-compulsive disorder", J Anxiety Disord, 33, pp.15~24 (2015)
- Ansell EB, "The association of personality disorders with the prospective 7-year course of anxiety disorders", Psychol Med, 41, pp.1019~1028 (2011)
- Thiel N, "The effect of personality disorders on treatment outcomes in patients with obsessive-compulsive disorders", J Pers Disord, 27, pp.697~715 (2013)
- Brakoulias V, "Comorbidity, age of onset and suicidality in obsessive–compulsive disorder(OCD) : An international collaboration", Compr Psychiatry, 76, pp.79~86 (2017)
- Olatunji BO, "Behavioral versus cognitive treatment of obsessive-compulsive disorder : an examination of outcome and mediators of change", J Consult Clin Psychol, 81, pp.415~428 (2013)
- Dèttore D, "Does time-intensive ERP attenuate the negative impact of comorbid personality disorders on the outcome of treatment-resistant OCD", J Behav Ther Exp Psychiatry, 44, pp.411~417 (2013)