The Impact of Personality Traits on Ratings of Obsessive-Compulsive Symptoms
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Objective The goal of this study was to evaluate consistencies and discrepancies between clinician-administered and self-report versions of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and to examine relationships between these scales and personality traits. Methods A total of 106 patients with obsessive-compulsive disorder (OCD) participated in this study. All participants were assessed with both clinician-administered and self-report versions of the Y-BOCS. The Structured Clinical Interview for DSM-IV Axis II Disorders Personality Questionnaire (SCID-II-PQ) was used to evaluate relationships between personality traits and scores on the Y-BOCS. Results Scores on the clinician-administered Y-BOCS and its obsession subscale were significantly higher than were those on the self-report version. However, we found no significant differences in compulsion subscale scores. We also found that the discrepancies in the scores on the two versions of the Y-BOCS and its compulsion subscale were significantly positively correlated with scores for narcissistic personality traits on the SCID-II-PQ. Additionally, narcissistic personality traits had a significant effect on the discrepancy in the scores on the two versions of the Y-BOCS and its compulsion subscale in the multiple linear regression analysis. Conclusion This is the first study to elucidate relationships between personality traits and discrepancies between scores on the two versions of the Y-BOCS. Although clinicians tend to rate obsessive symptoms as being more severe than do patients, clinicians may underestimate the degree to which individuals with narcissistic personality traits suffer more from subjective discomfort due to compulsive symptoms. Therefore, the effect of personality traits on symptom severity should be considered in the treatment of OCD.
Abstract
Objective The goal of this study was to evaluate consistencies and discrepancies between clinician-administered and self-report versions of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and to examine relationships between these scales and personality traits. Methods A total of 106 patients with obsessive-compulsive disorder (OCD) participated in this study. All participants were assessed with both clinician-administered and self-report versions of the Y-BOCS. The Structured Clinical Interview for DSM-IV Axis II Disorders Personality Questionnaire (SCID-II-PQ) was used to evaluate relationships between personality traits and scores on the Y-BOCS. Results Scores on the clinician-administered Y-BOCS and its obsession subscale were significantly higher than were those on the self-report version. However, we found no significant differences in compulsion subscale scores. We also found that the discrepancies in the scores on the two versions of the Y-BOCS and its compulsion subscale were significantly positively correlated with scores for narcissistic personality traits on the SCID-II-PQ. Additionally, narcissistic personality traits had a significant effect on the discrepancy in the scores on the two versions of the Y-BOCS and its compulsion subscale in the multiple linear regression analysis. Conclusion This is the first study to elucidate relationships between personality traits and discrepancies between scores on the two versions of the Y-BOCS. Although clinicians tend to rate obsessive symptoms as being more severe than do patients, clinicians may underestimate the degree to which individuals with narcissistic personality traits suffer more from subjective discomfort due to compulsive symptoms. Therefore, the effect of personality traits on symptom severity should be considered in the treatment of OCD.
참고문헌 (23)
- Goodman WK, "The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability", Arch Gen Psychiatry, 46, pp.1006~1011 (1989)
- Goodman WK, "The Yale-Brown Obsessive Compulsive Scale. II. Validity", Arch Gen Psychiatry, 46, pp.1012~1016 (1989)
- Baer L, "Getting Control: Overcoming Your Obsessions and Compulsions" (1991), Plume
- Steketee G, "The Yale-Brown Obsessive Compulsive Scale: interview versus self-report", Behav Res Ther, 34, pp.675~684 (1996)
- Federici A, "Consistency between self-report and clinician-administered versions of the Yale-Brown Obsessive-Compulsive Scale", J Anxiety Disord, 24, pp.729~733 (2010)
- Enns MW, "Discrepancies between self and ob server ratings of depression. The relationship to demographic, clinical and personality variables", J Affect Disord, 60, pp.33~41 (2000)
- Baer L, "Personality disorders in obsessive compulsive disorder", Psychiatr Clin North Am, 15, pp.803~812 (1992)
- Black DW, "Personality disorder in obsessive-compulsive volunteers, well comparison subjects, and their first-degree relatives", Am J Psychiatry, 150, pp.1226~1232 (1993)
- Bejerot S, "Comorbidity between obsessivecompulsive disorder (OCD) and personality disorders", Acta Psychiatr Scand, 97, pp.398~402 (1998)
- 하태현, "강박장애의 증상차원과 공존 인격병리의 관련성에 관한 연구", 신경정신의학, 43(1), pp.46~53 (2004), 대한신경정신의학회
- Hermesh H, "Obsessive-compulsive disorder and borderline personality disorder", Am J Psychiatry, 144, pp.120~122 (1987)
- Ansell EB, "The association of personality disorders with the prospective 7-year course of anxiety disorders", Psychol Med, 41, pp.1019~1028 (2011)
- 설순호, "Korean Self-Report Version of the Yale-Brown Obsessive-Compulsive Scale: Factor Structure, Reliability, and Validity", PSYCHIATRY INVESTIGATION, 10(1), pp.17~25 (2013), 대한신경정신의학회[DOI]
- First MB, "Structured Clinical Interview for DSM-IV Axis II Personality Disorders" (1997), American Psychiatric Press
- Ekselius L, "SCID II interviews and the SCID screen questionnaire as diagnostic tools for personality disorders in DSM-III-R", Acta Psychiatr Scand, 90, pp.120~123 (1994)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Yook SP, "A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient", Korean J Clin Psychol, 16, pp.185~197 (1997)
- 이동우, "강박증 환자에서의 인격장애 공존병리에 관한 연구", 신경정신의학, 40(3), pp.434~442 (2001), 대한신경정신의학회
- Hollander E, "Managing aggressive behavior in patients with obsessivecompulsive disorder and borderline personality disorder", J Clin Psychiatry, 60(Suppl 15), pp.38~44 (1999)
- Hollander E, "Obsessive-Compulsive Related Disorders" (1993), American Psychiatric Press
- Svrakic DM, "Developmental, structural, and clinical approach to narcissistic and antisocial personalities", Am J Psychoanal, 51, pp.413~432 (1991)
- 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)
- Ricciardi JN, "Changes in DSM-III-R axis II diagnoses following treatment of obsessive- compulsive disorder", Am J Psychiatry, 149, pp.829~831 (1992)