Clarifying the convergence between obsessive compulsive personality disorder criteria and obsessive compulsive disorder

• Published in: Journal of personality disorders 2006-06, Vol.20 (3), p.294-305
• Main Authors: EISEN, Jane L, COLES, Meredith E, TRACIE SHEA, M, PAGANO, Maria E, STOUT, Robert L, YEN, Shirley, GRILO, Carlos M, RASMUSSEN, Steven A
• Format: Article
• Language: English
• Subjects: Adult; Adult and adolescent clinical studies; Anxiety Disorders; Anxiety disorders. Neuroses; Biological and medical sciences; Compulsive Personality Disorder - diagnosis; Compulsive Personality Disorder - epidemiology; Compulsive Personality Disorder - psychology; Convergence; Diagnosis, Differential; Diagnostic and Statistical Manual of Mental Disorders; Female; Humans; Interview, Psychological; Literature Reviews; Male; Medical sciences; Mental health; Neuroses; Observer Variation; Obsessive compulsive disorder; Obsessive-Compulsive Disorder - diagnosis; Obsessive-Compulsive Disorder - epidemiology; Obsessive-Compulsive Disorder - psychology; Obsessive-compulsive disorders; Personality; Personality disorders; Personality Problems; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Severity of Illness Index
• ISSN: 0885-579X; 1943-2763
• DOI: 10.1521/pedi.2006.20.3.294

In this study we examined the convergence between obsessive-compulsive personality disorder (OCPD) criteria and obsessive-compulsive disorder (OCD). Baseline assessments of 629 participants of the Collaborative Longitudinal Personality Disorders Study were used to examine the associations between OCPD criteria and diagnoses of OCD. Three of the eight OCPD criteria--hoarding, perfectionism, and preoccupation with details--were significantly more frequent in subjects with OCD (n = 89) than in subjects without OCD (n = 540). Logistic regressions were used to predict the probability of each OCPD criterion as a function of Axis I diagnoses (OCD, additional anxiety disorders, and major depressive disorder). Associations between OCD and these three OCPD criteria remained significant in the logistic regressions, showing unique associations with OCD and odds ratios ranging from 2.71 to 2.99. In addition, other anxiety disorders and major depressive disorder showed few associations with specific OCPD criteria. This study suggests variability in the strength of the relationships between specific OCPD criteria and OCD. The findings also support a unique relationship between OCPD symptoms and OCD, compared to other anxiety disorders or major depression. Future efforts to explore the link between Axis I and Axis II disorders may be enriched by conducting analyses at the symptom level.