OCD with comorbid OCPD: A subtype of OCD?
Section snippets
Participants
Data for the current study were drawn from the intake interview of a longitudinal study of the course of OCD in individuals who identified OCD as their biggest problem overall across their lifetime (“primary OCD”). Participants were recruited from psychiatric treatment settings, including an outpatient OCD specialty clinic, psychiatric inpatient units, community mental health centers, general outpatient psychiatric clinics, and the private practices of several experts in cognitive-behavioral
Results
Subjects with (n = 65, 27%) and without comorbid OCPD (n = 173, 73%) were compared on demographic (see Table 1) and clinical characteristics (see Table 2). Contrary to our hypothesis, there was no evidence for a higher proportion of males in the OCD + OCPD group. There was a trend suggesting that subjects with and without comorbid OCPD differed on their current marital status. The OCD + OCPD subjects were significantly more likely to have pursued education beyond college.
In contrast to the OCD − OCPD
Discussion
In the current study, 27% (n = 65) of 238 individuals with primary and current DSM-IV OCD were also diagnosed with comorbid OCPD. Comparisons of the individuals with and without comorbid OCPD revealed that the added presence of OCPD was associated with a number of specific clinical features including an earlier age at onset of initial obsessions/compulsions, greater frequency of certain obsessions and compulsions (symmetry, ordering, repeating, cleaning, and hoarding), and more impaired
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