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Severity of Obsessive-Compulsive Symptoms is Related to Self-Directedness Character Trait in Obsessive-Compulsive Disorder

Published online by Cambridge University Press:  07 November 2014

Carlos Cruz-Fuentes ,
Claudia Blas ,
Laura Gonzalez ,
Beatriz Camarena  and
Humberto Nicolini
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Abstract:

Objective:

The present study examined the psychobiological Temperament and Character model of personality on obsessive-compulsive disorder (OCD) patients, as well as the relation of temperament and/or character dimensions on the severity of obsessive-compubive symptoms.

Methods:

Fifty-four subjects diagnosed with OCD, were assessed with the Temperament and Character Inventory, the Yale-Brown Obsessive-Compulsive scale and the Hamilton Rating Scales for depression and anxiety.

Results:

Compared with controls, OCD subjects displayed increased harm avoidance and lower self-directedness and cooperativeness. Low self-directedness and high Hamilton depression scores were associated with increased severity of obsessive-compulsive symptoms.

Conclusions:

The Temperament and Character profile of OCD patients characterized in the present stud personality model and can be linked to some of their behavioral features. Furthermore, our data provides support of the influence that some personality traits may have on the severity of OCD symptoms.

Type
Original Research
Information
CNS Spectrums , Volume 9 , Issue 8 , August 2004 , pp. 607 - 612
Copyright
Copyright © Cambridge University Press 2004

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References

REFERENCES

1. Stein, DJ. Obsessive-compulsive disorder. Lancet. 2002;360:397–405.CrossRefGoogle ScholarPubMed
2. Nicolini, JH, Cruz, C, Camarena, B et al. , Understanding the genetic basis of obsessive-compulsive disorder. CNS Spectr. 1999;4:32–48.CrossRefGoogle Scholar
3. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
4. Cloninger, CR, Svrakic, DM, Przybeck, TR. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993;50:975–990.CrossRefGoogle ScholarPubMed
5. Cloninger, CR, Przybeck, TR, Svrakic, DM et al. , The Temperament and Character Inventory (TCI): A Guide to its Development and Use. St. Louis, Mo: Center for Psychobiology of Personality, Washington University; 1994.Google Scholar
6. Pfohl, B, Black, D, Noyes, R Jr, Kelley, M, Blum, N. A test of the tridimensional personality theory: association with diagnosis and platelet imipramine binding in obsessive-compulsive disorder. Biol Psychiatry. 1990;28:41–46.Google Scholar
7. Richter, MA, Summerfeldt, LJ, Joffe, RT, Swinson, RP. The Tridimensional Personality Questionnaire in obsessive-compulsive disorder. Psychiatry Res. 1996;65:185–188.CrossRefGoogle ScholarPubMed
8. Bejerot, S, Schlette, P, Ekselius, L, Adolfsson, R, von Knorring, L. Personality disorders and relationship to personality dimensions measured by the Temperament and Character Inventory in patients with obsessive-compulsive disorder. Acta Psychiatr Scand. 1998;98:243–249.CrossRefGoogle ScholarPubMed
9. Kusunoki, K, Sato, T, Taga, C et al. , Low novelty-seeking differentiates obsessive-compulsive disorder from major depression. Acta Psychiatr Scand. 2000;101:403–405.CrossRefGoogle ScholarPubMed
10. Lyoo, K, Woo Lee, D, Su Kim, Y et al. , Patterns of temperament and character in subjects with obsessive-compulsive disorder. J Clin Psychiatry. 2001;62:8:637–641.CrossRefGoogle ScholarPubMed
11. Nicolini, H, Orozco, B, Mickalonis, L et al. , Etude phenomenologique familiale du trouble obsessionnel compulsif. Neuropsychiatr Enfance Adolesc. 1998:46:164–172.Google Scholar
12. Caraveo, J, González, C, Ramos, L. Concurrent validity of DIS: experience with psychiatric patients in Mexico City. Hisp J Behav Sci. 1991;13:63–77.Google Scholar
13. Sánchez de Carmona, M, Páez, F, López, J et al. , Traducción y confiabilidad del Inventario de temperamento y carácter (ITC). Solud Mental. 1996;19(suppl 3):5–9.Google Scholar
14. Nicolini, H, Orozco, B, Sánchez de Carmona, M et al. , Estudio de traducción y confiabilidad de la escala Yale-Brown en español para el trastomo obsesivocompulsivo. Salud Mental. 1996;19(suppl 3):13–16.Google Scholar
15. Berlanga, C, Córtes, J, Bauer, J. Adaptatión y validatión de la escala de Carroll y Hamilton en español. Salad Mental. 1992;15:36–39.Google Scholar
16. Derogatis, LR, Lipman, RS, Covi, L. SCL-90: an outpatient psychiatric rating scale—preliminary report. Psychopharmacol Bull. 1973;9:13–28.Google Scholar
17. Derogatis, LR. SCL90-R: Administration, Scoring and Procedures Manual. 3rd ed. 1994. Minneapolis, Minn: National Computer System Inc.; 1994.Google Scholar
18. SYSTAT 8.0. Chicago, Ill: SPSS Incorporated; 1997.Google Scholar
19. Mendlowicz, MV, Jean-Louis, G, Gillin, JC et al. , Sociodemographic predictors of temperament and character. J Psychiatr Res. 2000;34:221–226.CrossRefGoogle ScholarPubMed
20. Samuels, J, Nestadt, G, Bienvenu, J et al. , Personality disorders and normal personality dimensions in obsessive-compulsive disorder. Br J Psychiatry. 2000;177:457–462.CrossRefGoogle ScholarPubMed
21. Bejerot, S, von Knorring, L, Ekselius, L. Personality traits and smoking in patients with obsessive-compulsive disorder. Eur Psychiatry. 2000;15:395–401.CrossRefGoogle ScholarPubMed
22. Brown, SL, Svrakic, DM, Przybeck, TR, Cloninger, CR. The relationship of personality to mood and anxiety states: a dimensional approach. J Psychiatr Res. 1992;26:197–211.CrossRefGoogle Scholar
23. Strakowski, S, Dunayevich, E, Keck, PE Jr et al. , Affective state dependence of the Tridimensional Personality Questionnaire. Psychiatry Res. 1992;57:209–214.CrossRefGoogle Scholar
24. Black, KJ, Sheline, YI. Personality disorder scores improve with effective pharmacotherapy of depression. J Affect Disord. 1997;43:11–18.CrossRefGoogle ScholarPubMed
25. Chien, AJ, Dunner, DL. The tridimensional personality questionnaire in depression: state versus trait issues. J Psychiatr Res. 1996;30:21–27.CrossRefGoogle ScholarPubMed
26. Svrakic, DM, Whitehead, C, Przybeck, TR et al. , Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Arch Gen Psychiatry. 1993;50:991–999.CrossRefGoogle ScholarPubMed
27. Svrakic, DM, Draganic, S, Hill, K, Bayon, C, Przybeck, TR, Cloninger, CR. Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatr Scand. 2002;106:189–195.CrossRefGoogle Scholar
28. Hansenne, M, Reggers, J, Pinto, E et al. , Temperament and Character Inventory (TCI) and depression. J Psychiatr Res. 1999;33:31–36.CrossRefGoogle ScholarPubMed
29. Stallings, MC, Hewit, JK, Cloninger, CR et al. , Genetic and environmental structure of the Tridimensional Personality Questionnaire: three or four temperament dimensions? J Person Soc Psychol. 1996;70:127–140.CrossRefGoogle ScholarPubMed
30. Gutierrez, F, Torrens, M, Boget, R et al. , Psychometric properties of the Temperament and Character Inventory (TCI) questionnaire in a Spanish psychiatric population. Acta Psychiatr Scand. 2001;103:143–147.CrossRefGoogle Scholar