Eisen Jane L, Coles Meredith E, Shea M Tracie, Pagano Maria E, Stout Robert L, Yen Shirley, Grilo Carlos M, Rasmussen Steven A
Brown University Department of Psychiatry and Human Behavior, Butler Hospital, Providence 02906, USA.
J Pers Disord. 2006 Jun;20(3):294-305. 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.
在本研究中，我们检验了强迫型人格障碍（OCPD）标准与强迫症（OCD）之间的趋同性。协作性纵向人格障碍研究中629名参与者的基线评估被用于检验OCPD标准与OCD诊断之间的关联。在患有OCD的受试者（n = 89）中，八项OCPD标准中的三项——囤积、完美主义和对细节的过度关注——显著比未患OCD的受试者（n = 540）更常见。逻辑回归被用于预测每项OCPD标准作为轴I诊断（OCD、其他焦虑症和重度抑郁症）函数的概率。在逻辑回归中，OCD与这三项OCPD标准之间的关联仍然显著，显示出与OCD的独特关联，优势比范围为2.71至2.99。此外，其他焦虑症和重度抑郁症与特定OCPD标准的关联很少。本研究表明特定OCPD标准与OCD之间关系的强度存在差异。研究结果还支持了OCPD症状与OCD之间的独特关系，与其他焦虑症或重度抑郁症相比。未来探索轴I和轴II障碍之间联系时，在症状层面进行分析可能会有所助益。
