Thamby Abel, Khanna Sumant
Department of Psychiatry, OCD Clinic, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.
Senior Consultant Psychiatrist, New Delhi & Formerly Additional Professor of Psychiatry and Head, OCD Clinic, NIMHANS, Bangalore, Karnataka, India.
Indian J Psychiatry. 2019 Jan;61(Suppl 1):S114-S118. doi: 10.4103/psychiatry.IndianJPsychiatry_526_18.
Personality disorders are a common comorbidity in obsessive-compulsive disorder (OCD). The effect of comorbidity on the symptom presentation, course, and treatment outcome of OCD is being discussed here. OCD and obsessive-compulsive personality disorder (OCPD) though similar in their symptom presentation, are distinct constructs. Schizotypal disorder, OCPD, and two or more comorbid personality disorders have been found to be consistently associated with a poor course of illness and treatment response. Further research is needed to determine treatment strategies to handle the personality pathology in OCD.
人格障碍是强迫症(OCD)中常见的共病情况。本文将探讨共病对强迫症症状表现、病程及治疗结果的影响。强迫症和强迫型人格障碍(OCPD)虽然在症状表现上相似,但却是不同的概念。已发现分裂型障碍、强迫型人格障碍以及两种或更多种共病的人格障碍与病情发展不良和治疗反应持续相关。需要进一步研究以确定应对强迫症中人格病理学的治疗策略。