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Treatment outcomes for inpatients with obsessive-compulsive personality disorder: An open comparison trial
- Source :
- Journal of Affective Disorders. 209:273-278
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Background The current case-control study compared rates of clinically significant and reliable change in psychopathology and global functioning, prevalence of clinical deterioration, and rates of symptom remission among adult patients with obsessive compulsive personality disorder OCPD (n=52) and well-matched inpatients with any other personality disorder (n=56) and no personality disorder (n=53). Methods Propensity score matching (PSM) was utilized to select patients matched on specific criteria present in the OCPD group. Multivariate analysis of variance models measured differences in admission functioning and RCI change across depression and anxiety severity, emotion dysregulation and suicidal ideation. Results Patients diagnosed with OCPD admit to treatment with higher rates of depression, anxiety, difficulty with emotion regulation and non-acceptance of emotional experience than inpatient controls. Furthermore, OCPD patients respond to treatment at a similar rate to inpatient controls, but experience lower rates of anxiety remission upon discharge. Post-hoc analyses indicate individuals meeting stubbornness and rigidity (OCPD Criteria 8) were nine times more likely to report moderate to severe anxiety at point of discharge. Limitations Limitations include a predominantly Caucasian, inpatient sample, use of self-report measures and a non-manualized treatment approach. Conclusions Overall, OCPD inpatients benefit from an intensive multimodal psychiatric treatment, but experience more anxiety than non-PD patients upon discharge.
- Subjects :
- Adult
Male
Obsessive-Compulsive Disorder
050103 clinical psychology
medicine.medical_specialty
media_common.quotation_subject
Emotions
Personality Disorders
Young Adult
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Personality
0501 psychology and cognitive sciences
Young adult
Psychiatry
Suicidal ideation
media_common
Inpatients
05 social sciences
Middle Aged
medicine.disease
Personality disorders
Obsessive–compulsive personality disorder
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Case-Control Studies
Propensity score matching
Anxiety
Female
Self Report
medicine.symptom
Psychology
Clinical psychology
Psychopathology
Subjects
Details
- ISSN :
- 01650327
- Volume :
- 209
- Database :
- OpenAIRE
- Journal :
- Journal of Affective Disorders
- Accession number :
- edsair.doi.dedup.....6a74c015ca23087d28078cea18c8ab79