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Publication: Obsessive-Compulsive Personality Disorder

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Page numbers printed in boldface type refer to tables and figures.
Acceptance and commitment therapy (ACT),
150
ACT
. See Acceptance and commitment therapy
ADHD
. See Attention-deficit/hyperactivity disorder
Adjustment disorder with depressed mood, medication trials and case reports for OCPD and,
192
Age
childhood traits of OCPD,
54
children with obsessive difficult temperament,
208
at onset of OCPD,
10, 110, 116
positive aspects of conscientiousness,
237–239
Aggression, OCPD and,
99–107
biological features of OCPD with and without aggression,
102–104, 106
case vignette,
99–100, 105–106
inflammatory proteins and,
103
neuroimaging studies of,
103–104, 104
measures of aggression,
101, 102
measures of impulsivity,
101–102, 102
serotonin and,
102–103
treatment considerations,
105
Agoraphobia
medication trials and case reports for OCPD and,
194
with OCPD,
13
Alcohol dependence, medication trials and case reports for OCPD and,
194
α-amylase,
131
Alzheimer’s dementia, medication trials and case reports for OCPD and,
190191
AN
. See Anorexia nervosa
Anal-erotic character style traits,
3, 51
Anankastia,
17. See also Obsessive-compulsive personality disorder
description of,
2
diagnostic criteria in DSM-III,
29
ICD-11 definition of,
35
ICD diagnostic criteria for anankastic personality disorder,
32
OCPD traits in,
3839
Anorexia nervosa (AN),
74
atypical,
78
medication trials and case reports for OCPD and,
185186
OCPD and,
74–75
Antiepileptics, for treatment of OCPD,
210. See also individual drug names
Antipsychotics, for treatment of OCPD,
208–209, 211–212
first-generation,
208–209
second-generation,
209
Antisocial personality disorder,
224
Anxiety disorders, with OCPD,
13
ARFID
. See Avoidant/restrictive food intake disorder
Aripiprazole, medication trials and case reports for OCPD and BPD,
186
Attachment theory,
221, 228
OCPD and,
221
parenting capacity of parents with personality disorders and,
221–223
Attention-deficit/hyperactivity disorder (ADHD)
medication trial and case reports for OCPD and,
193
misdiagnosis of,
xiii
OCPD and,
90
Atypical anorexia nervosa,
78
Avoidant personality disorder, medication trial and case reports for OCPD and,
194
Avoidant/restrictive food intake disorder (ARFID),
77–78
Barratt Impulsiveness Questionnaire,
92
Barratt Impulsiveness Scale (BIS-11),
91, 101
BED
. See Binge-eating disorder
Binge-eating disorder (BED),
76–77, 89
of low frequency and/or limited duration,
78
OCPD and,
12, 77
rates of OCPD and,
90
Bipolar affective disorders
medication trial and case reports for OCPD and,
190
with OCPD,
13
BIS-11
. See Barratt Impulsiveness Scale
BMI
. See Body mass index
BN
. See Bulimia nervosa
Body dysmorphic disorder, medication trial and case reports for OCPD and,
196
Body mass index (BMI),
72
Bonferroni correction,
234
Borderline personality disorder (BPD),
224. See also Cluster B personality disorders
medication trials and case reports for OCPD and,
186187
Bowlby, John,
221
BPAQ
. See Buss-Perry Aggression Questionnaire
BPD
. See Borderline personality disorder
Brain, OCPD-related personality traits and,
136
Brown Longitudinal Obsessive Compulsive Study,
55
Bulimia nervosa (BN),
75–76
Cluster B and C personality disorders and,
76
of low frequency and/or limited duration,
78
OCPD and,
76
Buspirone
medication trials and case reports for OCPD
and compulsive buying,
197
and OCD,
197, 199
Buss-Perry Aggression Questionnaire (BPAQ),
101
California Child Q-Set (CCQ),
237
Cambridge Gambling Task,
92
Carbamazepine
medication trial and case reports for OCPD diagnosis,
181
for treatment of OCPD,
210, 212
Case vignettes
aggression and OCPD,
99–100, 105–106
clinical features of OCPD,
27–28
cultural aspects of OCPD,
110, 122
eating disorder with OCPD,
71–72
gender and OCPD,
109, 122
hoarding disorder and OCD,
50–52
impact of personality disorders on parenting,
217–218
impulsivity-control disorders,
85–86, 93
OCD,
49–50, 127–128
OCPD with depression,
1–2
perfectionism,
143–144, 150–165
pharmacological treatment for OCPD,
179–180
positive aspects of OCPD,
233–234, 240–241
psychobiology of OCPD,
127–128
psychotherapy for OCPD,
143–144, 150–165
sexual behavior,
85–86, 93
CBT
. See Cognitive-behavioral therapy
CCQ
. See California Child Q-Set
CFI
. See Cultural Formulation Interview
CGI
. See Clinical Global Impressions Scale
Change, definition of difficulty with,
171
Childhood Retrospective Perfectionism Questionnaire (CHIRP),
54–55
Children
. See also Parents
childhood traits of OCPD,
54
impact of parental personality disorder on child development and mental health,
223–226
with obsessive difficult temperament,
208
positive aspects of conscientiousness in youth,
237–239
CHIRP
. See Childhood Retrospective Perfectionism Questionnaire
Cisgender females, definition of,
111
Cisgender males, definition of,
111
Citalopram
medication trials and case reports for OCPD
and avoidant personality disorder,
194
and MDD,
183, 195
and OCD,
194
and Tourette’s disorder,
194
and trichotillomania,
194
for treatment of OCPD,
205–206, 211
Clinical Global Impressions Scale (CGI),
209
Clinical perfectionism,
155–156, 166
CBT model of,
157
Clinical Perfectionism Questionnaire (CPQ),
36
Clomipramine
medication trials and case reports for OCPD
and ADHD,
193
and adjustment disorder with depressed mood,
192
and eczema,
191
and generalized anxiety disorder,
191
and insomnia,
191193
and migraines,
191
and oppositional defiant disorder,
192
and panic disorder,
192
for treatment of OCPD,
57, 207–208
Cloninger’s model of personality traits,
133
Clovoxamine
medication trial and case reports for OCPD and MDD,
188
for treatment of OCPD,
207
Cluster A personality disorders,
116, 218–219
Cluster B personality disorders,
76, 116, 219. See also Borderline personality disorder
Cluster C personality disorders,
2, 62, 116, 129, 180, 202, 219
bulimia nervosa and,
76
neuroimaging and molecular studies of,
130–131
Clutter,
15, 52, 60–62, 153. See also Hoarding disorder
Cognition
conscientiousness and,
236–237
deficits associated with impulsivity,
93
OCPD studies and,
130
positive associations with OCPD,
234–236
research on,
235
Cognitive-behavioral therapy (CBT)
for clinical perfectionism and rigidity,
151, 161–165
model of clinical perfectionism,
156–157
research for OCPD,
148–150
for treatment of aggression with OCPD,
106
for treatment of HD,
63
for treatment of OCD,
57
Collaborative Longitudinal Personality Disorders Study,
55, 57, 219
Compulsive buying
medication trials and case reports for OCPD and,
195, 197199
rates of OCPD and,
89, 90
Compulsive Personality Assessment Scale (CPAS),
13–1514
Compulsive personality disorder, in DSM-III,
3–4
Compulsivity,
86–88
Conscientiousness
career success and,
240, 241
case vignette,
233–234, 240–241
cognition and,
236–237
in older age groups,
239
resilience and,
239–240
in youth through middle age,
237–239
Cortisol,
131
CPAS
. See Compulsive Personality Assessment Scale
CPQ
. See Clinical Perfectionism Questionnaire
C-reactive protein (CRP),
103
CRP
. See C-reactive protein
Cultural Formulation Interview (CFI),
112
Culture
approaches to gender and culture in DSM-IV and DSM-5,
112
case vignettes,
109–110, 122
in DSM-5,
111
OCPD and,
109–125
personality and,
117–118
personality disorder and,
118–120
DBT
. See Dialectical behavior therapy
Death Anxiety Questionnaire,
146
Delegation, reluctance with
definition of,
171
as feature of OCPD,
42
Depressive disorders and OCPD,
12–13
case vignette,
1–2
DERS
. See Difficulties in Emotion Regulation Scale
d-FEN
. Seed-fenfluramine
Diagnostic and Statistical Manual (DSM)
categorical classification of OCPD,
29–30, 30
definition of OCPD,
3–4
DSM-I
definition of OCPD,
3
DSM-II
definition of OCPD,
3
diagnostic criteria for OCPD,
29
DSM-III
definition of OCPD,
3–4
diagnostic criteria for OCPD,
149–150
diagnostic criteria for anankastic personality disorder,
30
diagnostic criteria for OCPD,
29
OCPD traits in,
3839
systematic prevalence analysis of OCPD,
78
DSM-III-R
assessment of OCPD in community populations,
5
definition of OCPD,
4
OCPD traits in,
3839
systematic prevalence analysis of OCPD,
78
DSM-IV
approaches to gender and culture in,
112
diagnostic criteria for OCPD,
29–31, 149
diagnostic criteria for OCPD and OCD,
60
diagnostic threshold of OCPD,
4
OCPD traits in,
3839
studies of OCPD,
5
systematic prevalence analysis of OCPD,
89
DSM-5
alternative model for personality disorders,
17, 31–33, 34, 37, 3839, 43, 218–219
approaches to gender and culture in,
112
definition of personality disorders,
2
diagnostic criteria for OCPD,
4, 29–31, 30, 33, 100, 145, 152–153
diagnostic criteria for personality disorders,
32–33, 100
proposed diagnostic criteria,
34
hybrid personality model,
114
OCPD traits in,
3839
Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV),
36
Diagnostic Interview for Personality Disorders (DIPD),
13
Dialectical behavior therapy (DBT),
150
Difficulties in Emotion Regulation Scale (DERS),
154, 155
DIPD
. See Diagnostic Interview for Personality Disorders
DIPD-IV
. See Diagnostic Interview for DSM-IV Personality Disorders
Discounting,
91, 92, 130, 235
DSM
. SeeDiagnostic and Statistical Manual
Dysthymic disorder, medication trial and case reports for OCPD and,
193
Eating Disorder Inventory—Perfectionism scale (EDI-P),
186, 204
Eating disorder not otherwise specified (EDNOS),
78–79
Eating disorders
anorexia nervosa,
74
avoidant/restrictive food intake disorder,
77–78
binge-eating disorder,
76–77, 89
bulimia nervosa,
75–76
case vignette,
71–72
eating disorder not otherwise specified,
78–79
future directions for research,
79–80
genetic influence on,
75
night eating syndrome,
78
with OCPD,
12
other specified feeding or eating disorder,
78
purging disorder,
78
Eczema, medication trials and case reports for OCPD and,
191
EDI-P
. See Eating Disorder Inventory—Perfectionism scale
EDNOS
. See Eating disorder not otherwise specified
Ego-dystonic symptoms, of OCPD and OCD,
53
Emotional overcontrol, definition of,
171
Escitalopram
medication trial and case reports for OCPD and OCD,
189
for treatment of OCPD,
206
Ethnicity
definition of,
111
OCPD and,
120
Excoriation,
89
rates of OCPD and,
90
Exposure response prevention,
93
EX/RP, for treatment of OCD,
57–58
Family history
. See also Genetics
linkage between OCPD and OCD,
54
of OCPD,
10–11
psychobiology of family studies of OCPD,
128–129
Fenfluramine, medication trial and case reports for OCPD and OCD,
200
d-fenfluramine (d-FEN),
103
FFM
. See Five-factor model of personality
FFOCI
. See Five Factor Obsessive-Compulsive Inventory
FGAs
. See First-generation antipsychotics
First-generation antipsychotics (FGAs), for treatment of OCPD,
208–209
Five-factor model (FFM) of personality,
16–17, 32–33, 113, 117, 132, 236
Five Factor Obsessive-Compulsive Inventory (FFOCI),
36
5HTTLPR
. See Serotonin transporter promoter polymorphism
Fluoxetine
medication trials and case reports for OCPD
and agoraphobia,
194
and alcohol dependence,
194
and AN,
185
and body dysmorphic disorder,
196
and compulsive buying,
198
and dysthymic disorder,
193
and MDD,
187188
and OCD,
195200
and panic disorder,
194
and pathological gambling,
197
and trichotillomania,
197
for treatment of aggression with OCPD,
106
for treatment of OCPD,
202–203
Fluvoxamine
medication trials and case reports
for OCD diagnosis,
181
for OCPD and compulsive buying,
198
for OCPD and OCD,
198
for treatment of OCPD,
203–204, 210–211
fMRI
. See Functional magnetic resonance imaging
Freud, Sigmund,
3
Frost Multidimensional Perfectionism Scales,
15
Functional magnetic resonance imaging (fMRI),
103–104, 130–131, 133. See also Neuroimaging
Gambling disorder,
89
medication trials and case reports for OCPD and,
195, 197
rates of OCPD and,
90
Gender
approaches to culture and gender in DSM-IV and DSM-5,
112
case vignette,
109, 110, 122
definition of,
111
OCPD and,
109–125, 114–117
personality and,
112–113
personality disorders and,
113–114
versus sex,
111
Generalized anxiety disorder, medication trials and case reports for OCPD and,
189, 191
Genetics
. See also Family history
familial link between OCPD and OCD,
54
family studies of OCPD,
128–129
gender and OCPD,
115–117
heritability of personality traits,
134
influence on eating disorders,
75
as risk factor for personality disorders,
225–226, 228
twin studies of OCPD,
129
Genome wide-association studies (GWAS),
131–132, 134
Good enough parenting,
220
GWAS
. See Genome wide-association studies
Hair-pulling disorder,
89
rates of OCPD and,
90
Haloperidol
medication trials and case reports for OCPD
and Alzheimer’s dementia,
190191
and bipolar disorder,
190
and OCD,
194
and schizophrenia,
190191
and Tourette’s disorder,
194
HD
. See Hoarding disorder
Hoarding disorder (HD),
4, 51, 60–61. See also Obsessive-compulsive and related disorders
case vignette,
49–50, 51–52
medication trial and case reports for OCPD and,
182
OCPD and,
60–64
comorbidity and correlates,
62–63
future directions for research,
64
symptoms, core components, and differential diagnosis of,
60–62
treatment implications,
63–64
theoretical model of overlap between OCPD, OCD and,
56
Hoarding Rating Scale—Interview,
15
Hoarding Rating Scale—Self-Report,
15
Hypersentimentality,
61. See also Hoarding disorder
ICD
. See International Classification of Diseases
IED
. See Intra-Extra Dimensional task
IIP-SC
. See Inventory of Interpersonal Problems—Short Circumplex
IL-6
. See Interlukin-6
Imipramine
medication trial and case reports for OCPD and MDD,
188
for treatment of OCPD,
208
Impulsivity
description of,
86
measures of aggression and,
101–102, 102
and OCPD,
90–93
Impulsivity-control disorders
case vignette,
85–86, 93
in individuals with OCPD,
90–93
OCPD and,
88–89
rates of,
90
relationship to OCPD,
89–90
Inflexibility, as feature of OCPD,
42
Insomnia, medication trials and case reports for OCPD and,
191193
Interlukin-6 (IL-6),
103
Intermittent explosive disorder (IED),
101, 103
International Classification of Diseases (ICD)
categorical classification of OCPD,
31
diagnostic criteria for anankastic personality disorder,
32, 43
evolution of OCPD,
xiii–xiv
ICD-10, OCPD traits in,
3839
ICD-11
classification of personality disorders in,
33–35
definition of anankastia,
35
dimensional model of personality disorder assessment,
2
OCPD traits in,
3839
proposals for,
17
International Personality Disorder Examination (IPDE),
13, 36, 116
Internet addiction, rates of OCPD and,
90
Interpersonal relationships, with OCPD,
11
Inventory of Interpersonal Problems—Short Circumplex (IIP-SC),
153, 154, 155
IPDE
. See International Personality Disorder Examination
Kleptomania, rates of OCPD and,
90
Level of Personality Functioning Scale (LPFS),
37
Level of Personality Functioning Scale—Brief Form 2.0 (LPFS-BF),
37
LHA
. See Life History of Aggression
LHIB
. See Life History of Impulsive Behavior
Life history, framework of,
135–136
Life History of Aggression (LHA),
101
Life History of Impulsive Behavior (LHIB),
101
LPFS
. See Level of Personality Functioning Scale
LPFS-BF
. See Level of Personality Scale—Brief Form 2.0
Major depressive disorder (MDD), medication trials and case reports for OCPD and,
183, 187188, 195
Maladaptive perfectionism,
53, 65, 146, 171
Marriage
. See also Parents
case vignette of OCPD, gender and,
109
hoarding disorder case vignette and,
50–51
Maternal somatization disorder,
225
MCMI-III
. See Millon Clinical Multiaxial Inventory–III
MDD
. See Major depressive disorder
Metacognitive therapy,
150
Migraines, medication trials and case reports for OCPD and,
191, 193
Millon Clinical Multiaxial Inventory–III (MCMI-III),
15–17, 36
Mindfulness meditation,
128
Minnesota Multiphasic Personality Inventory–2 (MMPI-2),
36
Miserliness,
17
MMPI-2
. See Minnesota Multiphasic Personality Inventory–2
Models
CBT model of clinical perfectionism,
156, 156157
of clinical perfectionism,
166
Cloninger’s model of personality traits,
133
dimensional models of OCPD,
31–35
five-factor model of personality,
16–17, 32–33, 113, 117, 132, 236
of good enough parenting,
220
hybrid personality model in DSM-5,
114
ICD-11 dimensional model of assessment,
2
theoretical model of overlap between OCPD, OCD, and HD,
56
threshold versus dimensional models of OCPD,
16–18
Molecular studies, of OCPD,
130–132
Mood stabilizers
. See Carbamazepine
Naltrexone,
93
National Comorbidity Survey Replication,
72
National Epidemiologic Survey on Alcohol and Related Conditions (NESARC),
115, 120
on rates of OCPD,
xiii
National Institute of Mental Health Global Obsessive-Compulsive Scale,
213
Negative affective states, as feature of OCPD,
3
NEO Personality Inventory—Revised (NEO PI-R),
116, 236
NEO PI-R
. See NEO Personality Inventory—Revised
NESARC
. See National Epidemiologic Survey on Alcohol and Related Conditions
Neuroimaging
. See also Functional magnetic resonance imaging
in studies of aggression,
103–104
studies of Cluster C personality disorders,
130–131
studies of OCPD,
103–104, 104, 130–132
Neuroticism,
132–133
Night eating syndrome,
78
Nonbinary/gender-queer individuals, definition of,
111
Noncisgender females, definition of,
111
Noncisgender males, definition of,
111
OBQ
. See Obsessive Belief Questionnaire
Obsessive Belief Questionnaire (OBQ),
59
Obsessive-compulsive and related disorders (OCRDs),
2. See also Hoarding disorder
Obsessive-compulsive disorder (OCD)
case vignettes of,
49–50, 127–128
medication trials and case reports for OCPD and,
184, 189, 194195, 197201
misdiagnosis of,
xiii
versus OCPD,
37, 41–42
OCPD and,
52–59, 86–87, 136
characterization of,
52
comorbidity and correlates,
55–57, 56
courses of OCD and OCPD,
54–55
family history linkage,
54
longitudinal studies of,
55
symptoms, core components and differential diagnosis of,
52–54
treatment implications,
57–59
phenomenology of,
40
probands with,
128
theoretical model of overlap between OCPD, HD and,
56
Obsessive-compulsive personality disorder (OCPD)
. See also Anankastia
ADHD and,
90
aggression and,
99–107
agoraphobia and,
13
anorexia nervosa and,
74–75
anxiety disorders and,
13
assessment of,
35–37, 43
attachment theory and,
221
biological features of OCPD with and without aggression,
102–104
bipolar affective disorders and,
13
case vignettes
aggression and OCPD,
99–100, 105–106
clinical features of OCPD,
27–28
depression with OCPD,
1–2
hoarding disorder and,
50–52
categorical classification of,
29–31
in DSM,
29–30, 30
in ICD,
31
characterization of,
43, 86, 100
childhood traits of,
54
classification of,
86
clinical features of,
37–42
cognition and,
130
compulsivity in individuals with,
87–88
core features and functional impairment associated with,
145–147, 148
definitions of
in DSM,
3–4
in DSM-IV,
28–29
depressive disorders and,
12–13
diagnostic criteria
in DSM-II,
29
in DSM-III,
149–150
in DSM-IV,
149
in DSM-5,
4, 29–31, 30, 33, 43, 145
dimensional models of,
31–35
in DSM-5,
32–33
eating disorders and,
71–80
evolution of,
xiii–xiv
gender and cultural aspects of,
109–122
history and epidemiology of
age at onset,
10
assessment of,
5, 13, 14, 15
case vignette,
1–2
characterization of OCPD,
2, 17
comorbidity,
12–13
diagnostic efficiency and stability,
15–16
family history and,
10–11
impact of,
11
origins of the diagnosis,
3
prevalence of,
4–6
systematic prevalence analysis,
6, 79
hoarding disorder and,
60–64
comorbidity and correlates,
62–63
future directions for research,
64
symptoms, core components, and differential diagnosis of,
60–62
treatment implications,
63–64
ICD-11 classification of personality disorders,
33–33
impulse-control disorders and,
88–89, 90–93
rates of,
90
interpersonal relationships and,
11
NESARC survey on rates of,
xiii
nosology of,
2, 17–18, 28–29
versus obsessive-compulsive disorder,
37, 41–42
OCD and,
52–59, 86–87, 136
characterization of,
52
comorbidity and correlates,
55–57, 56
courses of OCD and OCPD,
54–55
family history linkage,
54
longitudinal studies of,
55
symptoms, core components and differential diagnosis of,
52–54
treatment implications,
57–59
panic disorders and,
13
perfectionism as feature of,
3, 12
personality traits and,
136
pharmacological treatment of
antiepileptics,
210
carbamazepine,
210
antipsychotics,
208–209
case vignette,
179–180
limitations and future directions of,
212–214
medication trials and case reports for OCPD diagnosis,
181
selective serotonin reuptake inhibitors,
180, 203–206
citalopram,
205–206
escitalopram,
206
fluvoxamine,
203–204
paroxetine,
205
sertraline,
204–205
serotonin-norepinephrine re-uptake inhibitors,
206–207
clovoxamine,
207
venlafaxine,
206–207
tricyclic antidepressants,
207–208
clomipramine,
207–208
imipramine,
208
positive aspects of,
233–243
career success and,
240, 241
case vignette,
233–234, 240–241
conscientiousness and resilience,
237–240
social and cognitive associations with,
234–236
prevalence in the general population,
145
psychobiology of,
127–142
case vignette,
127–128
dimensions of OCPD,
132–135
family studies,
128–129
molecular studies,
130–132
neuroimaging studies,
130–132
neurophychological studies,
129–130
proximal versus distal mechanisms,
135–136
psychotherapy
case vignette,
143–144, 150–165
POPS,
171, 172–176
research,
147–150
relapse prevention,
164–165
relationship to disorders with prominent impulsivity,
89–90
subgroups within,
148
sustained functional impairment and,
241
theoretical model of overlap between OCD, HD and,
56
traits in classification systems,
3839
interpersonal functioning and,
146
perfectionism and,
146
phenomenology of,
40
treatment course,
156–165
CBT for clinical perfectionism and rigidity,
161–165
orientation,
157
STAIR treatment,
157–161, 159
Obsessive-compulsive personality traits (OCPTs),
129, 132
OCD
. See Obsessive-compulsive disorder
OCD Collaborative Genetics Study group,
31–32
OCPD
. See Obsessive-compulsive personality disorder
OCPTs
. See Obsessive-compulsive personality traits
OCRDs
. See Obsessive-compulsive and related disorders
OMNI
. See OMNI Personality Inventory
OMNI Personality Inventory (OMNI),
36
Oppositional defiant disorder, medication trial and case reports for OCPD and,
192
OSFED
. See Other specified feeding or eating disorder
Other specified feeding or eating disorder (OSFED),
78–79. See also Eating disorder not otherwise specified
Overconscientiousness, as feature of OCPD,
42
Panic disorder
medication trials and case reports for OCPD and,
192
with OCPD,
13
Parents
. See also Children; Marriage
attachment theory and parenting capacity,
221–223
definition of good parenting,
220–221
impact of parental personality disorder on child,
223–226
impact of personality disorders on parenting,
217–232
case vignette,
217–218
parenting deficits in people with personality disorders,
226–227
Parkinson’s disease, OCPD and,
131
Paroxetine
medication trials and case reports for OCPD
and compulsive buying,
197198
and migraines,
193
and OCD,
189, 197200
and vomiting,
193
for treatment of OCPD,
205, 211
Pathological Obsessive Compulsive Personality Scale (POPS),
14–15, 36, 154, 155
definitions and examples of,
171, 172–176
questionnaire,
173–176
scoring,
172
PDI
. See Personality Disorder Interview
PDQ
. See Personality Diagnostic Questionnaire
PDQ-4
. See Personality Diagnostic Questionnaire–4
Perfectionism,
214
case vignette,
143–144, 150–165
CBT model of clinical perfectionism,
156, 156157
clinical perfectionism,
155–156
dimensions of,
17
as feature of OCPD,
3, 41, 146
interference with CBT for OCD,
59
maladaptive,
53, 65, 146
medication trial and case reports for OCPD and,
188
OCD treatment and,
58–59
with OCPD,
12
self-limiting,
165
socially prescribed,
146
Personality
brain structures and personality traits,
136
culture and,
117–118
gender and,
112–113
heritability of personality traits,
134
Personality Diagnostic Questionnaire (PDQ),
5, 207
Personality Diagnostic Questionnaire–4 (PDQ-4),
36
Personality Disorder Interview (PDI),
36
Personality disorders
culture and,
119–120
description of,
218
diagnostic criteria for,
114
DSM-5 definition of,
2
gender and,
113–114
genetics as risk factor for,
225–226
ICD-11 dimensional model of assessment,
2
impact of parental personality disorder on child,
223–226
impact on parenting,
217–232
impact on self and interpersonal functioning,
228
parenting and,
221–223. 226–227
research on,
227–228
Personality Inventory for the DSM-5 (PID-5),
37
Physical abuse,
225
PID-5
. See Personality Inventory for the DSM-5
PINK1
. See PTEN-induced kinase 1
POPS
. See Pathological Obsessive Compulsive Personality Scale
Preoccupation with details, order, and organization, as feature of OCPD,
41
Procrastination,
163, 166
Proteins, inflammatory proteins as biological feature of OCPD,
103, 104
Psychasthenic illness
development of,
3
state of,
51
Psychodynamic therapy
alternative psychotherapies for OCPD,
150
for treatment of OCPD with aggression,
106
PTEN-induced kinase 1 (PINK1),
131
Purging disorder,
78
Pyromania, rates of OCPD and,
90
Race
culture and,
120
DSM-5 definition of,
111–112
Radically Open Dialectical Behavior Therapy (RO-DBT),
150
Rapid Visual Information Processing test,
92
RAQ
. See Reciprocal Attachment Questionnaire
Reasons for Living Inventory,
146
Reciprocal Attachment Questionnaire (RAQ),
224
Resilience, conscientiousness and,
239–240
Rigidity,
17
definition of,
171
as feature of OCPD,
42
RO-DBT
. See Radically Open Dialectical Behavior Therapy
SAS-SR
. See Social Adjustment Scale—Self Report
Schedule for Nonadaptive and Adaptive Personality (SNAP),
16–17, 36, 238
Schizophrenia, medication trials and case reports for OCPD and,
190191
SCID
. See Structured Clinical Interview for DSM-III-R Personality Disorders
SCID-II
. See Structured Clinical Interview for DSM-IV Axis II Personality Disorders
SCID-5-AMPD
. See Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders
SCID-5-PD
. See Structured Clinical Interview for DSM-5 Personality Disorders
SCID-5-SPQ
. See Structured Clinical Interview for DSM-5 Personality Disorders
SCID-I/P
. See Structured Clinical Interview for DSM-IV Axis I Disorders—Patient Version
Selective serotonin reuptake inhibitors (SSRIs),
131, 210, 214
Self,
118
impact of personality disorder on,
228
self-care,
167
self-compassion,
163–164
self-criticism,
163–164
self-evaluation,
164
Serotonin, as biomarker for aggression,
102–103
Serotonin-norepinephrine reuptake inhibitors (SNRIs), for treatment of OCPD,
206–207, 211
Serotonin reuptake inhibitor (SRI) medications, for treatment of OCD,
57
Serotonin transporter promoter polymorphism (5HTTLPR),
116–117
Sertraline
medication trials and case reports for OCPD
and AN,
186
and compulsive buying,
195, 197198
and MDD,
183
and OCD,
196201
and pathological gambling,
195, 197
and trichotillomania,
197
for treatment of OCPD,
204–205, 211
Sex
definition of,
111
versus gender,
111
Sexual abuse,
225
Sexual behavior
case vignette,
85–86, 93
compulsive,
89
rates of OCPD and,
90
treatment,
93
SIDP
. See Structured Interview, for DSM-IV Personality
SIDP-R
. See Structured Interview, for DSM-III-R Personality
sIL-1RII
. See Soluble interlukin-1 receptor II
Skills Training in Affective and Interpersonal Regulation (STAIR) treatment,
165
for OCPD,
151, 157–161, 159
Skin-picking disorder,
89
rates of OCPD and,
90
SNAP
. See Schedule for Nonadaptive and Adaptive Personality
SNRIs
. See Serotonin-norepinephrine reuptake inhibitors
Social Adjustment Scale—Self Report (SAS-SR),
153, 154
Socially prescribed perfectionism,
146
Soluble interlukin-1 receptor II (sIL-1RII),
103
SQ-Short
. See Systemizing Quotient Scale–Short
SRI
. See Serotonin reuptake inhibitor
SSRIs
. See Selective serotonin reuptake inhibitors
STAIR
. See Skills Training in Affective and Interpersonal Regulation treatment
Stop Signal Response Task,
92
Strange Situation test,
222
Structured Clinical Interview
for DSM-III-R Personality Disorders (SCID),
204
for DSM-IV Axis I Disorders—Patient Version (SCID-I/P),
152
for DSM-IV Axis II Personality Disorders (SCID-II),
5–6, 13, 15, 152
Personality Questionnaire,
15–16
for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD),
36–37
for DSM-5 Personality Disorders (SCID-5-PD),
36
for DSM-5 Screening Personality Questionnaire (SCID-5-SPQ),
36
Structured Interview
for DSM-III-R Personality,
54
for DSM-IV Personality,
13
Stubbornness, as feature of OCPD,
42
Suicide, indicators for,
146
Systemizing Quotient Scale–Short (SQ-Short),
115
TCAs
. See Tricyclic antidepressants
Terman Life Cycle Study,
240
Thioridazine, medication trials and case reports for OCPD and schizophrenia,
190191
Thiothixene, medication trial and case reports for OCPD and borderline and schizotypal personality disorders,
187
3H-PAROX
. See Tritiated paroxetine
Threshold versus dimensional models of OCPD,
16–18
Time management,
163, 166
Tourette’s disorder, medication trials and case reports for OCPD and,
194
Trichotillomania,
89
medication trials and case reports for OCPD and,
194, 197, 200
rates of OCPD and,
90
Tricyclic antidepressants (TCAs), for treatment of OCPD,
207–208, 211. See also individual drug names
Trier Social Stress Test (TSST),
131
Tritiated paroxetine (3H PAROX),
103
TSST
. See Trier Social Stress Test
Twin studies, of OCPD,
129
Venlafaxine
medication trial and case reports for OCPD and hoarding disorder,
182
for treatment of OCPD,
206–207
Wisconsin Personality Disorders Inventory–IV (WISPI-IV),
36
WISPI-IV
. See Wisconsin Personality Disorders Inventory–IV
Workaholic, as feature of OCPD,
41–42
Yale-Brown Obsessive Compulsive Scale (Y-BOCS),
52, 213
Y-BOCS
. See Yale-Brown Obsessive Compulsive Scale

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Go to Obsessive-Compulsive Personality Disorder
Obsessive-Compulsive Personality Disorder
Pages: 245 - 259

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Published in print: 15 October 2019
Published online: 5 December 2024
© American Psychiatric Association Publishing

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