The impact of obsessive-compulsive personality disorder on obsessive-compulsive disorder

Clinical outcomes in the context of bipolarity

Datos Bibliográficos

ID15525527
AutoresMaciej Żerdziński (0000-0003-0317-8667, Academy of Fine Arts in Katowice, autor de correspondencia), Marcin Burdzik (0000-0001-6607-6663, University of Silesia in Katowice, autor de correspondencia), Paweł Dębski (0000-0001-5904-6407, Humanitas University in Sosnowiec), Roksana Żmuda (0000-0002-9467-5150), Magdalena Piegza (0000-0002-8009-7118, Medical University of Silesia), Piotr Gorczyca (0000-0002-9419-7988, Medical University of Silesia)
Año2025
Volumen16
Páginas1532966-1532966
Fecha de publicación2025-04-24
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1664-0640 • E-ISSN: 1664-0640
EditorialFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2025.1532966
PMID40343097
OpenAlexW4409746812
IdiomaEN
Citas recibidas1
Referencias citadas10

Obsessive-compulsive disorder (OCD) is characterized by obsessions and compulsions that significantly impair functioning. Obsessive-compulsive personality disorder (OCPD) co-occurs in 17-45% of OCD patients, worsening outcomes across multiple domains. Therefore, we aimed to study the impact of OCPD in more detail by analyzing selected comorbidities, emotional aspects, and sociodemographic data. This study assessed 78 OCD patients (average age 44.9 years, 34.61% OCPD), using Y-BOCS, BABS, BPAQ, BIS-11, YMRS, HDRS-17, and ASEX. Patients with comorbid OCPD had significantly worse outcomes in symptom severity (Y-BOCS = 0.0006), treatment duration (p = 0.0127), insight (BABS, p = 0.0185), aggression (p = 0.0266), impulsivity (p = 0.0469), depression (HDRS, p = 0.0178), mania (YMRS, p = 0.0003), and sexual dysfunction (ASEX, p = 0.008). OCPD was more prevalent in unemployed individuals (p = 0.046) and older patients (p = 0.009). No significant differences were found regarding gender, education, or relationship status. Obsessions and compulsions, such as contamination (p = 0.025), somatic (p = 0.018), ruminations (p = 0.003), and obsessional slowness (p = 0.007), were more common in the OCPD group. In the group with OCPD, aggression and OCD severity were correlated with increased levels of depression, which can be considered potential correlates of bipolarity in the relationship between OCD and OCPD. In conclusion, OCPD significantly worsens clinical outcomes in OCD across emotional, behavioral, and functional dimensions

Comorbidity · Depression (economics · Obsessive compulsive · Psychiatry · Body Image and Dysmorphia Studies · Clinical Psychology · Obsessive-Compulsive Spectrum Disorders · Personality Disorders and Psychopathology · Psychology