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Obsessive Compulsive Personality Disorder

Abhinav Nahar, Harish Thippeswamy, Mukku Shiva Shanker Reddy, M Thomas Kishore, Santosh K Chaturvedi
BACKGROUND: The literature on co-morbid psychiatric illnesses in adults with high-functioning autism (HFA) spectrum disorder is sparse. PURPOSE: To examine the nature of psychiatric comorbidity and treatment response in adults with HFA spectrum disorder. MATERIALS AND METHODS: Case records of subjects (age ≥17 years) who presented over a period of 16 years with primary psychiatric symptoms and further detected to have an HFA spectrum disorder, were analyzed...
September 26, 2018: Asian Journal of Psychiatry
Alexandra Torres-Rodríguez, Mark D Griffiths, Xavier Carbonell, Ursula Oberst
BACKGROUND AND AIMS: Internet gaming disorder (IGD) has become a topic of increasing research interest since its inclusion in Section 3 of the DSM-5. Given the lack of clinical studies concerning IGD, exploring the characteristics of clinical samples with IGD will help to delineate the gaming disorder construct and inform future treatment studies. METHODS: Data collection consisted of clinical interviews comprising 31 male adolescents diagnosed with IGD. Alongside the clinical interviews, the participants were administered a battery of psychometric tests assessing the following: IGD, personality traits, comorbid symptomatology, emotional intelligence (EI), and family environment characteristics...
September 1, 2018: Journal of Behavioral Addictions
Nazdar Qudrat Abas, Dilshad Jaff
Obsessive-compulsive disorder (OCD) is a chronic but very treatable medical condition. Adhering to the therapy plan is considered one of the biggest challenges for OCD patients, especially when communities are insecure due to armed conflicts and political upheavals. This paper documents the results of using social media platforms (especially Facebook Messenger, which provides free internet access) to manage the symptoms of a young female with chronic OCD. The results suggest that social media can be a potentially effective therapeutic tool, mainly in situations where armed conflicts, displacement and insecurity are present and where more traditional customs and conservative norms are sometimes reinforced as a protective mechanism, particularly for women who may be prevented from following the classic person-to-person consultation protocol...
September 28, 2018: Medicine, Conflict, and Survival
Jana Volkert, Thorsten-Christian Gablonski, Sven Rabung
BACKGROUND: Personality disorder is a severe health issue. However, the epidemiology of personality disorders is insufficiently described and surveys report very heterogeneous rates.AimsWe aimed to conduct a meta-analysis on the prevalence of personality disorders in adult populations and examine potential moderators that affect heterogeneity. METHOD: We searched PsycINFO, PSYNDEX and Medline for studies that used standardised diagnostics (DSM-IV/-5, ICD-10) to report prevalence rates of personality disorders in community populations in Western countries...
September 28, 2018: British Journal of Psychiatry: the Journal of Mental Science
Massimo Pasquini, Annalisa Maraone, Valentina Roselli, Lorenzo Tarsitani
Patients with obsessive compulsive personality disorder (OCPD) often refer to a prompt mood improvement upon encountering good scents in general, or fresh laundry borax on their clothes, pillows or home settings. The Authors propose the new term psychic euosmia in the mean of an overstated psychological predisposition for a real pleasant smell that elicits an immediate sense of pleasure, order and calm. The prompt reactions to a pleasant odor might be explained by the involvement of rhinencephalon and its proximity to mood-related limbic circuits, which bypass the cognitive awareness...
September 20, 2018: World Journal of Psychiatry
Giorgio Spatola, Roberto Martinez-Alvarez, Nuria Martínez-Moreno, German Rey, Juan Linera, Marcos Rios-Lago, Marta Sanz, Jorge Gutiérrez, Pablo Vidal, Raphaëlle Richieri, Jean Régis
OBJECTIVE Obsessive-compulsive disorder (OCD) is a severe psychiatric condition. The authors present their experience with Gamma Knife radiosurgery (GKRS) in the treatment of patients with OCD resistant to any medical therapy. METHODS Patients with severe OCD resistant to all pharmacological and psychiatric treatments who were treated with anterior GKRS capsulotomy were retrospectively reviewed. These patients were submitted to a physical, neurological, and neuropsychological examination together with structural and functional MRI before and after GKRS treatment...
September 14, 2018: Journal of Neurosurgery
Youl-Ri Kim, Bo In Hwang, Gi Young Lee, Kyung Hee Kim, Mirihae Kim, Kwang Kee Kim, Janet Treasure
PURPOSE: The aim of the present study was to describe the clinical features of binge eating disorder (BED) in normal weight and overweight undergraduate Korean women. METHODS: 117 overweight (BMI ≥ 25 kg/m2 ) and 346 normal weight (18 kg/m2  ≤ BMI < 25 kg/m2 ) undergraduate Korean women completed questionnaires to assess for BED. Their emotional eating behaviors, binge eating-related behaviors, a spectrum of compulsive behaviors such as substance abuse and obsessive-compulsive disorder, and psychological profiles were evaluated through personal interviews and questionnaires...
September 8, 2018: Eating and Weight Disorders: EWD
Elisabetta Burchi, Eric Hollander, Stefano Pallanti
Despite longitudinal studies reporting symptomatic remission rates ranging from 32% to 70%, Obsessive-Compulsive Disorder is considered a persistent and very disabling disorder. However, these studies suggest that recovery can be a realistic goal for a subgroup of the OCD population and that a clear definition of recovery is timely in OCD. The aim of this paper is to discuss the dimensions, and propose an operational definition of recovery, in OCD. In light of the impact generated by the definition of recovery for other mental disorders, this article discusses how this concept may shape the future of research and clinical practice in OCD...
September 3, 2018: International Journal of Neuropsychopharmacology
Kiki E M van Broekhoven, Annemiek Karreman, Esther E Hartman, Paul Lodder, Joyce J Endendijk, Veerle Bergink, Victor J M Pop
For women with obsessive-compulsive personality disorder (OCPD) trait symptoms, coping with childbearing and parenting could be associated with postpartum depressive symptoms. Therefore, the possible relationship between OCPD trait symptoms and trajectories of postpartum depressive symptoms was examined. A cohort of 1427 women was followed from late pregnancy until 12 months' postpartum. Trajectories of postpartum depressive symptoms were determined using growth mixture modeling with five repeated assessments...
August 31, 2018: Archives of Women's Mental Health
Darin D Dougherty, Brian P Brennan, S Evelyn Stewart, Sabine Wilhelm, Alik S Widge, Scott L Rauch
Importance: Obsessive-compulsive disorder (OCD) is a common and often debilitating psychiatric illness. Recent advances in the understanding of the neuroscience of OCD have provided valuable insights that have begun to transform the way we think about the management of this disorder. This educational review provides an integrated neuroscience perspective on formulation and treatment planning for patients with OCD. The article is organized around key neuroscience themes most relevant for OCD...
October 1, 2018: JAMA Psychiatry
Cheri A Levinson, Stephanie C Zerwas, Leigh C Brosof, Laura M Thornton, Michael Strober, Bernadette Pivarunas, James J Crowley, Zeynep Yilmaz, Wade H Berrettini, Harry Brandt, Steven Crawford, Manfred M Fichter, Katherine A Halmi, Craig Johnson, Allan S Kaplan, Maria La Via, James Mitchell, Alessandro Rotondo, D Blake Woodside, Walter H Kaye, Cynthia M Bulik
OBJECTIVE: Anorexia nervosa (AN) and obsessive-compulsive disorder (OCD) are highly comorbid. However, the factors that account for this comorbidity are poorly understood. We examined the core dimensions of AN and OCD and psychological and personality factors shared by both disorders. METHOD: In path analyses (N = 732 women with either current AN or recovered from AN), we examined which factors were uniquely and independently associated with the core dimensions of AN and OCD...
August 22, 2018: European Eating Disorders Review: the Journal of the Eating Disorders Association
Athanasios Apostolopoulos, Ioannis Michopoulos, Ioannis Zachos, Emmanouil Rizos, Georgios Tzeferakos, Vasiliki Manthou, Charalambos Papageorgiou, Athanasios Douzenis
Background: Personality disorders (PDs) have been associated with both violent crimes and homicides in many studies. The proportion of PDs among prisoners reaches up to 80%. For male prisoners, the most common PD in the literature is antisocial PD. The aim of this study was to investigate the association between PDs and violent crimes/homicides of male prisoners in Greece. Methods: A sample of 308 subjects was randomly selected from a population of 1300 male prisoners incarcerated in two Greek prisons, one urban and one rural...
2018: Annals of General Psychiatry
Antonio Del Casale, Serena Sorice, Alessio Padovano, Maurizio Simmaco, Stefano Ferracuti, Dorian A Lamis, Chiara Rapinesi, Gabriele Sani, Paolo Girardi, Georgios D Kotzalidis, Maurizio Pompili
BACKGROUND: Obsessive-compulsive disorder (OCD) is associated with affective and cognitive symptoms causing personal distress and reduced global functioning. These have considerable societal costs due to healthcare service utilization. OBJECTIVE: Our aim was to assess the efficacy of pharmacological interventions in OCD and clinical guidelines, providing a comprehensive overview of this field. METHODS: We searched the PubMed database for papers dealing with drug treatment of OCD, with a specific focus on clinical guidelines, treatments with antidepressants, antipsychotics, mood stabilizers, off-label medications, and pharmacogenomics...
August 13, 2018: Current Neuropharmacology
Hugues Lamothe, Jean-Marc Baleyte, Pauline Smith, Antoine Pelissolo, Luc Mallet
Obsessive⁻compulsive disorder (OCD) affects about 2% of the general population, for which several etiological factors were identified. Important among these is immunological dysfunction. This review aims to show how immunology can inform specific etiological factors, and how distinguishing between these etiologies is important from a personalized treatment perspective. We found discrepancies concerning cytokines, raising the hypothesis of specific immunological etiological factors. Antibody studies support the existence of a potential autoimmune etiological factor...
August 9, 2018: Brain Sciences
Stéphanie Habersaat, Julie Ramain, Gregory Mantzouranis, Julie Palix, Cyril Boonmann, Jörg M Fegert, Klaus Schmeck, Christian Perler, Marc Schmid, Sébastien Urben
BACKGROUND: Substance-use disorder (SUD) was found to be an aggravating factor to delinquency and is closely related to personality disorders (PDs). OBJECTIVES: The aim of this study was to investigate sex differences in the relationship between PD traits and SUD in adolescents institutionalized in child welfare and juvenile justice institutions. METHODS: PD traits were measured dimensionally in a sample of 282 boys (69 with an SUD diagnosis) and 143 girls (45 with an SUD diagnosis) from child welfare and juvenile-justice institutions...
2018: American Journal of Drug and Alcohol Abuse
Steffen Moritz, Anne Külz, Ulrich Voderholzer, Thomas Hillebrand, Dean McKay, Lena Jelinek
Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive-compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform ERP in patients with OCD. The present study aimed to elucidate the reasons why. German therapists (N = 216) completed an anonymous online survey, the newly developed Reasons for Not Performing Exposure in OCD Scale (REPEX), that inquired whether, to what extent, and how they perform ERP in the treatment of OCD...
July 31, 2018: Cognitive Behaviour Therapy
Alice Marble, Per Høglend, Randi Ulberg
The First Experimental Study of Transference Interpretation (FEST), conducted in Norway, is a dismantling, randomized clinical trial of the long-term effects of transference interpretation (TI). This article examines two case studies of women with poor quality of object relations (QOR), one who was rated as recovered after psychotherapy and one who was rated as not recovered. Both received TI. In general, women with poor QOR needed TI to recover, but some members of this group did not recover, even with TI...
October 1, 2018: American Journal of Psychotherapy
Rachel Porth, Daniel Geller
BACKGROUND: Common symptom presentations in youth with Obsessive Compulsive Disorder (OCD) are easily recognized and are included in the Children's Yale Brown Obsessive Compulsive Scale (CY-BOCS) symptom checklist. However, some youth may occasionally present with atypical or unusual symptoms that are less readily recognized as OCD and may be confused with other disorders that sometimes overlap, such as autism spectrum disorder or even psychosis. METHODS: Case synopses which are thematically linked and exemplify and illustrate two distinct types of unusual or atypical symptom presentations are described...
October 2018: Comprehensive Psychiatry
Hasan Hüseyin Kozak, Mehmet Akif Dündar, Ali Ulvi Uca, Faruk Uğuz, Keziban Turgut, Mustafa Altaş, Gonca Tekin, Suhayb Kuria Aziz
Introduction: This study presents the current prevalence of anxiety, mood, and personality disorders as well as factors associated with the existence of psychiatric disorders in patients with benign paroxysmal positional vertigo (BPPV). Methods: The study sample comprised 46 patients with BPPV and 74 control subjects. Anxiety and mood disorders were ascertained via the Structured Clinical Interview for the Diagnostic and Statistical Manual (DSM) of Mental Disorders, Fourth Edition/Clinical Version...
March 2018: Noro Psikiyatri Arsivi
Malihe Farahani, Seyyed Salman Alavi, Mahmood Mirzamani Bafghi, Sudeh Esmaili Alamuti, Zohreh Taghavi, Mohammadreza Mohammadi
Objective: Problematic internet use is an important social problem among adolescents and has become a global health issue. This study identified predictors and patterns of problematic internet use among adult students. Method : In this study, 401 students were recruited using stratified sampling technique. Participants were selected among students from 4 universities in Tehran and Karaj, Iran, during 2016 and 2017. Internet Addiction Test (IAT), Millon Clinical Multiaxial Inventory - Third Edition (MCMI-III), Structured Clinical Interview for DSM (SCID-I), and semi-structured interview were used to diagnose internet addiction...
April 2018: Iranian Journal of Psychiatry
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