- Poster presentation
- Open Access
Axis I-Axis II comorbidity of Obsessive Compulsive Personality Disorder: gender-related differences
© Georgiadou et al.; licensee BioMed Central Ltd. 2008
- Published: 17 April 2008
- Anxiety Disorder
- Eating Disorder
- Generalize Anxiety Disorder
- Mood Disorder
- Personality Disorder
Various studies validate that Obsessive Compulsive Personality Disorder is more common in men than in women. Most research concerning relations between criteria-defined OCPD and other disorders present significant comorbidity among them; witch often inducts important diagnostic and treatment implications.
82 patients, 22 males and 60 females, who suffered from OCPD and have been treated at the Community Mental Health Centre within the past three years, were investigated. According to DSM-IV-TR criteria, patterns of Axis I and Axis II psychopathology were examined. Gender, age, education and family condition were also studied.
The proportion between men and women was almost 1:3. It is not surprising that patients were likely to have multiple diagnoses, 19 (86.4%) males and all females comorbid one or more Axis I disorders, also 13 (59.1%) males and 42 (70%) females comorbid one or more Axis II disorders. In particular 9 (40.9%) males and 35(58.3%) females had mood disorders, with tendency for depression mostly for females (48.3 vs 27.3%) and tendency for dysthymic disorder mostly for males (13,6 vs 8.3%). High rates of comorbidity, 10 (45.5%) males and 32 (53.3%) females, have been also reported for anxiety disorders, with tendency for panic disorder with or without agoraphobia mostly for females (35 vs 22.7%) and tendency for generalized anxiety disorder mostly for males (13,6 vs 6,7%). Somatoform and eating disorders frequently detected in females, in reverse impulse control disorders frequently detected in males. The findings support significant Cluster C, 10 (45.5%) males and 41 (68.3%) females, and Cluster B, 8 (36.4%) males and 25 (41.7%) females, personality disorders comorbidity. Dependent, histrionic, avoidant and borderline were mostly prevalent in females and respectively narcissistic in males. In addition, Cluster A personality disorders rarely co-occurred in both gender.
The results from this study, suggest that the prevalence of DSM-IV-TR Axis I and Axis II disorders in our sample of OCPD patients and their gender-related differences, represent the Greek population who seek psychiatric support at the Community Mental Health Centre.
- Hopwood CJ, Morey LC, Gunderson JG, Skodol AE, Tracie Shea M, Grilo CM, McGlashan TH: Hierarchical relationships between borderline, schizotypal, avoidant and obsessive-compulsive personality disorders. Acta Psychiatr Scand. 2006, 113 (5): 430-439. 10.1111/j.1600-0447.2005.00683.x.View ArticlePubMedGoogle Scholar
- McGlashan TH, Grilo CM, Sanislow CA, Ralevski E, Morey LC, Gunderson JG, Skodol AE, Shea MT, Zanarini MC, Bender D: Two-year prevalence and stability of individual DSM-IV criteria for schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders: toward a hybrid model of axis II disorders. Am J Psychiatry. 2005, 162 (5): 883-889. 10.1176/appi.ajp.162.5.883.PubMed CentralView ArticlePubMedGoogle Scholar
- Rossi A, Marnangeli MG, Butti B, Kalyvoka A, Petruzzi C: Pattern of comorbidity among anxious and odd personality disorders: the case of obsessive-compulsive personality disorder. CNS Spectr. 2000, 5 (9): 23-26.PubMedGoogle Scholar
This article is published under license to BioMed Central Ltd.