SavedAdd your journal

Journals / Tıp Araştırmaları Dergisi / 2003 / Cilt: 1 - Sayı: 3

Comparison of symptom types and personality disordes for treatment resistance in obsessive compulsive disorder

Obsesif kompulsif bozuklukta semptom tiplerinin ve kişilik bozukluklarının tedaviye direnç açısından karşılaştırılması

Remzi KUTANİŞ
Ömer A. ÖZER
Buket T. ERYONUCU
Pages
11–14
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In conclusion, presence of need to ask or confess and accumulation compulsions and presence of schizotypal and paranoid personality disorders may lead to treatment resistance in OCD.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: The purpose of this study was to investigate the relationship of personality disorders and symptom types of "obsessive compulsive disorder" (OCD) with the resistance related to the treatment of the patients whom were diagnosed as OCD according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders).
📊
Key Findings & Data:One group was consisting of 20 patients with resistant to the treatment.
💡
Conclusion & Impact:Conclusion: In conclusion, presence of need to ask or confess and accumulation compulsions and presence of schizotypal and paranoid personality disorders may lead to treatment resistance in OCD.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Kişilik bozuklukları · Sonuç değerlendirilmesi (Sağlık bakımı) · Kişilik değerlendirmesi

Abstract

Purpose: The purpose of this study was to investigate the relationship of personality disorders and symptom types of "obsessive compulsive disorder" (OCD) with the resistance related to the treatment of the patients whom were diagnosed as OCD according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders). Methods: In this study, patients were divided into two groups. One group was consisting of 20 patients with resistant to the treatment. The other group was consisting of 28 patients with-out any resistant to the treatment. Structured Clinical Interview for DSM (SCID), YBOC-S and SCID II were applied to both of the groups. Results: Presence of need to ask or confess and accumulation compulsions were significantly higher in the resistant group (p=0.043, p=0.016). Schyzotypal and paranoid personality disorders were significantly higher in the resistant group (p=0.043, p=0.018). Conclusion: In conclusion, presence of need to ask or confess and accumulation compulsions and presence of schizotypal and paranoid personality disorders may lead to treatment resistance in OCD.

Özet

Amaç: Bu çalışmada DSM IV (Diagnostic And Statistical Manual Of Mental Disorders ) tam ölçütlerine göre "obsesif kompulsif bozukluk" (OKB) tanısı alan hastalarda semptom tiplerinin ve kişilik bozukluklarının tedaviye dirençle ilişkisi saptanmaya çalışılmıştır. Gereç ve Yöntem: Çalışma, hastaların tedaviye direnç gösteren 20 vakadan oluşan bir grup ve tedaviye direnç göstermeyen 28 vakadan oluşan grup şeklinde iki grup oluşturarak karşılaştırmalı yapılmıştır. Her iki gruba SCID (Structured Clinical Interview for DSM), Yale Brown Obsesif Kompulsif Bozukluk Ölçeği (YBOKB-Ö) ve SCID-II Kişilik Envanteri (Structured Clinical Interview for DSM HI-R for Personality Disorder) uygulandı. Bulgular: Tedaviye dirençli grupta sorma-onaylatma ve biriktirme kompulsiyonlan tedaviye dirençli olmayan gruba göre anlamlı derecede yüksek saptandı (p=0.043, p=0.016). Tedaviye dirençli grupta şizotipal kişilik bozukluğu ve paranoid kişilik bozukluğu tedaviye dirençli olmayan gruba göre anlamlı derecede fazlaydı (p=0.043, p=0.018). Sonuç: Çalışmada elde ettiğimiz bulgular, sorma-onaylatma ve biriktirme kompulsiyonlannın varlığı ve zeminde şizotipal ve paranoid kişilik bozukluğunun bulunmasının tedaviye direnç oluşmasına yol açtığı hipotezini desteklemektedir.

🔖

Cite This Article

KUTANİŞ, R., ÖZER, Ö. A., ERYONUCU, B. T. (2003). Comparison of symptom types and personality disordes for treatment resistance in obsessive compulsive disorder. Tıp Araştırmaları Dergisi, Cilt: 1 - Sayı: 3, 11–14. https://ajindex.com/articles/361940

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Description and Diagnostic Guidelines. Geneva: World Health Organization; 1992
  2. Mavissakallion MR, Jones B, Olson S. Absence of placebo response in Obsessive Compulsive Disorder. J Nerv Ment Dis. 1990; 178: 268-270
  3. Jenike M.A. Management of patients with treatment resistant Obsessive Compulsive Disorder in Current Treatments of Obsessive Compulsive Disorder. Edited by Pato MT, Zohor J. Washington, DC, Ame Psych Press, 1991, pp: 135-155
  4. Sadock BJ, Sadock VA. Synopsis of Psychiatry: Behavioral sciences, clinical psychiatry
  5. Edition, Philadelphia USA, 2003, pp:616-623
  6. Goodman W, Price L. Assessment of severity and change in obsessive compulsive disorder. Psychiatr Clin North Ame. 1992; 15 (4): 861-869
  7. Jenike MA. Approaches to the patient with treatment refractory obsessive compulsive disorder, J. Clin. Psychiatry. 1990; 51(2, supp 1): 15-21
  8. Jenike MA. Drug Treatment of obsessive compulsive disorder. In: Jenike MA, Baer L, Minichiello WE (Eds.): Obsessive-Compulsive Disorders: Theory and Management, Second edition, St. Louis, Mosby Year Book, 1990, pp:249-282
  9. Solyom L, Di Nicola VF, Phil M, et al. Is there an obsessive psychosis? Aetiological and prognostic factors of an atypical form of obsessive-compulsive neurosis. Can. J. Psychiatry. 1985;30: 372-380
  10. Muller B, Wewetzer C, Jans T, et al. Personality disorders and psychiatric comorbidity in obsessive- compulsive disorder and anorexia nervosa, Fortschr. Neurol. Psychi. 2001; 69(8): 379-387
  11. Matsunaga H, Kiriike N, Matsui T, et al. Gender differences in social and interpersonal features and personality disorders among Japanese patients with obsessive-compulsive disorder, Compr. Psychi. 2000; 41(4): 266-272
  12. Diaferia G, Bianchi I, Bianchi ML, Cavedini P, Erzegovesi S, Bellodi L. Relationship between obsessive compulsive personality disorder and OCD, Compr. Psychiatry. 1997; 38(1):38-42.