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DSM-III compulsive personality disorder: an epidemiological survey
G Nestadt1, A J Romanoski, C H Brown
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Psychological Medicine
|May 1, 1991
Summary
Compulsive personality disorder affects 1.7% of the general population, with males, white individuals, and the employed most commonly diagnosed. This condition may increase the risk for anxiety disorders.
Area of Science:
- Psychiatry
- Epidemiology
- Psychology
Background:
- The prevalence and characteristics of compulsive personality disorder (CPD) in the general population require further investigation.
- Understanding the demographic factors associated with CPD is crucial for targeted public health initiatives.
Purpose of the Study:
- To determine the prevalence of compulsive personality disorder and compulsive personality traits in a community sample.
- To identify demographic correlates of compulsive personality disorder.
- To explore the nature of compulsive personality disorder (dimensional vs. categorical) and its association with anxiety disorders.
Main Methods:
- A two-stage probability sample of community subjects was utilized.
- Psychiatric examinations were conducted using Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) criteria.
- Data were collected in conjunction with the Epidemiological Catchment Area (ECA) survey in Baltimore, MD.
Main Results:
- The prevalence of compulsive personality disorder was found to be 1.7% in the general population.
- Males, white individuals, married individuals, and employed individuals were more frequently diagnosed with CPD.
- The data suggest that compulsive personality disorder may be better characterized as a dimension rather than a distinct category.
Conclusions:
- Compulsive personality disorder has a notable prevalence in the community and is associated with specific demographic factors.
- The findings support a dimensional view of compulsive personality disorder.
- Compulsive personality disorder appears to confer vulnerability to the development of anxiety disorders.