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Personality differences between obsessive-compulsive disorder subtypes: washers versus checkers

N Horesh1, O T Dolberg, N Kirschenbaum-Aviner

  • 1Shalvata Mental Health Center, Hod Hasharon, Department of Clinical Psychology, Bar-Ilan University, Ramat-Gan, Israel.

Psychiatry Research
|August 8, 1997
PubMed
Summary
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Individuals with the

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Obsessive-Compulsive Disorder (OCD) is a debilitating mental health condition characterized by intrusive thoughts and repetitive behaviors.
  • Subtyping OCD may aid in understanding its heterogeneity and guiding treatment.
  • Previous research suggests potential differences between symptom clusters, but personality correlates require further investigation.

Purpose of the Study:

  • To investigate personality differences between the 'washer' and 'checker' subtypes of obsessive-compulsive disorder (OCD).
  • To determine if personality disorder diagnoses differ between these OCD subtypes.
  • To explore the clinical implications of observed personality differences.

Main Methods:

  • Fifty-one patients diagnosed with OCD using DSM-III-R criteria were recruited from outpatient clinics.

Related Experiment Videos

  • Structured Clinical Interviews for DSM-III-R (SCID) were used for diagnosing both OCD and personality disorders.
  • Statistical analyses, including chi-squared and Fisher's exact tests, were employed to compare groups.
  • Main Results:

    • Washers showed a significantly higher prevalence of personality disorders compared to checkers.
    • Personality disorders were diagnosed in 12 out of 13 washers versus 3 out of 11 checkers (P < 0.001).
    • A substantial proportion of patients with mixed OCD symptoms also presented with personality disorders.

    Conclusions:

    • The findings support the validity of the washer-checker subdivision within OCD.
    • The higher comorbidity of personality disorders in washers may contribute to their poorer response to conventional treatments.
    • Further research is warranted to elucidate the neurobiological and psychological underpinnings of these subtype differences.