THE EFFECT OF PERSONALITY DISORDERS ON TREATMENT OUTCOMES IN PATIENTS WITH OBSESSIVE-COMPULSIVE DISORDERS

被引：31

作者：

Thiel, Nicola ^{[1
]}

Hertenstein, Elisabeth ^{[1
]}

Nissen, Christoph ^{[1
]}

Herbst, Nirmal ^{[1
]}

Kuelz, Anne Katrin ^{[1
]}

Voderholzer, Ulrich ^{[1
,2
]}

机构：

[1] Univ Med Ctr Freiburg, Dept Psychiat & Psychotherapy, D-79104 Freiburg, Germany

[2] Schoen Clin Roseneck, Prien Am Chiemsee, Germany

来源：

JOURNAL OF PERSONALITY DISORDERS | 2013年 / 27卷 / 06期

关键词：

MAJOR DEPRESSIVE DISORDER; AXIS-II DIAGNOSES; BEHAVIORAL TREATMENT; FOLLOW-UP; CLINICAL-FEATURES; RITUAL PREVENTION; SYMPTOM SEVERITY; PANIC DISORDER; DOUBLE-BLIND; THERAPY;

D O I：

10.1521/pedi_2013_27_104

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The effect of comorbid personality disorders (PD) on treatment outcomes in obsessive-compulsive disorder (OCD) is unclear. The authors systematically review results from investigations of therapy outcomes in adult patients with OCD and a comorbid PD. PsycINFO and MEDLINE were searched for original articles. Twenty-three studies assessing PDs through interviews were selected. Cluster A PDs, particularly schizotypal PD, narcissistic PD, and the presence of two or more comorbid PDs, were associated with poorer treatment outcomes in patients with OCD. With regard to other PDs and clusters, the results are inconsistent or the sample sizes are too small to reach a conclusion. OCD patients with different comorbid PDs differ in their therapeutic response to treatment. To optimize the treatment of OCD, the predictive value of PDs on the treatment outcome should be further investigated, and treatment of Axis I and II comorbidity requires more attention.

引用

页码：697 / 715

页数：19

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