Prevalence of Childhood Obsessive-Compulsive Personality Traits in Adults with Obsessive Compulsive Disorder versus Obsessive Compulsive Personality Disorder.
Prevalence of Childhood Obsessive-Compulsive Personality Traits in Adults with Obsessive Compulsive Disorder versus Obsessive Compulsive Personality Disorder.
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DOI：
10.1016/j.jocrd.2014.11.002
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发表时间：
2015-01-01
影响因子：
1.8
通讯作者：
Simpson, H. Blair
中科院分区：
文献类型：
--
作者：
Pinto, Anthony;Greene, Ashley L.;Storch, Eric A.;Simpson, H. Blair
关键词：
识别精神病理的危险因素一直是一个重要的研究挑战。先前的研究主要集中在控制不足和抑制的表现上，而对过度控制的特征，如强迫症人格特征（OCPTs）的研究很少。我们使用儿童回顾性完美主义问卷（一种有效的完美主义、不灵活性和秩序驱动的测量方法），比较了患有强迫症（无强迫症）的成年人（n= 28）与患有强迫症（无强迫症）的成年人（n= 27）、患有强迫症和强迫症的成年人（n= 28）和健康对照（HC） （n= 28）的儿童强迫症发生率。成人OCPD（伴或不伴共病OCD）报告的所有三种儿童ocpt的发生率均高于HC。与HC相比，有OCD（无OCPD）的个体报告了更高的不灵活性和对秩序的驱动率，这表明这些特征可能预示着OCD的发展，独立于OCPD。儿童期OCPD与成年期特定的OCD症状维度（污染/清洁、怀疑/检查和对称/有序）相关，与OCD发病年龄和OCPD诊断无关。评估儿童ocpt的纵向前瞻性研究需要更好地了解这些特征从童年到成年的进展及其预测未来精神病理的能力。
Identifying risk factors of psychopathology has been an important research challenge. Prior studies examining the impact of childhood temperament on adult disorder have largely focused on undercontrolled and inhibited presentations, with little study of overcontrolled traits such as obsessive-compulsive personality traits (OCPTs). We compared rates of childhood OCPTs in adults with OCD (without OCPD) (n = 28) to adults with OCPD (without OCD) (n = 27), adults with both OCD and OCPD (n = 28), and healthy controls (HC) (n= 28), using the Childhood Retrospective Perfectionism Questionnaire, a validated measure of perfectionism, inflexibility, and drive for order. Adults with OCPD (both with and without comorbid OCD) reported higher rates of all three childhood OCPTs relative to HC. Individuals with OCD (without OCPD) reported higher rates of inflexibility and drive for order relative to HC, suggesting that these traits may presage the development of OCD, independent of OCPD. Childhood OCPTs were associated with particular OCD symptom dimensions in adulthood (contamination/cleaning, doubt/checking, and symmetry/ordering), independent of OCD onset age and OCPD diagnosis. Longitudinal prospective studies evaluating OCPTs in children are needed to better understand the progression of these traits from childhood to adulthood and their ability to predict future psychopathology.
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