Personality traits and treatment outcome in obsessive-compulsive disorder
Open accessAbstract
OBJECTIVE: Comorbidity with personality disorders in obsessive-compulsive patients has been widely reported. About 40% of obsessive-compulsive patients do not respond to first line treatments. Nevertheless, there are no direct comparisons of personality traits between treatment-responsive and non-responsive patients. This study investigates differences in personality traits based on Cloninger's Temperament and Character Inventory scores between two groups of obsessive-compulsive patients classified according to treatment outcome: responders and non-responders. METHOD: Forty-four responsive and forty-five non-responsive obsessive-compulsive patients were selected. Subjects were considered treatment-responsive (responder group) if, after having received treatment with any conventional therapy, they had presented at least a 40% decrease in the initial Yale-Brown Obsessive Compulsive Scale score, had rated "better" or "much better" on the Clinical Global Impressions scale; and had maintained improvement for at least one year. Non-responders were patients who did not achieve at least a 25% reduction in Yale-Brown Obsessive Compulsive Scale scores and had less than minimal improvement on the Clinical Global Impressions scale after having received treatment with at least three selective serotonin reuptake inhibitors (including clomipramine), and at least 20 hours of cognitive behavioral therapy. Personality traits were assessed using Temperament and Character Inventory. RESULTS: Non-responders scored lower in self-directedness and showed a trend to score higher in persistence than responders did. CONCLUSION: This study suggests that personality traits, especially self-directedness, are associated with poor treatment response in obsessive-compulsive patients.
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Self-efficacy is positively correlated with symptom severity in OCD.
“Also, self-efficacy, someone’s belief in his or her capacity to perform actions necessary to attain certain goals, has found to be positively correlated with symptom severity in OCD [20, 21].”
From Personalized exposure and experience sampling method feedback versus exposure as usual for obsessive–compulsive disorder: a study protocol for a randomized controlled trial (2024) · cites this paper as [20]
The Results report a negative correlation between self-directedness and OCD symptom severity among treatment responders, and no such correlation among non-responders. Self-directedness is not the same measure as self-efficacy; a search for self-efficacy found no passage testing its correlation with symptom severity. (LLM, conf=0.75)
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“Also, self-efficacy, someone’s belief in his or her capacity to perform actions necessary to attain certain goals, has found to be positively correlated with symptom severity in OCD [20, 21].”
Background
- Authors
- Corchs, F., Corregiari, F., Ferrão, Y. A., Takakura, T., Mathis, M. E., Lopes, A. C., Miguel, E. C., & Bernik, M.
- Affiliations
- Universidade de São Paulo (BR)
- Universidade de São Paulo, Brazil
- Venue
- Revista Brasileira de Psiquiatria
- Publisher
- EDITORA SCIENTIFIC
- Published
- 2008-09
- Volume
- 30
- Issue
- 3
- Pages
- 246-250
- ISSN
- 1516-4446 (ISSN-L)
- OpenAlex
- W2009595464
- Cited by
- 29
- References
- 27
- Citations by year
- 2024: 3 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2017: 4 · 2016: 5 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Americanae (AECID Library) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo (99/00170-4)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- obsessive-compulsive disorder, personality traits, treatment outcomes, treatment response, non-responders, self-direction, persistence, Temperament and Character Inventory, selective serotonin reuptake inhibitors, cognitive behavioral therapy
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Humans, Male, Obsessive-Compulsive Disorder, Personality Disorders, Personality Inventory, Psychiatric Status Rating Scales, Psychotherapy, Temperament, Treatment Outcome, Statistics, Nonparametric, Self Efficacy
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