Longitudinal diagnostic efficiency of DSM-IV criteria for obsessive–compulsive personality disorder: a 2-year prospective study

Authors: Grilo C.M.1; Skodol A.E.2; Gunderson J.G.3; Sanislow C.A.1; Stout R.L.4; Shea M.T.4; Morey L.C.5; Zanarini M.C.3; Bender D.S.2; Yen S.4; McGlashan T.H.1

Source: Acta Psychiatrica Scandinavica, Volume 110, Number 1, July 2004 , pp. 64-68(5)

Publisher: Blackwell Publishing

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Abstract:

Grilo CM, Skodol AE, Gunderson JG, Sanislow CA, Stout RL, Shea MT, Morey LC, Zanarini MC, Bender DS, Yen S, McGlashan TH. Longitudinal diagnostic efficiency of DSM-IV criteria for obsessive–compulsive personality disorder: a 2-year prospective study.

Acta Psychiatr Scand 2004: 110: 64–68. © Blackwell Munksgaard 2004. Objective:

To examine the longitudinal diagnostic efficiency of the DSM-IV criteria for obsessive–compulsive personality disorder (OCPD). Method:

At baseline, criteria and diagnoses were determined using diagnostic interviews, and blinded assessments were performed 24 months later with 550 participants. Diagnostic efficiency indices (conditional probabilities, total predictive power, and kappa) were calculated for each criterion determined at baseline, using the independent OCPD diagnosis at follow-up as the standard. Results:

Longitudinal diagnostic efficiencies for the OCPD criteria varied; findings suggested the overall predictive utility of ‘preoccupied with details’, ‘rigid and stubborn’, and ‘reluctant to delegate’. Conclusion:

These findings suggest the predictive validity of three cognitive-interpersonal OCPD criteria.

Keywords: obsessive–compulsive personality disorder; personality disorders; diagnostic efficiency; assessment; longitudinal follow-up

Document Type: Research article

DOI: 10.1111/j.1600-0447.2004.00311.x

Affiliations: 1: Department of Psychiatry, Yale University School of Medicine, New Haven, CT 2: New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, New York, NY 3: McLean Hospital, Harvard Medical School, Belmont, MA 4: Department of Psychiatry and Human Behavior, Brown University, Providence, RI 5: Department of Psychology, Texas A & M University, TX, USA

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