Personality traits and treatment outcome in obsessive-compulsive disorder
| Autor: | Ygor Arzeno Ferrão, Felipe Corchs, Antonio Carlos Lopes, Fábio Corregiari, Maria Eugênia de Mathis, Euripedes Constantino Miguel, Márcio Bernik, Tania Takakura |
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| Rok vydání: | 2008 |
| Předmět: |
Persistence (psychology)
Adult Male Character Clomipramine Obsessive-Compulsive Disorder Personality Inventory medicine.medical_treatment media_common.quotation_subject Personality Disorders Statistics Nonparametric Obsessive-compulsive disorder Medicine Personality Humans Treatment outcome Big Five personality traits Temperament media_common Psychiatric Status Rating Scales business.industry medicine.disease Personality disorders Self Efficacy Cognitive behavioral therapy Psychotherapy Psychiatry and Mental health Cross-Sectional Studies Treatment Outcome Temperament and Character Inventory Female business Clinical psychology medicine.drug |
| Zdroj: | Brazilian Journal of Psychiatry v.30 n.3 2008 Brazilian Journal of Psychiatry (São Paulo. 1999. Online) Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
| ISSN: | 1516-4446 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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