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dc.contributor.authorGadelkarim, W
dc.contributor.authorShahper, Sonia
dc.contributor.authorReid, J
dc.contributor.authorWikramanayake, M
dc.contributor.authorKaur, Sukhwinder
dc.contributor.authorKolli, Sangeetha
dc.contributor.authorOsman, Selma
dc.contributor.authorFineberg, Naomi
dc.date.accessioned2019-08-07T01:32:37Z
dc.date.available2019-08-07T01:32:37Z
dc.date.issued2019-08-02
dc.identifier.citationGadelkarim , W , Shahper , S , Reid , J , Wikramanayake , M , Kaur , S , Kolli , S , Osman , S & Fineberg , N 2019 , ' Overlap of obsessive-compulsive personality disorder and autism spectrum disorder traits among OCD outpatients: An exploratory study ' , International Journal of Psychiatry in Clinical Practice , vol. 23 , no. 4 , pp. 297-306 . https://doi.org/10.1080/13651501.2019.1638939
dc.identifier.issn1365-1501
dc.identifier.otherPURE: 17066051
dc.identifier.otherPURE UUID: 8a16c22f-729d-45ef-8c46-de59589965d2
dc.identifier.otherScopus: 85070226155
dc.identifier.urihttp://hdl.handle.net/2299/21555
dc.description© 2019 Informa UK Limited.
dc.description.abstractBackground: Whereas the phenomenology of obsessive–compulsive personality disorder (OCPD) shows similarities to that of obsessive compulsive and related disorders (OCRDs) as well as with autism spectrum disorder (ASD), the relationship between these disorders is poorly understood. Aims: Within a clinical sample, we aimed to investigate the distribution of OCD, OCPD and ASD symptoms and traits and their interrelationship, as well as to evaluate insight and treatment refractoriness. Methods: Consecutive adult OCD outpatients were assessed for OCPD traits (Compulsive Personality Assessment Scale (CPAS)), OCD symptoms (Yale–Brown Obsessive Compulsive Scale (Y-BOCS)), ASD traits (Autism Spectrum Quotient (AQ)), insight (Brown Assessment of Beliefs Scale (BABS)) and treatment resistance (clinical records). Those scoring highly on the AQ underwent a diagnostic interview for ASD. Results: Sixty-seven consenting individuals completed the CPAS, BABS and AQ, and 65 completed the Y-BOCS. Twenty-four patients (35.8%) were diagnosed with OCPD. Patients with OCPD were less likely to be employed (p=.04). They demonstrated elevated AQ scores (p=.004) and rates of ASD diagnosis (54.2%) (p <.001). OCPD traits (CPAS) showed a highly significant correlation with ASD traits (AQ) (p<.001), and no association with Y-BOCS, BABS or treatment resistance. Conclusions: In an OCD cohort limited by small size, OCPD associated strongly with unemployment and ASD, with implications for diagnosis, treatment and outcome.KEY POINTS Clinicians should exercise a high level of vigilance for OCPD and ASD in patients presenting with obsessive compulsive symptoms. The presence of OCPD may indicate a likelihood of disabling ASD traits, including cognitive inflexibility, poor central coherence and poor social communication. These neuropsychological factors may require separate clinical intervention strategies.en
dc.format.extent10
dc.language.isoeng
dc.relation.ispartofInternational Journal of Psychiatry in Clinical Practice
dc.rightsEmbargoed
dc.subjectObsessive compulsive personality disorder
dc.subjectautism spectrum disorders
dc.subjectco-morbidity
dc.subjectobsessive compulsive disorder
dc.subjectobsessive–compulsive and related disorders
dc.subjectPsychiatry and Mental health
dc.titleOverlap of obsessive-compulsive personality disorder and autism spectrum disorder traits among OCD outpatients: An exploratory studyen
dc.contributor.institutionDepartment of Clinical and Pharmaceutical Sciences
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionSchool of Life and Medical Sciences
dc.description.statusPeer reviewed
dc.date.embargoedUntil2020-08-02
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85070226155&partnerID=8YFLogxK
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2019-08-02
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1080/13651501.2019.1638939
rioxxterms.licenseref.uriOther
rioxxterms.licenseref.startdate2020-08-02
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.date.embargo2020-08-02
herts.rights.accesstypeEmbargoed


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