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dc.contributor.authorGecate-Stonciene, Julija
dc.contributor.authorLochner, Christine
dc.contributor.authorMarincowitz, Clara
dc.contributor.authorFineberg, Naomi
dc.contributor.authorStein, Dan J.
dc.identifier.citationGecate-Stonciene , J , Lochner , C , Marincowitz , C , Fineberg , N & Stein , D J 2021 , ' Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review ' , Frontiers in Psychiatry , vol. 12 , 646030 .
dc.identifier.otherPURE: 24663669
dc.identifier.otherPURE UUID: 559bca15-403c-4336-8f01-3c1bcc8bf4e7
dc.description© 2021 Gecaite-Stonciene, Lochner, Marincowitz, Fineberg and Stein. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
dc.description.abstractIntroduction: With the shift from a categorical to a dimensional model, ICD-11 has made substantial changes to the diagnosis of personality disorders (PDs), including obsessive-compulsive (anankastic) personality disorder (OCPD). The ICD-11 PD model proposes a single diagnosis of PD with specifications regarding severity and domains. However, a systematic overview of ICD-11 anankastia is lacking. In this review we address the reformulation of the OCPD diagnosis in the ICD-11, and draw comparisons with the DSM-5, with a particular focus on diagnostic validity and clinical utility. We hypothesized that the ICD-11 PD model is a diagnostically valid and clinically useful framework to assess those with OCPD, with specific emphasis on the anankastia domain as the primary trait qualifier. Methods: Literature published from 2010 to 2020 was systematically searched using the PubMed/MEDLINE, PsychInfo, Cochrane, and Web of Sciences search engines, in order to find all articles that addressed ICD-11 anankastia. Relevant articles were collated, and themes of these articles subsequently extracted. To check for methodological quality, the NICE checklist was used. Results: Out of the 264 publications identified, 19 articles were included in this review. Four themes were identified, namely (a) overlap of DSM-5 OCPD with the ICD-11 PD model, (b) the factorial structure of the ICD-11 PD model with respect to the anankastia domain, (c) the clinical utility of the ICD-11 PD model, and (d) comparison of the ICD-11 PD model of anankastia with the DSM-5 alternative model for OCPD. Conclusions: The ICD-11 anankastia domain overlaps with DSM-5 OCPD traits, and the factor analyses of the ICD-11 PD model further support the diagnostic validity of this domain. There is some limited support for the clinical utility of the ICD-11 PD model of anankastia but further studies are needed, including of its relationship to obsessive-compulsive and related disorders.en
dc.relation.ispartofFrontiers in Psychiatry
dc.titleObsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Reviewen
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionCognitive Neuropsychology
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Clinical, Pharmaceutical and Biological Science
dc.description.statusPeer reviewed
rioxxterms.typeJournal Article/Review

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