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        Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

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        fpsyt_12_646030.pdf (PDF, 261Kb)
        Author
        Gecate-Stonciene, Julija
        Lochner, Christine
        Marincowitz, Clara
        Fineberg, Naomi
        Stein, Dan J.
        Attention
        2299/24176
        Abstract
        Introduction: 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.
        Publication date
        2021-03-16
        Published in
        Frontiers in Psychiatry
        Published version
        https://doi.org/10.3389/fpsyt.2021.646030
        Other links
        http://hdl.handle.net/2299/24176
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