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Child Psychiatry & Human Development

, Volume 47, Issue 2, pp 281–290 | Cite as

Obsessive–Compulsive Personality Traits in Youth with Obsessive–Compulsive Disorder

  • Jennifer M. Park
  • Eric A. Storch
  • Anthony Pinto
  • Adam B. Lewin
Original Article

Abstract

While interest in the relationship between obsessive–compulsive disorder (OCD) and obsessive compulsive personality disorder has increased, there are currently no studies that have examined the presence of obsessive compulsive personality traits (OCPTs) in youth. The current study sought to determine the latent factors and psychometric properties of a modified version of the Childhood Retrospective Perfectionism Questionnaire (CHIRP) and examine the correlates of specific OCPTs (e.g., rigidity, perfectionism) in youth with OCD. Participants included 96 treatment-seeking youth diagnosed with primary OCD (and a parent). Parents and youth completed measures of OCPTs, OCD severity, depression, and disability. A confirmatory factor analysis of the modified CHIRP resulted in a two-factor model: perfectionism and preoccupation with details. The CHIRP and its subscales demonstrated acceptable internal consistency and preliminary evidence for convergent and divergent validity. Obsessive compulsive traits in youth were also found to be associated with the checking, symmetry and contamination symptom dimensions.

Keywords

Obsessive compulsive personality disorder Obsessive compulsive disorder Perfectionism Youth 

References

  1. 1.
    Zohar AH (1999) The epidemiology of obsessive–compulsive disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am 8:445–460PubMedGoogle Scholar
  2. 2.
    Piacentini J, Bergman RL, Keller M, McCracken J (2003) Functional impairment in children and adolescents with obsessive–compulsive disorder. J Child Adolesc Psychopharmacol 13(Suppl 1):S61–S69CrossRefPubMedGoogle Scholar
  3. 3.
    American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatry Publishing, ArlingtonGoogle Scholar
  4. 4.
    Garyfallos G, Katsigiannopoulos K, Adamopoulou A, Papazisis G, Karastergious A, Bozikas V (2010) Comorbidity of obsessive–compulsive disorder with obsessive–compulsive personality disorder: Does it imply a specific subtype of obsessive–compulsive disorder? Psychiatry Res 177:156–160CrossRefPubMedGoogle Scholar
  5. 5.
    Pinto A, Eisen JL, Mancebo MC, Rasmussen SA (2008) Obsessive–compulsive personality disorder obsessive compulsive personality disorder. In: Abramowitz JS, McKay D, Taylor S (eds) Obsessive–compulsive disorder: subtypes and spectrum conditions. Elsevier, New YorkGoogle Scholar
  6. 6.
    Coles ME, Pinto A, Mancebo MC, Rasmussen SA, Eisen JL (2008) OCD with comorbid OCPD: A subtype of OCD? J Psychiatry Res 42:289–296CrossRefGoogle Scholar
  7. 7.
    Lochner C, Serebro P, van der Merwe L et al (2011) Comorbid obsessive–compulsive personality disorder in obsessive–compulsive disorder (OCD): a marker of severity. Prog Neuropsychopharmacol Biol Psychiatry 35:1087–1092CrossRefPubMedGoogle Scholar
  8. 8.
    Pinto A (2009). Understanding obsessive compulsive personality disorder and its impact on obsessive compulive disorder. 16th Annual Obsessive Compulsive Foundation Conference. MinneapolisGoogle Scholar
  9. 9.
    Pinto A, Liebowitz MR, Foa EB, Simpson HB (2011) Obsessive compulsive personality disorder as a predictor of exposure and ritual prevention outcome for obsessive compulsive disorder. Behav Res Ther 49:453–458CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Duggan C, Milton J, Egan V, McCarthy L, Palmer B, Lee A (2003) Theories of general personality and mental disorder. Br J Psychiatry Suppl 44:S19–S23CrossRefPubMedGoogle Scholar
  11. 11.
    Coles ME, Hart AS, Schofield CA (2012) Initial data characterizing the progression from obsessions and compulsions to full-blown obsessive compulsive disorder. Cogn Ther Res 36:685–693CrossRefGoogle Scholar
  12. 12.
    Eisen JL, Coles ME, Shea MT, Pagano ME et al (2006) Clarifying the convergence between obsessive compulsive personality disorder criteria and obsessive compulsive disorder. J Personal Disord 3:294–305CrossRefGoogle Scholar
  13. 13.
    Pinto A, Greene AL, Storch EA, Simpson H (2015) Prevalence of childhood-obsessive compulsive personality traits in adults with obsessive compulsive disorder versus obsessive compulsive personality disorder. J Obsessive Compuls Relat Disord 4:25–29CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Anderluh MB, Tchanturia K, Rabe-Hesketh S, Treasure J (2003) Childhood obsessive compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype. Am J Psychiatry 160:242–247CrossRefPubMedGoogle Scholar
  15. 15.
    Southgate L, Tchanturia K, Collier D, Treasure J (2008) The development of the childhood retrospective perfectionism questionnaire (CHIRP) in an eating disorder sample. Eur Eat Disord Rev 16:451–462CrossRefPubMedGoogle Scholar
  16. 16.
    Lewin AB, Larson MJ, Park JM, McGuire JH, Murphy TK, Storch EA (2014) Neuropsychological functioning in youth with obsessive compulsive disorder: an examination of executive function and memory impairment. Psychiatry Res 216:108–115CrossRefPubMedGoogle Scholar
  17. 17.
    Scahill L, Riddle MA, McSwiggin-Hardin M, Ort SI, King RA, Goodman WK et al (1997) Children’s Yale–Brown obsessive compulsive scale: reliability and validity. J Am Acad Child Adolesc Psychiatry 36:844–852CrossRefPubMedGoogle Scholar
  18. 18.
    Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for DSM-IV child and parent versions. Oxford University Press, LondonGoogle Scholar
  19. 19.
    Lewin AB, Piacentini J (2010) Evidence-based assessment of child obsessive compulsive disorder: recommendations for clinical practice and treatment research. Child Youth Care Forum 39:73–89CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Park JM, Burke N, Lewin AB (2015) Obsessive compulsive disorder symptom dimensions: etiology, phenomenology, and clinical implications. In obsessive–compulsive disorder: etiology phenomenology and treatment, C.W. Lack (ed.) Onus Books, UKGoogle Scholar
  21. 21.
    Storch EA, Murphy TK, Adkins JW, Lewin AB, Geffken GR, Johns NB et al (2006) The children’s Yale–Brown obsessive–compulsive scale: psychometric properties of child- and parent-report formats. J Anxiety Disord 20:1055–1070CrossRefPubMedGoogle Scholar
  22. 22.
    Foa EB, Coles M, Huppert JD, Pasupuleti RV, Franklin ME, March J (2010) Development and validation of a child version of the obsessive compulsive inventory. Behav Ther 41:121–132CrossRefPubMedGoogle Scholar
  23. 23.
    Jones AM, De Nadai AS, Arnold EB, McGuire JF, Lewin AB, Murphy TK et al (2013) Psychometric properties of the obsessive compulsive inventory: child version in children and adolescents with obsessive–compulsive disorder. Child Psychiatry Hum Dev 44:137–151CrossRefPubMedGoogle Scholar
  24. 24.
    Whiteside SP (2009) Adapting the Sheehan disability scale to assess child and parent impairment related to childhood anxiety disorders. J Clin Child Adolesc Psychol 38:721–730CrossRefPubMedGoogle Scholar
  25. 25.
    March JS, Parker JD, Sullivan K, Stallings P, Conners CK (1997) The multidimensional anxiety scale for children (masc): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry 36:554–565CrossRefPubMedGoogle Scholar
  26. 26.
    March JS, Sullivan K, Parker J (1999) Test–retest reliability of the multidimensional anxiety scale for children. J Anxiety Disord 13:349–358CrossRefPubMedGoogle Scholar
  27. 27.
    Grills-Taquechel AE, Ollendick TH, Fisak B (2008) Reexamination of the MASC factor structure and discriminant ability in a mixed clinical outpatient sample. Depress Anxiety 25:942–950CrossRefPubMedGoogle Scholar
  28. 28.
    Lundahl A, West T, Martin EK, Campbell C, Vanderbeek J, Hansen DJ (2011) Relationship of obsessive–compulsive behaviors of primary caregivers with a history of sexual abuse and perfectionism in their sexually abused children. McNair Sch JGoogle Scholar
  29. 29.
    Kovacs M (1992) The Children’s Depression Inventory Manual. Multi-Health Systems, OntarioGoogle Scholar
  30. 30.
    Iacobucci D (2010) Structural equations modeling: fit indices, sample size, and advanced topics. J Consum Psychol 20:90–98CrossRefGoogle Scholar
  31. 31.
    Muthen LK, Muthen BO (2007) Mplus user’s guide, 6th edn. Muthen & Muthen, Los AngelesGoogle Scholar
  32. 32.
    Bollen KA, Long JS (1993) Testing structural equation models. Sage, Newbury ParkGoogle Scholar
  33. 33.
    Bentler PM (1990) Comparative fit indexes in structural models. Psychol Bull 107:238–246CrossRefPubMedGoogle Scholar
  34. 34.
    Browne MW, Cudeck R (1993) Alternative ways of assessing model fit. In: Bollen KA, Long JS (eds) Testing structural models. Sage, Newbury ParkGoogle Scholar
  35. 35.
    Kline RB (2010) Principles and practice of structural equation modeling, 3rd edn. Guilford Press, New York cityGoogle Scholar
  36. 36.
    Field A (2005) Discovering statistics using SPSS, 2nd edn. Sage, LondonGoogle Scholar
  37. 37.
    Nunnally JC, Berstein H (1994) Psychometric theory, 3rd edn. McGraw-Hill, New YorkGoogle Scholar
  38. 38.
    Ansell EB, Pinto A, Crosby RD, Becker DF et al (2010) The prevalence and structure of obsessive compulsive personality disorder in Hispanic psychiatric outpatients. J Behav Ther Exp Psychiatry 41:275–281CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Grilo CM, Sanislow CA, Gunderson JG, Pagano ME et al (2004) Two-year stability and change of schizotypal borderline, avoidance and obsessive compulsive personality disorders. J Consult Clin Psychol 72:767–775CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Albert U, Maina G, Forner F, Bogetto F (2004) DSM-IV obsessive–compulsive personality disorder: prevalence in patients with anxiety disorders and in healthy comparison subjects. Compr Psychiatry 45:325–332CrossRefPubMedGoogle Scholar
  41. 41.
    Buhr K, Dugas, MJ (2001). Intolerance of uncertainty and its relationship to worry. Poster session presented at the annual convention of the association for advancement of behavior therapy, Philadelphia, PAGoogle Scholar
  42. 42.
    Frost RO, Steketee G (1997) Perfectionism in obsessive compulsive disorder patients. Behav Res Ther 35:291–296CrossRefPubMedGoogle Scholar
  43. 43.
    Frost RO, Marten P, Lahart CM, Roseblate R (1990) The dimensions of perfectionism. Cogn Ther Res 14:449–468CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Jennifer M. Park
    • 1
  • Eric A. Storch
    • 2
  • Anthony Pinto
    • 3
    • 4
  • Adam B. Lewin
    • 2
  1. 1.Child CBT ProgramMassachusetts General HospitalBostonUSA
  2. 2.Departments of Psychology, Pediatrics and Psychiatry & Behavioral NeurosciencesUniversity of South FloridaTampaUSA
  3. 3.Division of Psychiatry ResearchZucker Hillside Hospital, North Shore-LIJ Health SystemGlen OaksUSA
  4. 4.Department of PsychiatryHofstra North Shore - LIJ School of MedicineHempsteadUSA

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