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Obsessive–Compulsive Personality Disorder: a Current Review

  • Personality Disorders (C Schmahl, Section Editor)
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Abstract

This review provides a current overview on the diagnostics, epidemiology, co-occurrences, aetiology and treatment of obsessive–compulsive personality disorder (OCPD). The diagnostic criteria for OCPD according to the recently published Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) include an official set of criteria for clinical practice and a new, alternative set of criteria for research purposes. OCPD is a personality disorder prevalent in the general population (3–8 %) that is more common in older and less educated individuals. Findings on sex distribution and course of OCPD are inconsistent. OCPD is comorbid with several other medical and psychological conditions. As for causes of OCPD, most empirical evidence provides support for disturbed attachment as well as the heritability of OCPD. So far, cognitive (behavioural) therapy is the best validated treatment of OCPD. Self-esteem variability, stronger early alliances as well as the distress level seem to predict cognitive (behavioural) therapy outcome. Future research is needed to further advance knowledge in OCPD and to resolve inconsistencies.

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Alice Diedrich and Ulrich Voderholzer declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Department of Psychiatry and Psychotherapy, Behaviour Therapy, University of Munich, Nußbaumstr. 7, 80336, Munich, Germany

    Alice Diedrich

  2. Department of Psychiatry and Psychotherapy, University of Freiburg, Hauptstraße 5, 79104, Freiburg, Germany

    Ulrich Voderholzer

  3. Schön Klinik Roseneck, Am Roseneck 6, 83209, Prien, Germany

    Ulrich Voderholzer

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  1. Alice Diedrich
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  2. Ulrich Voderholzer
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Correspondence to Ulrich Voderholzer.

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This article is part of the Topical Collection on Personality Disorders

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Diedrich, A., Voderholzer, U. Obsessive–Compulsive Personality Disorder: a Current Review. Curr Psychiatry Rep 17, 2 (2015). https://doi.org/10.1007/s11920-014-0547-8

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