The Impact of Personality Traits on Ratings of Obsessive-Compulsive Symptoms

다국어 초록 (Multilingual Abstract)

Objective The goal of this study was to evaluate consistencies and discrepancies between clinician-administered and self-report versions of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and to examine relationships between these scales and personality traits.
Methods A total of 106 patients with obsessive-compulsive disorder (OCD) participated in this study. All participants were assessed with both clinician-administered and self-report versions of the Y-BOCS. The Structured Clinical Interview for DSM-IV Axis II Disorders Personality Questionnaire (SCID-II-PQ) was used to evaluate relationships between personality traits and scores on the Y-BOCS.
Results Scores on the clinician-administered Y-BOCS and its obsession subscale were significantly higher than were those on the self-report version. However, we found no significant differences in compulsion subscale scores. We also found that the discrepancies in the scores on the two versions of the Y-BOCS and its compulsion subscale were significantly positively correlated with scores for narcissistic personality traits on the SCID-II-PQ. Additionally, narcissistic personality traits had a significant effect on the discrepancy in the scores on the two versions of the Y-BOCS and its compulsion subscale in the multiple linear regression analysis.
Conclusion This is the first study to elucidate relationships between personality traits and discrepancies between scores on the two versions of the Y-BOCS. Although clinicians tend to rate obsessive symptoms as being more severe than do patients, clinicians may underestimate the degree to which individuals with narcissistic personality traits suffer more from subjective discomfort due to compulsive symptoms. Therefore, the effect of personality traits on symptom severity should be considered in the treatment of OCD.

참고문헌 (Reference)

1 이동우, "강박증 환자에서의 인격장애 공존병리에 관한 연구" 대한신경정신의학회 40 (40): 434-442, 2001

2 하태현, "강박장애의 증상차원과 공존 인격병리의 관련성에 관한 연구" 대한신경정신의학회 43 (43): 46-53, 2004

3 Ansell EB, "The association of personality disorders with the prospective 7-year course of anxiety disorders" 41 : 1019-1028, 2011

4 Steketee G, "The Yale-Brown Obsessive Compulsive Scale: interview versus self-report" 34 : 675-684, 1996

5 Goodman WK, "The Yale-Brown Obsessive Compulsive Scale. II. Validity" 46 : 1012-1016, 1989

6 Goodman WK, "The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability" 46 : 1006-1011, 1989

7 First MB, "Structured Clinical Interview for DSM-IV Axis II Personality Disorders" American Psychiatric Press 1997

8 Ekselius L, "SCID II interviews and the SCID screen questionnaire as diagnostic tools for personality disorders in DSM-III-R" 90 : 120-123, 1994

9 Baer L, "Personality disorders in obsessive compulsive disorder" 15 : 803-812, 1992

10 Black DW, "Personality disorder in obsessive-compulsive volunteers, well comparison subjects, and their first-degree relatives" 150 : 1226-1232, 1993

11 Torres AR, "Obsessive-compulsive disorder and personality disorder: evidence from the British National Survey of Psychiatric Morbidity 2000" 41 : 862-867, 2006

12 Hermesh H, "Obsessive-compulsive disorder and borderline personality disorder" 144 : 120-122, 1987

13 Hollander E, "Obsessive-Compulsive Related Disorders" American Psychiatric Press 1993

14 Hollander E, "Managing aggressive behavior in patients with obsessivecompulsive disorder and borderline personality disorder" 60 (60): 38-44, 1999

15 설순호, "Korean Self-Report Version of the Yale-Brown Obsessive-Compulsive Scale: Factor Structure, Reliability, and Validity" 대한신경정신의학회 10 (10): 17-25, 2013

16 Baer L, "Getting Control: Overcoming Your Obsessions and Compulsions" Plume 1991

17 Enns MW, "Discrepancies between self and ob server ratings of depression. The relationship to demographic, clinical and personality variables" 60 : 33-41, 2000

18 Svrakic DM, "Developmental, structural, and clinical approach to narcissistic and antisocial personalities" 51 : 413-432, 1991

19 Federici A, "Consistency between self-report and clinician-administered versions of the Yale-Brown Obsessive-Compulsive Scale" 24 : 729-733, 2010

20 Bejerot S, "Comorbidity between obsessivecompulsive disorder (OCD) and personality disorders" 97 : 398-402, 1998

21 Ricciardi JN, "Changes in DSM-III-R axis II diagnoses following treatment of obsessive- compulsive disorder" 149 : 829-831, 1992

22 Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales" 10 : 98-113, 1991

23 Yook SP, "A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient" 16 : 185-197, 1997