학술논문

General personality dimensions, impairment and treatment response in obsessive–compulsive disorder
Document Type
article
Source
Personality and Mental Health. 14(2)
Subject
Biological Psychology
Social and Personality Psychology
Psychology
Applied and Developmental Psychology
Behavioral and Social Science
Brain Disorders
Depression
Serious Mental Illness
Mental Health
Clinical Research
Detection
screening and diagnosis
4.1 Discovery and preclinical testing of markers and technologies
Mental health
Adolescent
Adult
Aged
Cognitive Behavioral Therapy
Extraversion
Psychological
Female
Humans
Male
Middle Aged
Neuroticism
Obsessive-Compulsive Disorder
Serotonin Agents
Severity of Illness Index
Treatment Outcome
Young Adult
Clinical Sciences
Public Health and Health Services
Clinical sciences
Clinical and health psychology
Social and personality psychology
Language
Abstract
General personality dimensions are associated with clinical severity and treatment response in individuals with depression and many anxiety disorders, but little is known about these relationships in individuals with obsessive-compulsive disorder (OCD). Individuals in the current study included 705 adults with OCD who had participated in family and genetic studies of the disorder. Participants self-completed the Neuroticism, Extraversion, Openness Personality Inventory or Neuroticism, Extraversion, Openness Five-Factor Inventory-3. Relationships between personality scores, and subjective impairment and OCD treatment response, were evaluated. The odds of subjective impairment increased with (unit increase in) the neuroticism score (odds ratio, OR = 1.03; 95% CI = 1.01-1.04; p < 0.01) and decreased with extraversion scores (OR = 0.98; 95% CI = 0.96-0.99; p < 0.01). The odds of reporting a good response to serotonin/selective serotonin reuptake inhibitors (OR = 1.02; 95% CI = 1.01-1.04; p < 0.01) or cognitive behavioural therapy (OR = 1.03; 95% CI = 1.01-1.05; p < 0.01) increased with the extraversion score. The magnitude of these relationships did not change appreciably after adjusting for other clinical features related to one or more of the personality dimensions. The findings suggest that neuroticism and extraversion are associated with subjective impairment, and that extraversion is associated with self-reported treatment response, in individuals with OCD. © 2019 John Wiley & Sons, Ltd.