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Mood instability in people with obsessive compulsive disorder and obsessive-compulsive personality traits

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Bowen, Rudy, Balbuena, Lloyd, Baetz, Marilyn and Marwaha, Steven (2015) Mood instability in people with obsessive compulsive disorder and obsessive-compulsive personality traits. Journal of Obsessive-Compulsive and Related Disorders, Volume 6 . pp. 108-113. doi:10.1016/j.jocrd.2015.07.003

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Official URL: http://dx.doi.org/10.1016/j.jocrd.2015.07.003

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Abstract

Background

This study examines the association of mood instability (MI) with obsessive-compulsive disorder (OCD) and obsessive-compulsive personality (OCP) traits.

Methods

Data was from 2000 and 2007 British Adult Psychiatric Morbidity Surveys. MI was assessed with a self-reported question about sudden mood changes and with the mood reactivity criterion of the borderline personality disorder assessment done by an interviewer, both from the Structured Clinical Interview (SCID-II). OCD diagnosis was established using the Clinical Interview Schedule-Revised. OCP traits were self-reported responses to 8 questions from SCID-II.

Results

Individuals assessed with MI by both methods separately are more likely to have an OCD diagnosis (OR: 7.28, 95% CI: 3.94–13.45) and (OR: 9.88, 95% CI: 3.90–25.03). The association remained significant when we controlled for depression and excluded OCD cases with comorbid psychiatric disorders. Individuals with MI are more likely to report OCP traits (OR: 9.88, 95% CI: 3.90–25.03). Except for moral scrupulosity, MI is associated with all other OCP traits (p<.01). The proportion of individuals with MI increased linearly with number of OCP traits.

Conclusions

MI is common in people with OCD and OCP traits. Further understanding of MI in people with OCD and OCP traits could lead to improved treatment.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Obsessive-compulsive disorder , Mood (Psychology), Affective disorders, Questionnaires -- Health aspects
Journal or Publication Title: Journal of Obsessive-Compulsive and Related Disorders
Publisher: Elsevier BV
ISSN: 2211-3649
Official Date: 7 July 2015
Dates:
DateEvent
7 July 2015Available
6 July 2015Accepted
30 March 2015Submitted
Volume: Volume 6
Page Range: pp. 108-113
DOI: 10.1016/j.jocrd.2015.07.003
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: University of Saskatchewan. Department of Psychiatry

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