Effect of axis II diagnoses on treatment outcome with clomipramine in 55 patients with obsessive-compulsive disorder.

Author: BaerL, BlackD W, GreistJ, JenikeM A, RosenfeldR, TreeceC

Paper Details 
Original Abstract of the Article :
We used the Structured Interview for DSM-III Personality Disorders to diagnose DSM-III personality disorders systematically in 55 patients with obsessive-compulsive disorder in the active-treatment cell of a controlled trial of clomipramine hydrochloride. Patients with a cluster A personality disord...See full text at original site
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引用元:
https://doi.org/10.1001/archpsyc.1992.01820110026003

データ提供:米国国立医学図書館(NLM)

Personality Disorders and the Treatment of Obsessive-Compulsive Disorder

The labyrinthine world of mental health, like a vast and enigmatic desert, presents a unique challenge for clinicians. This research, like a dedicated explorer navigating the intricate pathways of the mind, delves into the effects of axis II diagnoses (personality disorders) on treatment outcomes for obsessive-compulsive disorder (OCD). The study, like a meticulously crafted map, reveals that patients with cluster A personality disorders (paranoid, schizoid, and schizotypal personality disorders) exhibited higher levels of OCD severity at baseline. Importantly, while clomipramine hydrochloride, a medication commonly used to treat OCD, appeared to be equally effective for patients with and without personality disorders, the presence of specific personality disorders, such as schizotypal, borderline, and avoidant, predicted poorer treatment outcomes. These findings offer valuable insights into the complex interplay between personality disorders and the treatment of OCD.

Navigating the Complexities of OCD Treatment

This research, like a flickering campfire in the desert, sheds light on the intricate relationship between personality disorders and treatment outcomes in OCD. The study's findings suggest that clinicians need to be mindful of the presence of co-occurring personality disorders and tailor their treatment approaches accordingly. Understanding the impact of these underlying personality traits, like deciphering ancient hieroglyphs, can guide clinicians towards more effective treatment strategies for individuals with OCD.

The Journey Towards Mental Wellness

The quest for mental wellness, like a desert caravan seeking a distant oasis, is a challenging and often arduous journey. This study, like a compass guiding travelers through a labyrinthine landscape, offers valuable insights into the complexities of OCD treatment. The researchers' findings underscore the need for personalized treatment approaches that address the unique needs and characteristics of each individual, acknowledging the interplay between personality disorders and mental health conditions.

Dr.Camel's Conclusion

This research highlights the importance of considering personality disorders in the treatment of obsessive-compulsive disorder. The findings, like a well-worn path through the desert, suggest that tailored treatment approaches are essential for achieving optimal outcomes in patients with complex mental health needs.
Date :
  1. Date Completed 1992-12-03
  2. Date Revised 2019-07-17
Further Info :

Pubmed ID

1444723

DOI: Digital Object Identifier

10.1001/archpsyc.1992.01820110026003

Related Literature

SNS
PICO Info
in preparation
Languages

English

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