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DSM-III compulsive personality disorder: an epidemiological survey

Published online by Cambridge University Press:  09 July 2009

G. Nestadt*
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
A. J. Romanoski
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
C. H. Brown
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
R. Chahal
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
A. Merchant
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
M. F. Folstein
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
E. M. Gruenberg
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
P. R. McHugh
Affiliation:
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland, USA
*
1Address for correspondence: Dr Gerald Nestadt, The Johns Hopkins Hospital, Meyer 228, 600N Wolfe Street, Baltimore, MD 21205, USA.

Synopsis

A two-stage probability sample of community subjects was developed with a full psychiatric examination employing DSM-III criteria in conjunction with the Epidemiological Catchment Area (ECA) survey conducted in Baltimore, MD. This report details the observation on those subjects diagnosed with compulsive personality disorder and compulsive personality traits. The results indicate that this condition has a prevalence of 1·7% in a general population. Male, white, married and employed individuals receive this diagnosis most often. Our data suggest a dimensional rather than categorical character for this disorder. The disorder imparts a vulnerability for the development of anxiety disorders.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual, 3rd edn.American Psychiatric Association: Washington, DC.Google Scholar
Anthony, J., Folstein, M., Romanoski, A., Nestadt, G. & Vonkorff, M. (1985). Comparison of the Lay Diagnostic Interview Schedule and a Standardized Psychiatric Diagnosis. Archives of General Psychiatry 42, 667675.CrossRefGoogle Scholar
Clogg, C. C. (1977). Unrestricted and Restricted Maximum Likelihood Latent Structure Analysis: A Manual for Users; Technical Report, No. 1977–09. Pennsylvania State University Dept. of Statistics: Pennsylvania.Google Scholar
Cochrane, R. & Robertson, A. (1972). The life events inventory: a measure of relative severity of psychosocial stressors. Journal of Psychosomatic Research 17, 135139.CrossRefGoogle Scholar
Cohen, J. (1960). A coefficient of agreement for nominal scales. Education of Psychological Measurement 20, 3746.CrossRefGoogle Scholar
Eaton, W. W., Reiger, D. A., Locke, B. Z. & Tanbe, C. A. (1981). The Epidemiologic Catchment Area Program of the National Institute of Mental Health. Public Health Reports 96, 319325.Google Scholar
Fleiss, J. L. (1981). The measurement of inter-rater agreement: multiple ratings per subject. In Statistical Methods for Rates and Proportions, 2nd edn., pp. 225232. John Wiley and Sons: New York.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). ‘Minimental state’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 38, 189198.CrossRefGoogle Scholar
Folstein, M. F., Romanoski, A. J., Chahal, R., Anthony, J. C., Vonkorff, M., Nestadt, G., Merchant, A., Gruenberg, E. M. & Kramer, M. (1985). Eastern Baltimore Mental Health Survey clinical reappraisal. In Epidemiologic Field Methods in Psychiatry (ed. Eaton, W. W. and Kessler, L. G.), pp. 258284. Academic Press: Orlando, Florida.Google Scholar
Frances, A., Shear, M. K. & Fryer, M. (1988). Personality disorders and anxiety. In Handbook of Anxiety Disorders (ed. Last, C. G. and Hersen, M.). Pergamon Press: New York.Google Scholar
Goldberg, D. (1974). The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph, vol. 21. Oxford University Press: London.Google Scholar
Goodman, L. A. (1974). Exploratory latent structure analysis using both identifiable and unidentifiable methods. Biometrika 61, 215231.CrossRefGoogle Scholar
Merikangas, K. P. & Weissman, M. M. (1986). The epidemiology of DSM-III Axis-II personality disorders. In American Psychiatric Association Annual Review, vol. 5 (ed. Francis, A. J. and Hales, R. E.), pp. 258278. American Psychiatric Press: Washington, DC.Google Scholar
Reinhardt, P. (1980). SAS Supplemental Library User's Guide. SAS Institute: Cary, N.C.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J., Williams, J. B. W. & Spitzer, R. L. (1981). NIMH Diagnostic Interview Schedule, version-III. National Institute of Mental Health: Rockville, MD.Google Scholar
Romanoski, A. J., Nestadt, G., Chahal, R., Merchant, A., Folstein, M. F., Gruenberg, E. M. & McHugh, P. R. (1988). Inter-observer reliablity of a ‘Standardized Psychiatric Examination (SPE)’ for case ascertainment (DSM-III). Journal of Nervous and Mental Disease 176, 6371.CrossRefGoogle Scholar
Schlesselman, J. J. (1982). Case-Control Studies: Design, Conduct and Analysis. Oxford University Press: New York.Google Scholar
Starkstein, S. E., Cohen, B. S., Fedoroff, P., Parikh, R. M., Price, T. R. & Robinson, R. G. (1990). Relationship between anxiety disorders and depressive disorders in patients with cerebrovascular injury. Archives of General Psychiatry 47, 246251.CrossRefGoogle ScholarPubMed
Young, M. A. (1983). Evaluating diagnostic criteria: a latent class paradigm. Journal of Psychiatric Research 17, 285296.CrossRefGoogle Scholar