RESUMO
Obsessive-compulsive personality disorder (OCPD) is an early-onset disorder characterized by perfectionism, need for control, and cognitive rigidity. Its nosological status is currently under review. Historically, OCPD has been conceptualized as bearing a close relationship with obsessive-compulsive disorder (OCD). In this article, we discuss the diagnosis of OCPD in anticipation of its review for the ICD-11, from the perspective of clinical utility, global applicability, and research planning. Considering the recent establishment of an obsessive-compulsive and related disorders (OCRD) category in DSM-5, we focus on the relationship between OCPD and the disorders that are currently thought to bear a close relationship with OCD, including DSM-5 OCRD, and other compulsive disorders such as eating disorder and autistic spectrum disorder (that were not included in the DSM-5 OCRD category), as well as with the personality disorders, focusing on nosological determinants such as phenomenology, course of illness, heritability, environmental risk factors, comorbidity, neurocognitive endophenotypes, and treatment response. Based on this analysis, we attempt to draw conclusions as to its optimal placement in diagnostic systems and draw attention to key research questions that could be explored in field trials.
Assuntos
Humanos , Transtorno da Personalidade Compulsiva/diagnóstico , Manual Diagnóstico e Estatístico de Transtornos Mentais , Classificação Internacional de Doenças , Transtorno Obsessivo-Compulsivo/diagnóstico , Ansiolíticos/uso terapêutico , Comorbidade , Transtorno da Personalidade Compulsiva/classificação , Transtorno da Personalidade Compulsiva/tratamento farmacológico , Fluvoxamina/uso terapêutico , Comportamento Impulsivo , Transtorno Obsessivo-Compulsivo/classificação , Transtorno Obsessivo-Compulsivo/tratamento farmacológico , PlacebosRESUMO
Instrumentos especificos de avaliacao de sintomas obsessivo-compulsivos (SOC) em criancas e adolescentes sao escassos, sendo derivados de versoes originalmente desenvolvidas para adultos. Vantagens e limitacoes dos principais instrumentos utilizados para avaliacao dos diversos tipos de SOC e sua intensidade, as versoes para criancas do inventario de obsessoes de Leyton de 44 itens e da escala Yale-Brown de obsessoes e compulsoes, sao discutidas. Por fim, ressalta-se a utilizacao da escala global de obsessoes e compulsoes do NIMH como medida secundaria de gravidade de SOC