Personality differences between obsessive-compulsive disorder subtypes: washers versus checkers

Psychiatry Res. 1997 Aug 8;71(3):197-200. doi: 10.1016/s0165-1781(97)00054-1.

Abstract

Personality differences between 'washer' and 'checker' subtypes of obsessive-compulsive disorder (OCD) were explored. Fifty-one OCD patients were recruited from several outpatient clinics in Central Israel. OCD was diagnosed according to DSM-III-R using the Structured Clinical Interview for DSM-III-R, and personality disorders were diagnosed using the Structured Clinical Interview for DSM-III-R Personality Disorders. Washers were much more likely to have personality disorders than checkers. Personality disorders were diagnosed in 12 of 13 washers vs. three of 11 checkers (chi 2 = 10.75, Fisher's exact test, P < 0.001, d.f. = 1, odds ratio = 32, CI = 2.8-365) and 21 of 27 patients with mixed OCD symptoms. The results support the validity of the washer-checker subdivision and might explain the relative refractoriness of washers to conventional intervention.

MeSH terms

  • Adult
  • Compulsive Personality Disorder / classification
  • Compulsive Personality Disorder / diagnosis
  • Compulsive Personality Disorder / psychology
  • Female
  • Hand Disinfection
  • Humans
  • Male
  • Middle Aged
  • Obsessive-Compulsive Disorder / classification
  • Obsessive-Compulsive Disorder / diagnosis*
  • Obsessive-Compulsive Disorder / psychology
  • Personality Disorders / classification
  • Personality Disorders / diagnosis*
  • Personality Disorders / psychology
  • Psychiatric Status Rating Scales
  • Stereotyped Behavior*