Obsessive compulsive @entity1 with XXXX : associated problems and response to a comprehensive behavior therapy.

@entity1 @entity146 @entity1726 @entity1314 @entity3119
BACKGROUND: The present study examined a group of @entity1 who have @entity3119 ( @entity3119 ) and certain comorbid personality disorders to provide data on types of clinical problems that complicate treatment. Data are presented on @entity1 response to a comprehensive behavior therapy. METHOD: Forty-one consecutively referred, adult, nonpsychotic @entity1 with @entity3119 were evaluated independently by their attending psychiatrist and a consulting psychologist for presence of DSM-III-R @entity1314 . Thirty-one of these @entity1 , for whom there was 100% agreement on presence or absence of a @entity1314 , participated in a course of comprehensive behavior therapy. @entity3119 @entity1 with @entity1314 ( @entity3119 + @entity1726 ) were compared with a group of @entity3119 @entity1 without @entity1314 (nonPD @entity3119 ) on pretreatment and treatment-related variables. RESULTS: There was significantly high interrater reliability between psychiatrist and psychologist on diagnosis of @entity1314 (p < .001). @entity3119 + @entity1726 @entity1 demonstrated poorer response to prior @entity146 treatments and greater psychosocial and @entity146 at pretreatment than did nonPD @entity3119 @entity1 . The @entity3119 + @entity1726 @entity1 demonstrated a moderate response to comprehensive behavior therapy, but below that of nonPD @entity3119 @entity1 . @entity3119 + @entity1726 @entity1 were also rated as more difficult to treat, required more @entity146 hospitalizations during treatment, and were more likely to terminate behavior therapy prematurely than were nonPD @entity3119 @entity1 . CONCLUSION: In modest samples of @entity3119 + @entity1726 @entity1 (N = 26), and nonPD @entity3119 @entity1 (N = 5), this study found that @entity3119 @entity1 with @entity1314 had greater psychopathology, fewer coping and living skills, and were more resistant to @entity146 treatment than the nonPD @entity3119 @entity1 . In addition, when treated with a comprehensive behavior therapy that focuses on other clinical problems in addition to the @entity3119 symptoms, the @entity3119 + @entity1726 @entity1 had an enhanced response to treatment.
