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Behav Res Ther. 2004 Jan;42(1):57-65.

Diagnostic efficiency of DSM-IV criteria for obsessive compulsive personality disorder in patients with binge eating disorder.

Author information

1
Department of Psychiatry, Yale Psychiatric Research, Yale University School of Medicine, 301 Cedar Street, 2nd Floor, P.O. Box 208098, New Haven, CT 06520, USA. carlos.grilo@yale.edu

Abstract

This study examined the diagnostic efficiency of the DSM-IV criteria for obsessive compulsive personality disorder (OCPD) in patients with binge eating disorder (BED). Two hundred and eleven consecutive adult patients with axis I diagnoses of BED were reliably assessed with semi-structured diagnostic interviews. Conditional probabilities-sensitivity, specificity, positive predictive power (PPP), and negative predictive power (NPP)-were calculated for each of the eight criteria for OCPD, using the 'best-estimate' OCPD diagnosis as the standard. The diagnostic efficiencies of the OCPD criteria were variable, with three criteria failing to have predictive value (PPP<0.50). The best inclusion criterion (highest PPP) was 'Perfectionism,' which was also the overall most predictive criterion. The findings suggest ordering of the DSM-IV criteria for OCPD based on performance and call into question the utility of some criteria.

PMID:
14744523
DOI:
10.1016/s0005-7967(03)00072-x
[Indexed for MEDLINE]

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