Personality organization in obsessive compulsive disorder with and without insight
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Purpose: The aim of this study was to investigate personality organization level in patients with and without insight of Obsessive Compulsive Disorder (OCD). Materials and Methods: We conducted a cross-sectional study in Erenkoy Psychiatry and Neurological Diseases Training and Research Hospital. The study's universe consisted of 100 patients who applied with OCD diagnosis to Anxiety Policlinic of our hospital. Sociodemographic data form and Yale Brown Obsessive-Compulsive scale (Y-BOCS) Personality Organization Diagnostic Form (PODF) was completed for each participant at the first interview. Results: The proportion of patients with poor insight group in our study was 23%. Significant differences were found between the Y-BOCS general severity scores of the groups.The patients in two groups achieved significantly different total scores in identity, scores in primitive and mature defense mechanisms and reality testing. There was significant difference between patients with good insight OCD and poor insight OCD in terms of general personality organization. The total score of PODF identity had a predictive effect on insight in the linear direction. Conclusion: The present study indicated that patients with poor insight OCD had lower level of personality organization as compared to patients with good insight OCD. According to the scores obtained in the subscales of PODF, patients with poor insight OCD showed high diffusion identity as compared to patients with good insight OCD. Besides this, it was observed that the group with poor insight mostly used primitive defense mechanisms, their reality testing was relatively disturbed and they had low level of object relations.