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Mental Fatigue, But Not other Fatigue Characteristics, as a Candidate Feature of Obsessive Compulsive Personality Disorder in Patients with Anxiety and Mood Disorders—An Exploratory Study

Author

Listed:
  • Julija Gecaite-Stonciene

    (Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, LT-00135 Palanga, Lithuania)

  • Naomi A. Fineberg

    (National Obsessive Compulsive Disorders Specialist Service, Hertfordshire Partnership University, NHS Foundation Trust, Welwyn Garden City AL8 6HG, UK)

  • Aurelija Podlipskyte

    (Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, LT-00135 Palanga, Lithuania)

  • Julius Neverauskas

    (Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, LT-00135 Palanga, Lithuania)

  • Alicja Juskiene

    (Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, LT-00135 Palanga, Lithuania)

  • Narseta Mickuviene

    (Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, LT-00135 Palanga, Lithuania)

  • Julius Burkauskas

    (Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, LT-00135 Palanga, Lithuania)

Abstract

Background: Obsessive compulsive personality disorder (OCPD) is commonly associated with anxiety and mood disorders (AMDs), in which fatigue and executive dysfunction represent key symptoms. Executive dysfunction has also been demonstrated in subjects with OCPD, and is additionally found to be a cardinal feature of fatigue. This study aimed to investigate the associations between fatigue, executive dysfunction, and OCPD in patients with AMDs. Methods: In this cross-sectional study, 85 AMD patients (78% females, mean age 39 ± 11 years) were evaluated for OCPD traits by using the observer-rated Compulsive Personality Assessment Scale. The Multidimensional Fatigue Inventory-20 was used to measure different aspects of fatigue, and the Trail Making Test was employed to assess executive functioning. The Hamilton rating scales were used to evaluate anxiety and depression symptoms. Results: Controlling for potential confounders, there was a significant link between OCPD and mental fatigue (OR, 1.27; 95% CI, 1.02 to 1.58; p = 0.033). No associations were found between the presence of OCPD and other relevant fatigue characteristics, including general fatigue, physical fatigue, reduced activity, and reduced motivation, as well as executive functions. Conclusions: To the best of our knowledge, this study is the first to report associations between OCPD and mental fatigue in patients with AMDs, suggesting mental fatigue as a clinically important symptom when considering particular personality pathologies.

Suggested Citation

  • Julija Gecaite-Stonciene & Naomi A. Fineberg & Aurelija Podlipskyte & Julius Neverauskas & Alicja Juskiene & Narseta Mickuviene & Julius Burkauskas, 2020. "Mental Fatigue, But Not other Fatigue Characteristics, as a Candidate Feature of Obsessive Compulsive Personality Disorder in Patients with Anxiety and Mood Disorders—An Exploratory Study," IJERPH, MDPI, vol. 17(21), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8132-:d:439594
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    References listed on IDEAS

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    1. Paweł A. Atroszko & Zsolt Demetrovics & Mark D. Griffiths, 2020. "Work Addiction, Obsessive-Compulsive Personality Disorder, Burn-Out, and Global Burden of Disease: Implications from the ICD-11," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    2. Christine Courbasson & Jacqueline M. Brunshaw, 2009. "The Relationship between Concurrent Substance Use Disorders and Eating Disorders with Personality Disorders," IJERPH, MDPI, vol. 6(7), pages 1-14, July.
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    Cited by:

    1. Cayque Brietzke & Ítalo Vinícius & Paulo Estevão Franco-Alvarenga & Raul Canestri & Márcio Fagundes Goethel & Lucas Eduardo Rodrigues Santos & Bruno Viana & Tony Meireles Santos & Flávio Oliveira Pire, 2021. "Proof-of-Concept and Test-Retest Reliability Study of Psychological and Physiological Variables of the Mental Fatigue Paradigm," IJERPH, MDPI, vol. 18(18), pages 1-12, September.

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