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Obsessive pathology is an area of great interest in medical literature and clinical practice. The characteristic features of obsessive-compulsive personality disorder (OCD) are hyperconscientiousness, assertiveness, meticulousness, orderliness, and the need for performance. Affective life is the major support of individual identity. Marital life and the feelings surrounding it can become vulnerable both because of the social environment and because of the dominant traits of the individual personality. Scrupulosity, cognitive and behavioral rigidity, and formalism disfavor OCD in the marital relationship. We further describe a destiny variant on the obsession spectrum that integrates traumatic biographical events and generates comorbid conditions occurring on an anankastic-predisposing terrain. The symptoms of the obsessive-compulsive disorder were triggered by a global psychotraumatizing event – the COVID-19 pandemic – and sustained by its consequences, and the depressive symptoms, resistant to treatment in the described context, were triggered by an intense negative experience surrounding family life. Although the symptomatology of obsessive-compulsive disorder may improve, the underlying features of the same spectrum remain to dominate the individual’s destiny. [ABSTRACT FROM AUTHOR]

Atmosfera nocivă din familie în perioada copilăriei are un impact profund în evoluția migrenei și cronicizarea ei în perioada matură a pacienților. Una din problemele nerezolvate, discutată în publicațiile internaționale, este rolul Tulburări de personalitate Borderline la pacieții cu migrenă ca factor de cronicizare a migrenei. În studiul nostru a fost analizat un lot de pacienți cu Migrenă, format din 177 de persoane. Am extras pacienții cu Tulburare de Personalitate Borderline și Migrenă, pentru comparație cu pacienții cu Migrenă fără Tulburarea Borderline. Diferența statistică este semnificativă (P

Background: ADHD and personality disorders show a considerable symptom overlap. Sometimes these disorders are complicated by comorbidities, the most frequent being depression, alcohol and drug abuse or dependence. Their presence impact the functionality of patients. The introduction of DSM 5 brought a new perspective on the approach of these disorders. Material and methods: The study consists of the evaluation of a sample of 140 individuals with personality disorders. From this sample it has been determined the proportion of the ADHD patients by using a specifi c scale (DIVA). First the analysis has been made using the DSM IV criteria. Two groups were formed: A - the ADHD group and B - the personality disorder non ADHD group. The possible comorbidities in the two groups A and B have been determined using the instrument MINI. The impact on functionality was evaluated with the scale WFIRS and the overall severity with the presence of hospitalizations. The same analysis has been made using the DSM 5 criteria. Then a comparison between the two classifi cations has been made. Results: The prevalence of ADHD in the initial sample of the personality disorder patients has been 29.3% after the DSM IV classifi cation and 44.3% after the DSM 5. Moreover, the prevalence of depression, alcohol, drug abuse and dependence and other comorbidities has been determined in the ADHD and non-ADHD group, fi rst using the DSM IV criteria, then using the DSM 5 criteria. A comparison between the two situations has been made, as well as an evaluation of the impact on functionality. Conclusions: The presence of depression, substance use disorders other than alcohol and alcohol use disorders are not signifi cant in the differentiation of ADHD patients from the population of personality disorder nonADHD patients. The overall severity and the impact on functionality as assessed with the presence of hospitalizations and the WFIRS scale show a signifi cant importance in differentiating the intensity of ADHD symptomatology. [ABSTRACT FROM AUTHOR]

Background: ADHD and personality disorders can show several common clinical characteristics. When evaluating individuals more closely it can be found that there are several specific attention features and also hyperactivity and impulsivity features that can differentiate these diagnostic categories, as well as functionality in different areas of life. Material and methods: In this study a sample of 140 individuals with a personality disorder has been evaluated in order to determine the proportion of symptoms of attention deficit and hyperactivity/impulsivity by using the scale DIVA. Two groups were formed: A - the ADHD group and B - the nonADHD group. The ADHD group has three subgroups depending on the most frequent disabilities (inattentive, hyperactive/impulsive and combined). A global assessment has been made by using the scales CGIs, GAF and WFIRS (Weiss Scale). Results: Average scores have been calculated on the attention and hyperactive/impulsive domain in the two groups and then in the subgroups. The hyperactive/ impulsive domain is better represented in each group. A comparative approach referring to all the groups has been realized. Then, it has been studied the prevalence of the 18 items from the DIVA scale in the groups identifi ed above and the proportions in which they differentiate the two populations. The items A6,A4,H1,H8 differentiate best the ADHD and non ADHD patients. The differentiation using the scales CGI, GAF, WFIRS (Weiss Scale) has been studied. Then, the personality disorders in the initial diagnosis have been interpreted. The most frequent personality disorders identifi ed in the ADHD group are: mixed (29%), antisocial (24%), borderline (20%), avoidant (7%) and histrionic (7%). Conclusions: The study has been successful in evaluating the difference between ADHD and nonADHD patients not only by differentiating symptoms, but also functionality and the initial diagnostic perspective. [ABSTRACT FROM AUTHOR]