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3 Department of Human Neuroscience, Sapienza University, Rome, Italy.

Arlington, VA: American Psychiatric Publishing; 2013.

24 Those who are less educated may also be more likely to develop the condition.

Arlington, VA: American Psychiatric Association; 2013.

1 Department of Neuroscience, Mental Health, and Sensory Organs NESMOS , Faculty of Medicine and Psychology, Sapienza University, Unit of Psychiatry, Sant'Andrea University Hospital, Rome, Italy.

But these characteristics may become exaggerated and problematic when the individual feels a need to enlist them in order to feel safer.

One method of approach for teaching coping strategies to those diagnosed with obsessive-compulsive personality disorder is to focus on metacognition.

Appeasing and conflict avoidant; disappointing others is frightening to them• Many individuals have some compulsive traits that are adaptive and healthy, along with other traits of OCPD that are maladaptive and unhealthy.

Sensitivity analysis If there are sufficient data, we will undertake sensitivity analyses to investigate the robustness of the overall findings in relation to certain study characteristics.