Dw. Black et al., PERSONALITY-DISORDER IN OBSESSIVE-COMPULSIVE VOLUNTEERS, WELL COMPARISON SUBJECTS, AND THEIR 1ST-DEGREE RELATIVES, The American journal of psychiatry, 150(8), 1993, pp. 1226-1232
Objective: The authors sought to determine the frequency of DSM-III pe
rsonality disorders in subjects with obsessive-compulsive disorder, we
ll comparison subjects, and their first-degree relatives. Method: Thir
ty-two subjects with obsessive-compulsive disorder and 33 age- (within
5 years) and gender-matched well comparison subjects were assessed wi
th the Structured Interview for DSM-III Personality Disorder and sever
al self-report instruments. Their first-degree relatives were assessed
in a blind manner with the same instruments. Results: Subjects with o
bsessive-compulsive disorder were more likely than well comparison sub
jects to have a personality disorder, but compulsive personality was n
ot the most frequent. No significant differences were found in the pre
valence of personality disorders among first-degree relatives, includi
ng compulsive personality, or in obsessional, hysterical, or oral char
acter traits. Conclusions: Personality disorders are highly prevalent
among patients with obsessive-compulsive disorder, but the data do not
support a relationship between obsessive-compulsive disorder and comp
ulsive personality.