Background Little is known about personality disorders and normal personali
ty dimensions in relatives of patients with obsessive-compulsive disorder (
OCD).
Aims To determine whether specific personality characteristics are part of
a familiar spectrum of OCD.
Method Clinicians evaluated personality disorders in 72 OCD case and 72 con
trol probands and 198 case and 297 control first-degree relatives. The self
completed Revised NEO Personality Inventory was used for assessment of nor
mal personality dimensions. The prevalence of personality disorders and sco
res on normal personality dimensions were compared between case and control
probands and between case and control relatives.
Results Case probands and case relatives had a high prevalence of obsessive
-compulsive personality disorder (OCPD) and high neuroticism scores. Neurot
icism was associated with OCPD in case but not control relatives.
Conclusions Neuroticism and OCPD may share a common familiar aetiology with
OCD.
Declaration of interest Supported by National Institutes of Health grants R
0I MH 50214 and NIH/NCRR/OPD-GCRC RR00052.