Samuels J, Nestadt G, Bienvenu O J, Costa P T, Riddle M A, Liang K Y, Hoehn-Saric R, Grados M A, Cullen B A
Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Br J Psychiatry. 2000 Nov;177:457-62. doi: 10.1192/bjp.177.5.457.
Little is known about personality disorders and normal personality dimensions in relatives of patients with obsessive-compulsive disorder (OCD).
To determine whether specific personality characteristics are part of a familial spectrum of OCD.
Clinicians evaluated personality disorders in 72 OCD case and 72 control probands and 198 case and 207 control first-degree relatives. The selfcompleted Revised NEO Personality Inventory was used for assessment of normal personality dimensions. The prevalence of personality disorders and scores on normal personality dimensions were compared between case and control probands and between case and control relatives.
Case probands and case relatives had a high prevalence of obsessive-compulsive personality disorder (OCPD) and high neuroticism scores. Neuroticism was associated with OCPD in case but not control relatives.
Neuroticism and OCPD may share a common familial aetiology with OCD.
关于强迫症(OCD)患者亲属中的人格障碍及正常人格维度,我们知之甚少。
确定特定的人格特征是否为强迫症家族谱系的一部分。
临床医生对72例强迫症病例和72例对照先证者以及198例病例和207例对照一级亲属的人格障碍进行了评估。使用自我完成的修订版NEO人格量表来评估正常人格维度。比较病例和对照先证者之间以及病例和对照亲属之间人格障碍的患病率和正常人格维度得分。
病例先证者和病例亲属的强迫型人格障碍(OCPD)患病率较高,且神经质得分较高。在病例亲属而非对照亲属中,神经质与强迫型人格障碍相关。
神经质和强迫型人格障碍可能与强迫症有共同的家族病因。