Department of Psychiatry, Autonomous University of Barcelona, Barcelona, Spain.
Depress Anxiety. 2009;26(10):902-8. doi: 10.1002/da.20606.
Obsessive-compulsive disorder (OCD) is a heterogeneous condition, which can be expressed as various potentially overlapping symptom dimensions. In clinical samples, some of these dimensions are associated with increased familial risk for OCD and appear to be familial (intercorrelated within pairs of affected family members), whereas others are not. The goal of this study was to determine whether obsessive-compulsive (OC) symptom dimensions are familial in a nonclinical sample.
OC symptom dimensions and negative affect were assessed in 184 female undergraduate students and their parents using the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Positive and Negative Affect Scales, respectively. Bivariate correlations and multiple regression models controlling for age and negative affect were employed to examine the familiarity of OC symptom dimensions.
The OCI-R total scores were significantly correlated in both mother-daughter and father-daughter dyads but the magnitude of these correlations tended to be greater for the mother-daughter dyads. Multiple regression models showed that the Ordering and Hoarding subscales of the OCI-R breed true in mother-daughter dyads. Ordering scores in mothers were also predictive of other symptoms in the daughters (Washing and Checking).
These results are broadly consistent with the findings in clinical samples and suggest that Ordering and Hoarding are more strongly familial than other symptom dimensions and that high Ordering scores in mothers are associated with increased levels of symptoms in daughters in a less specific manner.
强迫症(OCD)是一种异质的疾病,其表现为各种潜在重叠的症状维度。在临床样本中,这些维度中的一些与 OCD 的家族风险增加有关,并且似乎具有家族性(受影响的家庭成员对之间存在相关性),而其他维度则没有。本研究的目的是确定在非临床样本中,强迫症状维度是否具有家族性。
使用修订后的强迫症清单(OCI-R)和正负情绪量表,分别评估 184 名女性大学生及其父母的强迫症状维度和负性情绪。采用双变量相关和多元回归模型,控制年龄和负性情绪,以检验 OC 症状维度的相似性。
在母女和父女对子中,OCI-R 总分均呈显著相关,但母女对子的相关程度较大。多元回归模型显示,OCI-R 的整理和囤积分量表在母女对子中具有真实性。母亲的整理分数也可预测女儿的其他症状(洗涤和检查)。
这些结果与临床样本的发现基本一致,表明整理和囤积比其他症状维度更具家族性,并且母亲的高整理分数与女儿的症状水平升高具有更不特定的关联。