TY - JOUR PY - 2015// TI - Obsessive-compulsive personality disorder: evidence for two dimensions JO - Depression and anxiety A1 - Riddle, Mark A. A1 - Maher, Brion S. A1 - Wang, Ying A1 - Grados, Marco A1 - Bienvenu, O. Joseph A1 - Goes, Fernando S. A1 - Cullen, Bernadette A. A1 - Murphy, Dennis L. A1 - Rauch, Scott L. A1 - Greenberg, Benjamin D. A1 - Knowles, James A. A1 - McCracken, James T. A1 - Pinto, Anthony A1 - Piacentini, John A1 - Pauls, David L. A1 - Rasmussen, Steven A. A1 - Shugart, Yin Yao A1 - Nestadt, Gerald A1 - Samuels, Jack SP - 128 EP - 135 VL - 33 IS - 2 N2 - BACKGROUND: To determine possible dimensions that underlie obsessive-compulsive personality disorder (OCPD) and to investigate their clinical correlates, familiality, and genetic linkage.

METHODS: Participants were selected from 844 adults assessed with the Structured Instrument for the Diagnosis of DSM-IV Personality Disorders (SIDP) in the OCD Collaborative Genetics Study (OCGS) that targeted families with obsessive-compulsive disorder (OCD) affected sibling pairs. We conducted an exploratory factor analysis, which included the eight SIDP-derived DSM-IV OCPD traits and the indecision trait from the DSM-III, assessed clinical correlates, and estimated sib-sib correlations to evaluate familiality of the factors. Using MERLIN and MINX, we performed genome-wide quantitative trait locus (QTL) linkage analysis to test for allele sharing among individuals.

RESULTS: Two factors were identified: Factor 1: order/control (perfectionism, excessive devotion to work, overconscientiousness, reluctance to delegate, and rigidity); and Factor 2: hoarding/indecision (inability to discard and indecisiveness). Factor 1 score was associated with poor insight, whereas Factor 2 score was associated with task incompletion. A significant sib-sib correlation was found for Factor 2 (rICC =.354, P <.0001) but not Factor 1 (rICC =.129, P =.084). The linkage findings were different for the two factors. When Factor 2 was analyzed as a quantitative trait, a strong signal was detected on chromosome 10 at marker d10s1221: KAC LOD = 2.83, P =.0002; and marker d10s1225: KAC LOD = 1.35, P =.006.

CONCLUSIONS: The results indicate two factors of OCPD, order/control and hoarding/indecision. The hoarding/indecision factor is familial and shows modest linkage to a region on chromosome 10.

Language: en

LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.22452 ID - ref1 ER -