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Obsessive-compulsive personality disorder traits and personality dimensions in parents of children with obsessive-compulsive disorder

Published online by Cambridge University Press:  16 April 2020

Rosa Calvo ,
Luisa Lázaro ,
Josefina Castro-Fornieles ,
Elena Font ,
Elena Moreno  and
J. Toro
Rosa Calvo*
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental (CIBER), C/ Villarroel, 170, 08036Barcelona, Spain
Luisa Lázaro
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental (CIBER), C/ Villarroel, 170, 08036Barcelona, Spain IDIBAPS, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain Department of Psychiatry and Clinical Psychobiology, Universitat de Barcelona, Barcelona, Spain
Josefina Castro-Fornieles
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental (CIBER), C/ Villarroel, 170, 08036Barcelona, Spain IDIBAPS, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain Department of Psychiatry and Clinical Psychobiology, Universitat de Barcelona, Barcelona, Spain
Elena Font
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental (CIBER), C/ Villarroel, 170, 08036Barcelona, Spain
Elena Moreno
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental (CIBER), C/ Villarroel, 170, 08036Barcelona, Spain
J. Toro
Affiliation:
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental (CIBER), C/ Villarroel, 170, 08036Barcelona, Spain IDIBAPS, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain Department of Psychiatry and Clinical Psychobiology, Universitat de Barcelona, Barcelona, Spain
*
*Corresponding author. Tel.: +34 93 227 99 74; fax: +34 93 227 91 71. E-mail address: [email protected] (R. Calvo).
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Abstract

Purpose

To compare patterns of temperament and character and the prevalence of Obsessive-Compulsive Personality Disorder (OCPD) and OCPD traits in parents of children with OCD and parents of healthy controls.

Methods

TCI and SCID-II were administered to 63 parents of 32 children with OCD and 63 parents of age- and sex-matched controls with no psychiatric diagnosis. Interviewers were not blind to proband status. Personality dimension scores and frequencies of OCPD criteria in both groups were compared after excluding parents with a diagnosis of OCD. Relationships between TCI dimensions and OCPD symptoms in parents and the clinical characteristics of OCD children were also studied.

Results

Parents of OCD children presented significantly higher scores in harm avoidance and lower scores in self-directedness, cooperativeness and reward dependence than parents of healthy children. A higher incidence of OCPD was found in parents of probands (p < 0.02). Hoarding, perfectionism and preoccupation with details were significantly more frequent in parents of OCD children. Counting, ordering and cleaning compulsions in OCD children predicted elevated odds of perfectionism and rigidity in their parents.

Conclusions

The existence of the dimensional personality profile associated with OCD in parents of children with OCD and the higher number of OCPD criteria in these parents in comparison to parents of healthy children highlight the importance of the role of personality factors in familial OCD.

Keywords

Obsessive-compulsive disorderObsessive-compulsive personality disorderPersonality dimensionsParents
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 3 , April 2009 , pp. 201 - 206
Copyright
Copyright © Elsevier Masson SAS 2009

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References

Abrams, K.Y., Yune, S.K., Kim, S.J., Jeon, H.J., Han, S.J., Hwang, J.et al.Trait and state aspects of harm avoidance and its implication for treatment in major depressive disorder, dysthymic disorder, and depressive personality disorder. Psychiatry Clin Neurosci 2004;58:240–248CrossRefGoogle ScholarPubMed
Albert, U., Maina, G., Forner, F., Bogetto, F.DSM-IV obsessive-compulsive personality disorder: prevalence in patients with anxiety disorders and in healthy comparison subjects. Compr Psychiatry 2004;45:325–332CrossRefGoogle ScholarPubMed
Alonso, P., Menchón, J.M., Jiménez, S., Segalàs, J., Mataix-Cols, D., Jaurrieta, N.et al.Personality dimensions in obsessive-compulsive disorder: relation to clinical variables. Psychiatry Res 2008;157:159–168CrossRefGoogle ScholarPubMed
Alsobrook, J.P. IILeckman, J.F., Goodman, W.K., Rasmussen, S.A., Pauls, D.L.Segregation analysis of obsessive-compulsive disorder using symptom-based factor scores. Am J Med Genet 1999;15:669–6753.0.CO;2-N>CrossRefGoogle Scholar
Anckarsäter, H., Stahlberg, O., Larson, M.T., Hakansson, C., Jutblad, S.B., Niklasson, L.et al.The impact of ADHD and autism spectrum disorders on temperament, character, and personality development. Am J Psychiatry 2006;163:1239–1244CrossRefGoogle ScholarPubMed
Antony, M.M., Purdon, C.L., Huta, V., Swinson, R.P.Dimensions of perfectionism across the anxiety disorders. Behav Res Ther 1998;36:1143–1154CrossRefGoogle ScholarPubMed
Baer, L.Factor analysis of symptom subtypes of obsessive-compulsive disorder and their relation to personality and tic disorders. J Clin Psychiatry 1994;55:18–23Google ScholarPubMed
Ball, S., Smolin, J., Shekhar, A.A psychobiological approach to personality: examination within anxious outpatients. J Psychiatr Res 2002;36:97–103CrossRefGoogle ScholarPubMed
Bejerot, S., Schlette, P., Ekselius, L., Adolfsson, R., von Knorring, L.Personality disorders and relationship to personality dimensions measured by the Temperament and Character Inventory in patients with obsessive-compulsive disorder. Acta Psychiatr Scand 1998;98:243–249CrossRefGoogle ScholarPubMed
Bieling, P.J., Summerfeldt, L.J., Israeli, A.L., Antony, M.M.Perfectionism as an explanatory construct in comorbidity among axis I disorders. J Psychopath Behav 2004;26:193–201CrossRefGoogle Scholar
Black, D.W., Noyes, R., Goldstein, R.B., Blum, N.A family study of obsessive-compulsive disorder. Arch Gen Psychiatry 1992;49:362–368CrossRefGoogle ScholarPubMed
Brody, A.L., Saxena, S., Fairbanks, L.A., Alborzian, S., Demaree, H.A., Maidment, K.M.et al.Personality changes in adult subjects with major depressive disorder or obsessive-compulsive disorder treated with paroxetine. J Clin Psychiatry 2000;61:349–355CrossRefGoogle ScholarPubMed
Bulik, C., Tozzi, F., Anderson, C., Mazzeo, S.E., Aggen, S., Sullivan, P.F.The relationship between eating disorders and components of perfectionism. Am J Psychiatry 2003;160:366–368CrossRefGoogle Scholar
Calvo, R., Lázaro, L., Castro, J., Morer, A., Toro, J.Parental psychopathology in child and adolescent obsessive-compulsive disorder. Soc Psychiatry Psychiatr Epidemiol 2007;42:647–655CrossRefGoogle ScholarPubMed
Chabane, N., Delorme, R., Millet, B., Mouren, M.C., Leboyer, M., Pauls, D.Early-onset obsessive-compulsive disorder: a subgroup with a specific clinical and familial pattern?. J Child Psychol Psychiatry 2005;46:881–887CrossRefGoogle ScholarPubMed
Cloninger, C.R., Przybeck, T.R., Svrakic, D.M., Wetzel, R.D.The Temperament and Character Inventory (TCI): A Guide to its Development and Use St. Louis, MOCenter for Psychobiology of Personality 1994Google Scholar
Coles, M.E., Pinto, A., Mancebo, M.C., Rasmussen, S.A., Eisen, J.L.OCD with comorbid OCPD: a subtype of OCD?. J Psychiatr Res 2008;4:289–296CrossRefGoogle Scholar
Diaferia, G., Bianchi, I., Bianchi, M.L., Cavedini, P., Erzegovesi, S., Bellodi, L.Relationship between obsessive-compulsive personality disorder and obsessive-compulsive disorder. Compr Psychiatry 1997;38:38–42CrossRefGoogle ScholarPubMed
Eisen, J.L., Coles, M.E., Shea, T., Pagano, M.E., Scout, R.L., Yen, S.et al.Clarifying the convergence between obsessive compulsive personality disorder criteria and obsessive compulsive disorder. J Pers Disord 2006;20:294–305CrossRefGoogle ScholarPubMed
Enns, M.W., Cox, B.J.Perfectionism and depression symptom severity in major depressive disorder. Behav Res Ther 1999;37:783–794CrossRefGoogle ScholarPubMed
Ettelt, S., Grabe, H.S., Ruhrmann, S., Buhtz, F., Hochrein, A., Kraft, S.et al.Harm avoidance in subjects with obsessive-compulsive disorder and their families. J Affect Disord 2008;107:265–269CrossRefGoogle ScholarPubMed
First, M.B., Gibbon, M., Spitzer, R.L., Williams, J.B.W., Benjamin, L.S.Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID II). Spanish version Barcelona, SpainMasson 1999Google Scholar
Grabe, H.S., Ruhrman, S., Ettelt, S., Buht, F., Hochrein, A., Schulze-Rauschenbach, S.et al.Familiality of Obsessive-Compulsive Disorder in non-clinical and clinical subjects. Am J Psychiatry 2006;163:1986–1992CrossRefGoogle Scholar
Guillem, F., Bicu, M., Semkovska, M., Debruille, J.B.The dimensional symptom structure of schizophrenia and its association with temperament and character. Schizophr Res 2002;56:137–147CrossRefGoogle ScholarPubMed
Gutierrez, F., Torrens, M., Boget, T., Martin-Santos, R., Sangorrin, J., Perez, G.et al.Psychometric properties of the Temperament and Character Inventory (TCI) questionnaire in a Spanish psychiatric population. Acta Psychiatr Scand 2001;103:143–147CrossRefGoogle Scholar
Gutierrez-Zotes, J.A., Bayón, C., Montserrat, C., Valero, J., Labad, A., Cloninger, C.R.et al.Temperament and Character Inventory Revised (TCI-R). Standardization and normative data in a general population sample. Acta Esp Psiquiatr 2004;32:8–15Google Scholar
Hannah, G.L., Himle, J.A., Curtis, G.C., Gillespie, B.W.A family study of obsessive-compulsive disorder with pediatric probands. Am J Med Genet Psychiatry 2005;45:1094–1099Google Scholar
Kusunoki, K., Sato, T., Taga, C., Yoshida, T., Komori, K., Narita, T.et al.Low novelty-seeking differentiates obsessive-compulsive disorder from major depression. Acta Psychiatr Scand 2000;101:403–405CrossRefGoogle ScholarPubMed
Lenane, M., Swedo, S., Leonard, H., Pauls, D., Sceery, W., Rapoport, J.Psychiatric disorders in first degree relatives of children and adolescents with obsessive compulsive disorder. J Am Acad Child Adolesc Psychiatry 1990;29:407–412CrossRefGoogle ScholarPubMed
Lyoo, I.K., Lee, D.W., Kim, Y.S., Kong, S.W., Kwon, J.S.Patterns of temperament and character in subjects with obsessive-compulsive disorder. J Clin Psychiatry 2001;62:637–641CrossRefGoogle ScholarPubMed
Mataix-Cols, D., Baer, L., Rauch, S.L., Jenike, M.A.Relation of factor-analyzed symptom dimensions of obsessive-compulsive disorder to personality disorders. Acta Psychiatr Scand 2000;102:1–4CrossRefGoogle ScholarPubMed
Mathis, M.A., Rosario, M.C., Diniz, J.B., Torres, A.R., Shavitt, R.G., Ferrao, Y.A.et al.Obsessive-compulsive disorder: influence of age of onset on comorbidity patterns. Eur Psychiatry 2008;23:187–194CrossRefGoogle ScholarPubMed
Nestadt, G., Samuels, J., Riddle, M., Bienvenu, J.O., Llang, K.Y., LaBuda, M.et al.A family study of obsessive-compulsive disorder. Arch Gen Psychiatry 2000;57:358–363CrossRefGoogle ScholarPubMed
Newman, J.R., Ewing, S.E., McColl, R.D., Borus, J.S., Nierenberg, A.A., Pava, J.et al.Tridimensional personality questionnaire and treatment response in major depressive disorder: a negative study. J Affect Disord 2000;57:241–247CrossRefGoogle ScholarPubMed
Pauls, D.L., Alsobrook, J.P., Goodman, W., Rasmussen, S., Leckman, J.F.A family study of obsessive-compulsive disorder. Am J Psychiatry 1995;152:76–84Google ScholarPubMed
Pélissolo, A., André, C., Pujol, H., Yao, S.N., Servant, D., Braconnier, A.et al.Personality dimensions in social phobics with or without depression. Acta Psychiatr Scand 2002;105:94–103CrossRefGoogle ScholarPubMed
Pinto, A., Mancebo, M.C., Eisen, J.L., Pagano, M.E., Rasmussen, S.A.The Brown longitudinal obsessive compulsive study: clinical features and symptoms of the sample at intake. J Clin Psychiatry 2006;67:703–711CrossRefGoogle ScholarPubMed
Pfohl, B., Black, D., Noyes, R., Kelley, M., Blum, N.A test of the tridimensional personality theory: association with diagnosis and platelet imipramine binding in obsessive-compulsive disorder. Biol Psychiatry 1990;28:41–46CrossRefGoogle ScholarPubMed
Richter, M.A., Summerfeldt, L.J., Joffe, R.T., Swinson, R.The Tridimensional Personality Questionnaire in obsessive-compulsive disorder. Psychiatry Res 1996;65:185–188CrossRefGoogle ScholarPubMed
Rosario-Campos, M.C., Leckman, J.F., Curi, M., Quatrano, S., Katsovitch, L., Miguel, E.C.et al.A family study of early-onset obsessive-compulsive disorder. Am J Med Genet Part B Neuropsychiatr Genet 2005;136:92–97CrossRefGoogle Scholar
Samuels, J., Eaton, W.W., Bienvenu, O.J., Brown, C.H., Costa, P.T. Jr.Nestadt, G.Prevalence and correlates of personality disorders in a community sample. Br J Psychiatry 2002;180:536–542CrossRefGoogle Scholar
Samuels, J., Nestadt, G., Bienvenu, O.J., Costa, P.T. Jr.Riddle, M.A., Liang, K.Y.et al.Personality disorders and normal personality dimensions in obsessive-compulsive disorder. Br J Psychiatry 2000;177:457–462CrossRefGoogle ScholarPubMed
Skodol, A.E., Oldham, J.M., Hyler, S.E., Stein, D.J., Hollander, E., Gallaher, P.E.et al.Patterns of anxiety and personality disorder comorbidity. J Psychiatr Res 1995;5:361–374CrossRefGoogle Scholar
Starcevic, V., Uhlenhuth, E.H., Fallon, S., Pathak, D.Personality dimensions in panic disorder and generalized anxiety disorder. J Affect Disord 1996;12:75–79CrossRefGoogle Scholar
Svrakic, D.M., Przybeck, T.R., Cloninger, R.Mood states and personality traits. J Affect Disord 1992;24:217–226CrossRefGoogle ScholarPubMed
Swedo, S., Rapoport, J., Leonard, H., Lenane, M., Cheslow, D.Obsessive-compulsive disorder in children and adolescents. Clinical phenomenology of 70 consecutive cases. Arch Gen Psychiatry 1989;46:335–341CrossRefGoogle ScholarPubMed
Torgensen, S., Kringlen, E., Cramer, V.The prevalence of personality disorder in a community sample. Arch Gen Psychiatry 2001;58:590–596CrossRefGoogle Scholar
Torres, A.R., Moran, P., Bebbington, P., Brugha, T., Bhugra, D., Coid, J.W.et al.Obsessive-compulsive disorder and personality disorder: evidence from the British National Survey of Psychiatric Morbidity 2000. Soc Psychiatry Psychiatr Epidemiol 2006;41:862–867CrossRefGoogle ScholarPubMed
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