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Am J Psychiatry 1995; 152:76-84
Copyright © 1995 by American Psychiatric Association
A family study of obsessive-compulsive disorder
DL Pauls, JP Alsobrook 2nd, W Goodman, S Rasmussen and JF Leckman
Department of Genetics, Yale University School of Medicine, New Haven, CT 06510.
OBJECTIVE: The goal of this study was to determine 1) whether obsessive-
compulsive disorder is familial, 2) whether there is a familial
relationship between obsessive-compulsive disorder and Gilles de la
Tourette's syndrome and chronic tics, and 3) whether different familial
types of obsessive-compulsive disorder exist. METHOD: In this family study,
all available first-degree relatives of 100 probands with
obsessive-compulsive disorder were interviewed directly with structured
interviews, and best-estimate diagnoses were assigned. In addition to the
466 first-degree relatives of the probands, 113 comparison subjects who
were first-degree relatives of 33 psychiatrically unaffected subjects were
studied with the same interviews. RESULTS: The rates of
obsessive-compulsive disorder and subthreshold obsessive-compulsive
disorder were significantly greater among the relatives of the probands
with obsessive-compulsive disorder (10.3% and 7.9%, respectively) than
among the comparison subjects (1.9% and 2.0%, respectively). Furthermore,
the rate of tics (Tourette's disorder and chronic tics) was also
significantly greater among the relatives of the probands (4.6%) than among
the comparison subjects (1.0%). The relatives of female probands with
obsessive-compulsive disorder were more likely to have tics, and the
relatives of probands with early onset were at higher risk for both
obsessive-compulsive disorder and tics. CONCLUSIONS: Obsessive-compulsive
disorder is a heterogeneous condition. Some cases are familial and related
to tic disorders, some cases are familial and unrelated to tics, and in
other cases there appears to be no family history of either
obsessive-compulsive disorder or tics.
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