Evidence from family, adoption and twin studies indicate that genetic factors significantly influence liability to personality disorders and contribute to the co‐morbidity between personality disorders and between personality disorders and other psychiatric disorders. Molecular genetic studies aiming at identifying specific genes have been applied, to a limited extent, to personality. Significant associations have, however, been found with candidate genes related to neurotransmitter pathways, especially in the dopaminergic or serotonergic systems. Both quantitative and molecular genetic studies indicate that gene–environment correlation and interaction play a role in the aetiology of personality disorders. Methods like genome‐wide association studies, analyses of copy‐number variation, studies of rare genetic variants and epigenetic methods have not yet been applied to personality disorders, but will hopefully contribute to our future understanding of the causal mechanisms involved.
Key Concepts:
Personality disorders are significantly influenced by genetic factors.
Co‐morbidity between personality disorders and between personality disorders and other mental disorders are significantly influenced by shared genetic liability.
Candidate gene association studies indicate significant relationships between personality disorders and genes related to neurotransmitter pathways, especially in the dopaminergic or serotonergic systems.
Both quantitative and molecular genetic studies suggest that gene–environment interplay is involved in the aetiology of personality disorders.