In the twin cohort, the phenotypic correlation between obsessive-compulsive symptoms and alcohol dependence symptoms was 0.19. The best-fitting model included A (explaining 36% of the variance) and E (explaining 64% of the variance) components for OCD symptoms, and A (explaining 46% of the variance) and E (explaining 54% of the variance) components for alcohol dependence symptoms (eTables 7 and 8, model B, in the Supplement). Additive genetic factors explained 68% of the covariance, and nonshared environmental influences explained the remaining 32%. The estimated genetic correlation was 0.31 (95% CI, 0.23-0.40), and the nonshared environmental correlation was 0.10 (95% CI, 0.05-0.16).