Jacobson K C, Neale C A, Prescott M C, Kendler K S
Department of Psychiatry, Virginia Institute for Psychiatric Virginia Commoniwealth University, Richmond, USA.
Psychol Med. 2000 Jul;30(4):775-87. doi: 10.1017/s0033291799002561.
Rates of child and adolescent conduct disorder (CD) have increased steadily over the past several decades. What is not known is whether the underlying genetic and environmental influences on individual differences in CD have also changed.
Retrospective reports of antisocial behaviour prior to age 18 were obtained from a population-based sample of 2769 adult males from male-male twin pairs born between 1940 and 1974. Using a summary score of number of CD symptoms, structural equation modelling was used to investigate whether mean level and variation in CD increased with more recent cohorts, and whether any increase in variance could be explained by familial or non-familial factors.
Both mean level CD symptoms and variation were increased in more recent cohorts. Model fitting indicated that the primary increase in variance was due to familial factors, most notably, an increase in the shared environmental influences on CD, from 0.01 (95 % CI = 0.00; 0.27) to 0.30 (95 % Cl = 0.01; 0-44). Heritability estimates remained largely unchanged, although an increase in genetic factors could not be ruled out.
Secular changes in sociodemographic factors responsible for increasing rates of CD may also account for the greater magnitude of shared environmental influences on variation in CD found among more recent cohorts.
在过去几十年中,儿童和青少年品行障碍(CD)的发生率一直在稳步上升。尚不清楚的是,对CD个体差异的潜在遗传和环境影响是否也发生了变化。
从1940年至1974年出生的男性-男性双胞胎对的2769名成年男性的基于人群的样本中获得了18岁之前反社会行为的回顾性报告。使用CD症状数量的汇总分数,结构方程模型用于研究CD的平均水平和变异性是否随着更近的队列而增加,以及方差的任何增加是否可以由家族性或非家族性因素解释。
在更近的队列中,平均水平的CD症状和变异性均增加。模型拟合表明,方差的主要增加是由于家族性因素,最明显的是,对CD的共同环境影响增加,从0.01(95%CI = 0.00;0.27)增加到0.30(95%Cl = 0.01;0-44)。遗传率估计基本保持不变,尽管不能排除遗传因素的增加。
导致CD发生率增加的社会人口统计学因素的长期变化也可能解释了在更近的队列中发现的对CD变异性的共同环境影响的更大程度。