青少年双胞胎社区样本中父母对精神疾病的一致性和共病情况以及当前精神症状和疾病的相关风险。
Parental concordance and comorbidity for psychiatric disorder and associate risks for current psychiatric symptoms and disorders in a community sample of juvenile twins.
作者信息
Foley D L, Pickles A, Simonoff E, Maes H H, Silberg J L, Hewitt J K, Eaves L J
机构信息
Department of Human Genetics, Virginia Commonwealth University, Richmond 23298-0003, USA.
出版信息
J Child Psychol Psychiatry. 2001 Mar;42(3):381-94.
In this report we characterize associations between parental psychiatric disorders and children's psychiatric symptoms and disorders using a population-based sample of 850 twin families. Juvenile twins are aged 8-17 years and are personally interviewed about their current history of DSM-III-R conduct, depression, oppositional-defiant, overanxious, and separation anxiety disorders using the CAPA-C. Mothers and fathers of twins are personally interviewed about their lifetime history of DSM-III-R alcoholism, antisocial personality disorder, generalized anxiety disorder, major depression, panic disorder/agoraphobia, social phobia, and simple phobia using a modified version of the SCID and the DIS. Generalized least squares and logistic regression are used to identify the juvenile symptoms and disorders that are significantly associated with parental psychiatric histories. The specificity of these associations is subsequently explored in a subset of families with maternal plus parental psychiatric histories with a prevalence > 1%. Parental depression that is not comorbid or associated with a different spousal disorder is associated with a significantly elevated level of depression and overanxious disorder symptoms and a significantly increased risk for overanxious disorder. Risks are higher for both symptomatic domains in association with maternal than paternal depression, and highest in association with maternal plus paternal depression. Risks for otherjuvenile symptoms and disorders index the comorbid and spousal histories with which parental depression is commonly associated. Paternal alcoholism that is not comorbid or associated with a maternal disorder is not significantly associated with current psychiatric symptoms or disorders in offspring. Risks for oppositional-defiant or conduct symptoms/disorders in the offspring of alcoholic parents index parental comorbidity and/or other spousal histories.
在本报告中,我们使用一个基于人群的850对双胞胎家庭样本,描述了父母精神障碍与儿童精神症状及障碍之间的关联。青少年双胞胎年龄在8至17岁之间,使用儿童及青少年精神病学评估访谈表(CAPA-C)就其当前的DSM-III-R品行、抑郁、对立违抗、过度焦虑和分离焦虑障碍病史接受个人访谈。双胞胎的母亲和父亲使用经过修改的《精神疾病诊断与统计手册》第三版修订本(SCID)和《诊断性访谈表》(DIS),就其DSM-III-R酒精中毒、反社会人格障碍、广泛性焦虑障碍、重度抑郁症、惊恐障碍/广场恐惧症、社交恐惧症和单纯恐惧症的终生病史接受个人访谈。使用广义最小二乘法和逻辑回归来确定与父母精神病史显著相关的青少年症状及障碍。随后,在母亲和父母精神病史患病率>1%的家庭子集中探讨这些关联的特异性。未合并或与不同配偶障碍相关的父母抑郁与抑郁和过度焦虑障碍症状水平显著升高以及过度焦虑障碍风险显著增加相关。与母亲抑郁相比,与父亲抑郁相关的两个症状领域的风险更高,与母亲加父亲抑郁相关的风险最高。其他青少年症状及障碍的风险反映了父母抑郁通常与之相关的合并症和配偶病史。与母亲障碍未合并或相关的父亲酒精中毒与后代当前的精神症状或障碍无显著关联。酗酒父母后代的对立违抗或品行症状/障碍风险反映了父母的合并症和/或其他配偶病史。