Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Acta Psychiatr Scand. 2015 Feb;131(2):111-9. doi: 10.1111/acps.12304. Epub 2014 Jun 25.
To investigate whether persons with bipolar disorder and their siblings have leadership traits and are overrepresented in executive professions.
A nested case-control study based on longitudinal Swedish total population registries. Data from officer suitability interviews (n=1,126,519), and information on occupations were collected. Bipolar patients (n=68,915) and their healthy siblings were compared with controls.
Bipolar patients without comorbidity (pure; n=22,980) were overrepresented in both the highest and lowest strata of officer suitability; their healthy siblings in the highest strata only. Patients with pure bipolar disorder were underrepresented in executive professions, whereas their siblings were overrepresented in these professions (particularly political professions). Patients with general bipolar disorder (including those with comorbidities) and their healthy siblings were overrepresented only in the lowest strata of officer suitability ratings. General bipolar patients were underrepresented in executive professions, whereas their siblings had similar rates of executive professions as controls. Adjusting results for IQ slightly attenuated point estimates, but resulted in pure bipolar patients and their siblings no longer being significantly overrepresented in superior strata of officer suitability, and siblings no longer being overrepresented in executive professions.
Results support that traits associated with bipolar disorder are linked to superior leadership qualities.
探讨双相情感障碍患者及其兄弟姐妹是否具有领导特质,是否在高管职业中人数过多。
基于纵向瑞典全人群登记处的嵌套病例对照研究。收集了军官适任面试的数据(n=1,126,519)和职业信息。将双相情感障碍患者(n=68,915)及其健康兄弟姐妹与对照组进行比较。
无共病的双相情感障碍患者(单纯型;n=22,980)在军官适任的最高和最低两个层次上均过多;而其健康的兄弟姐妹仅在最高层次上过多。单纯型双相情感障碍患者在高管职业中的人数较少,而其兄弟姐妹在这些职业中的人数较多(特别是政治职业)。一般双相情感障碍患者(包括共病患者)及其健康兄弟姐妹仅在军官适任评分的最低层次上过多。一般双相情感障碍患者在高管职业中的人数较少,而其兄弟姐妹在高管职业中的比例与对照组相似。调整智商结果略微减弱了点估计值,但导致单纯型双相情感障碍患者及其兄弟姐妹不再显著过多地出现在军官适任的较高层次,兄弟姐妹也不再过多地出现在高管职业中。
结果支持与双相情感障碍相关的特征与卓越的领导素质有关。