McGuffin P, Katz R
Department of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff.
Br J Psychiatry. 1989 Sep;155:294-304. doi: 10.1192/bjp.155.3.294.
Depressive disorders are more common in the relatives of depressed probands than in the population at large, and there is compelling evidence that the familial aggregation of bipolar disorder and severe unipolar depression is at least partly due to genetic factors. However, the evidence concerning 'non-endogenous' depression is less clear, and family environment probably plays a stronger role. Much current research is focused on two areas: firstly, the mode of inheritance of manic-depressive illness, with the use of molecular biological techniques to detect and localise major genes; and secondly, the ways in which familial predisposition and environmental insults combine to produce depressive disorder.
抑郁症在抑郁症先证者的亲属中比在普通人群中更为常见,并且有令人信服的证据表明双相情感障碍和重度单相抑郁症的家族聚集至少部分归因于遗传因素。然而,关于“非内源性”抑郁症的证据尚不明确,家庭环境可能起着更强的作用。目前许多研究集中在两个领域:第一,躁郁症的遗传模式,利用分子生物学技术来检测和定位主要基因;第二,家族易感性和环境损害相结合产生抑郁症的方式。