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精神分裂症韩国家庭中精神病理维度的遗传力和家族性。

Heritability and familiality of psychopathologic dimensions in Korean families with schizophrenia.

机构信息

Department of Psychiatry, Pusan National University Hospital, Busan, Korea.

Medical Research Institute, Pusan National University Hospital, Busan, Korea.

出版信息

Psychiatry Clin Neurosci. 2019 Mar;73(3):126-131. doi: 10.1111/pcn.12817. Epub 2019 Feb 2.

Abstract

AIM

Categorical syndromes such as schizophrenia could be a combination of many continuous mental structure phenotypes including several personality development/degeneration dimensions. This study investigated the heritability and familiality of symptom check list (SCL) psychopathologic dimensions in Korean schizophrenia linkage disequilibrium families.

METHOD

We recruited 204 probands (with schizophrenia) with their parents and siblings whenever possible. We used the SCL questionnaire to measure psychopathologic dimensions. The heritability of symptomatic dimensions in 543 family members was estimated using Sequential Oligogenic Linkage Analysis Routines (SOLAR). Psychopathologic dimensions in the 543 family members were compared with those in 307 healthy unrelated controls to measure familiality on using analysis of variance (ANOVA) analysis.

RESULTS

Five of the nine SCL variables were significantly heritable and were included in the subsequent analyses. The three groups (control, unaffected first-degree relative, schizophrenia patient) were found to be significantly different with regard to the expected order of average group scores for all heritable dimensions.

CONCLUSION

Aberrations in several symptomatic dimensions could contribute to the complexity of schizophrenia syndrome as a result of genetic-environment coaction or interaction in spite of some limitations (recruited family, phenotyping).

摘要

目的

精神分裂症等类别综合征可能是多种连续精神结构表型的组合,包括几个人格发展/退化维度。本研究调查了韩国精神分裂症连锁不平衡家系中症状清单(SCL)精神病理学维度的遗传性和家族性。

方法

我们招募了 204 名先证者(患有精神分裂症)及其父母和兄弟姐妹(如有可能)。我们使用 SCL 问卷来测量精神病理学维度。使用顺序寡基因连锁分析程序(SOLAR)估计 543 名家庭成员中症状维度的遗传性。使用方差分析(ANOVA)分析比较 543 名家庭成员和 307 名健康无关对照者的精神病理学维度,以衡量家族性。

结果

9 个 SCL 变量中的 5 个具有显著遗传性,并纳入了后续分析。三组(对照组、未受影响的一级亲属、精神分裂症患者)在所有可遗传性维度的平均组分数预期顺序方面存在显著差异。

结论

尽管存在一些局限性(招募的家庭、表型),但由于遗传-环境的共同作用或相互作用,几个症状维度的异常可能导致精神分裂症综合征的复杂性。

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