Kendler K S, Walters E E, Truett K R, Heath A C, Neale M C, Martin N G, Eaves L J
Department of Psychiatry, Medical College of Virginia/Virginia Commonwealth University, Richmond 23298-0710.
Am J Psychiatry. 1994 Nov;151(11):1605-14. doi: 10.1176/ajp.151.11.1605.
Self-reported symptoms of depression are commonly used in mental health research to assess current psychiatric state, yet wide variation in these symptoms among individuals has been found in both clinical and epidemiologic populations. The authors sought to understand, from a genetic-epidemiologic perspective, the sources of individual differences in depressive symptoms.
Self-reported symptoms of depression were assessed in two samples of twins and their spouses, parents, siblings, and offspring: one sample contained volunteer twins recruited through the American Association of Retired Persons and their relatives (N = 19,203 individuals) and the other contained twins from a population-based twin registry in Virginia and their relatives (N = 11,242 individuals). Model fitting by an iterative, diagonal, weighted least squares method was applied to the 80 different family relationships in the extended twin-family design.
Independent analyses of the two samples revealed that the level of depressive symptoms was modestly familial, and familial resemblance could be explained solely by genetic factors and spousal resemblance. The estimated heritability of depressive symptoms was between 30% and 37%. There was no evidence that the liability to depressive symptoms was environmentally transmitted from parents to offspring or was influenced by environmental factors shared either generally among siblings or specifically between twins. With correction for unreliability of measurement, genetic factors accounted for half of the stable variance in depressive symptoms.
Depressive symptoms in adulthood partly reflect enduring characteristics of temperament that are substantially influenced by hereditary factors but little, or not at all, by shared environmental experiences in the family of origin.
在心理健康研究中,自我报告的抑郁症状常用于评估当前的精神状态,但在临床和流行病学人群中均发现个体间这些症状存在很大差异。作者试图从遗传流行病学角度了解抑郁症状个体差异的来源。
在双胞胎及其配偶、父母、兄弟姐妹和后代的两个样本中评估自我报告的抑郁症状:一个样本包含通过美国退休人员协会招募的志愿双胞胎及其亲属(N = 19203人),另一个样本包含来自弗吉尼亚州基于人群的双胞胎登记处的双胞胎及其亲属(N = 11242人)。采用迭代、对角、加权最小二乘法进行模型拟合,应用于扩展双胞胎家庭设计中的80种不同家庭关系。
对两个样本的独立分析表明,抑郁症状水平具有适度的家族性,家族相似性仅可由遗传因素和配偶相似性来解释。抑郁症状的估计遗传度在30%至37%之间。没有证据表明抑郁症状的易感性是从父母向后代环境传递的,也没有受到兄弟姐妹之间普遍共享或双胞胎之间特定共享的环境因素的影响。校正测量的不可靠性后,遗传因素占抑郁症状稳定变异的一半。
成年期的抑郁症状部分反映了气质的持久特征,这些特征受遗传因素影响很大,但受原生家庭共享环境经历的影响很小或根本没有影响。