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青少年期抑郁症状与反社会行为的共现:共同的遗传易感性。

Co-occurrence of depressive symptoms and antisocial behavior in adolescence: a common genetic liability.

作者信息

O'Connor T G, McGuire S, Reiss D, Hetherington E M, Plomin R

机构信息

Genetic and Developmental Psychiatry Research Center, Institute of Psychiatry, London, England.

出版信息

J Abnorm Psychol. 1998 Feb;107(1):27-37. doi: 10.1037//0021-843x.107.1.27.

Abstract

Recent reviews of research on child and adolescent psychopathology have highlighted the consistently high rates of co-occurring dimensions of psychopathology, particularly between internalizing and externalizing disorders, and have suggested that further research examining the causes of co-occurring syndromes is needed. The authors examined this question in a national sample of 720 same-sex adolescent siblings between 10 and 18 years of age consisting of monozygotic and dizygotic twins, full siblings, half siblings, and unrelated siblings. Composite measures of adolescent and parent reports and observational measures of depressive symptoms and antisocial behavior were subjected to behavioral genetic models that examine the genetic and environmental influences on individual differences in each dimension as well as in the co-occurrence between dimensions. Results indicated that approximately half of the variability in depressive symptoms and antisocial behavior is attributed to genetic factors; shared and nonshared environmental influences were also significant. The co-occurrence of depressive and antisocial symptoms was explained by genetic and shared and nonshared environmental influences. Specifically, approximately 45% of the observed covariation between depressive and antisocial symptoms could be explained by a common genetic liability. Results are interpreted in light of contribution of genetic studies to debates on child and adolescent psychopathology.

摘要

近期有关儿童和青少年精神病理学的研究综述强调了精神病理学共现维度的持续高发生率,尤其是在内化障碍和外化障碍之间,并表明需要进一步研究共现综合征的成因。作者在一个全国性样本中对这个问题进行了研究,该样本包括720名10至18岁的同性青少年兄弟姐妹,其中有同卵双胞胎、异卵双胞胎、全同胞、半同胞和无血缘关系的兄弟姐妹。对青少年和父母报告的综合测量以及抑郁症状和反社会行为的观察测量进行了行为遗传学模型分析,该模型考察了遗传和环境对每个维度个体差异以及维度之间共现情况的影响。结果表明,抑郁症状和反社会行为中约一半的变异性可归因于遗传因素;共享和非共享环境影响也很显著。抑郁和反社会症状的共现可由遗传、共享和非共享环境影响来解释。具体而言,抑郁和反社会症状之间约45%的观察到的协变可由共同的遗传易感性来解释。根据遗传研究对儿童和青少年精神病理学辩论的贡献对结果进行了解释。

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