Offspring of two psychiatric patients have increased risk of developing mental disorders

Mar 01, 2010

Offspring of two parents with schizophrenia or bipolar disorder appear more likely to develop the same illness or another psychiatric condition than those with only one parent with psychiatric illness, according to a report in the March issue of Archives of General Psychiatry.

The offspring of two parents with represent an extremely high-risk group, according to background information in the article. Studying these children permits researchers to assess the risk associated with two sources of to mental disorders. "Such risks will be of use to genetic counselors to inform personal decisions with regard to marriage, family formation, adoption and health insurance planning," the authors write.

Irving I. Gottesman, Ph.D., Hon.F.R.C.Psych., of the University of Minnesota Medical School, Minneapolis, and colleagues studied a population-based cohort of 2.7 million individuals born in Denmark. The researchers matched records in a general registry of the population with a database of psychiatric admissions. They identified individuals whose parents had both been admitted to psychiatric facilities for schizophrenia and bipolar disorder, and compared the rate of psychiatric admissions for these individuals to those of offspring with one or no parents admitted to psychiatric facilities.

Rates of schizophrenia were highest among offspring of two parents with schizophrenia. Of the 196 couples who both had schizophrenia, 27.3 percent of their 270 children were admitted to a psychiatric facility, increasing to 39.2 percent when schizophrenia-related disorders were included. This compared with a rate of 7 percent among 13,878 offspring of 8,006 couples in which one parent had schizophrenia and 0.86 percent in 2.2 million offspring of 1 million couples in which neither parent was admitted for schizophrenia.

Similarly, the risk of bipolar disorder was 24.9 percent in 146 offspring of 83 parent couples who were both admitted for bipolar disorder (increasing to 36 percent when unipolar depressive disorder was also included). This compared to a risk of 4.4 percent among 23,152 of 11,995 couples with only one parent ever admitted for bipolar disorder and 0.48 percent in 2.2 million children of 1 million couples with neither parent ever admitted.

When one parent had bipolar disorder and the other had schizophrenia, had a 15.6 percent risk of and an 11.7 percent risk of .

The risks in this population "are of such a magnitude that they command clinical and national public health attention in countries with health care roughly similar to Denmark's," the authors write.

"It is important to keep in mind that the yields from genetic epidemiology and the strategies implemented are applicable to groups of people, not to the individuals themselves," they conclude. "However, by joining advances in molecular genetics that are adapted for use in epidemiological genetic screening, our kinds of data with the risk groups described might lead to a large and rapid step forward in the understanding of the etiologies of major mental disorders."

Explore further: Mothers don't speak so clearly to their babies

More information: Arch Gen Psychiatry. 2010;67[3]:252-257.

add to favorites email to friend print save as pdf

Related Stories

Mental disorders in parents linked to autism in children

May 05, 2008

Parents of children with autism were roughly twice as likely to have been hospitalized for a mental disorder, such as schizophrenia, than parents of other children, according to an analysis of Swedish birth and hospital records ...

Recommended for you

Mothers don't speak so clearly to their babies

Jan 23, 2015

People have a distinctive way of talking to babies and small children: We speak more slowly, using a sing-song voice, and tend to use cutesy words like "tummy". While we might be inclined to think that we ...

Explainer: What is sexual fluidity?

Jan 23, 2015

Sexual preferences are not set in stone and can change over time, often depending on the immediate situation the individual is in. This has been described as sexual fluidity. For example, if someone identifies as heterosexual but th ...

Lucky charms: When are superstitions used most?

Jan 23, 2015

It might be a lucky pair of socks, or a piece of jewelry; whatever the item, many people turn to a superstition or lucky charm to help achieve a goal. For instance, you used a specific avatar to win a game and now you see ...

Low-income boys fare worse in wealth's shadow

Jan 22, 2015

Low-income boys fare worse, not better, when they grow up alongside more affluent neighbors, according to new findings from Duke University. In fact, the greater the economic gap between the boys and their neighbors, the ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.