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Ajay Risal1, Hema Tharoor2

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Birth order may influence psychopathology, but depression and alcohol dependence are common in adults regardless of sibling position. Dissociative disorders were more prevalent in first-born children in the child psychiatry group.

Keywords:
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Area of Science:

  • Psychiatry
  • Developmental Psychology
  • Behavioral Science

Background:

  • Sibling ranking (birth order) is linked to intellectual functioning, personality, behavior, and psychopathology.
  • Understanding these associations is crucial for comprehensive psychiatric care.

Purpose of the Study:

  • To investigate the relationship between birth order and the development of psychopathology.
  • To analyze psychiatric diagnoses in relation to birth order among patients in a teaching hospital's psychiatry services.

Main Methods:

  • A hospital-based, cross-sectional study utilizing retrospective file review.
  • Compared patient variables (age of onset, birth order, family type, family history) with psychiatric diagnoses (ICD-10).
  • Statistical analysis included descriptive statistics and one-way ANOVA using SPSS 13.

Main Results:

  • Adult general psychiatry patients (n=527) had a mean age of onset of 33.01 years; child cases (n=47) at 11.68 years; substance abuse cases (n=110) at 26.74 years.
  • Depression, anxiety, and somatoform disorders were common in adult patients irrespective of birth order.
  • Dissociative disorders were most prevalent in first-born children (36.7%) among child cases, while alcohol dependence was the maximum diagnosis across all birth orders in substance abuse cases.

Conclusions:

  • Depression and alcohol dependence are the most frequent diagnoses in adult psychiatric patients, independent of their birth order.
  • Specific birth orders may correlate with certain diagnoses, such as dissociative disorders in first-born children.