瑞典家庭中精神分裂症和双相情感障碍的共同遗传决定因素:基于人口的研究
Paul Lichtenstein1, Benjamin H Yip, Camilla Björk
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Lancet (London, England)
|January 20, 2009
概括
精神分裂症和双相情感障碍有共同的遗传因素,这挑战了它们的独特分类. 这项研究强调了这些精神疾病的共同遗传原因,表明需要重新评估.
科学领域:
- 精神病学是一种精神病学.
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 精神分裂症和双相情感障碍被认为是离散或共享的临床结果.
- 了解它们的遗传和环境贡献至关重要.
研究的目的:
- 评估遗传和环境对精神分裂症,双相情感障碍及其并发症的责任的贡献.
- 调查这些疾病之间共同的致病过程.
主要方法:
- 使用瑞典多代和医院出院登记册 (1973-2004).
- 分析了200万个核家族中的9,009,202个个体.
- 采用多变量通用线性混合模型来评估遗传和环境贡献.
主要成果:
- 一级亲属显示两种疾病的风险增加.
- 对精神分裂症的遗传率估计为64%,对双相情感障碍的遗传率为59%.
- 伴随性疾病主要是由共同的附加遗传效应 (63%) 驱动的.
结论:
- 精神分裂症和双相情感障碍有共同的遗传原因,类似于分子遗传发现.
- 结果挑战了这些疾病目前的鼻科分离.
- 这些发现支持重新评估精神分裂症和双相情感障碍,可能是相关实体.
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