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Predictive value of family history on severity of illness: the case for depression, anxiety, alcohol dependence, and drug dependence.
Arch Gen Psychiatry. 2009 Jul; 66(7):738-47.AG

Abstract

CONTEXT

If family history is associated with clinical features that are thought to index seriousness of disorder, this could inform clinicians predicting patients' prognosis and researchers selecting cases for genetic studies. Although tests of associations between family history and clinical features are numerous for depression, such tests are relatively lacking for other disorders.

OBJECTIVE

To test the hypothesis that family history is associated with 4 clinical indexes of disorder (recurrence, impairment, service use, and age at onset) in relation to 4 psychiatric disorders (major depressive episode, anxiety disorder, alcohol dependence, and drug dependence).

DESIGN

Prospective longitudinal cohort study.

SETTING

New Zealand.

PARTICIPANTS

A total of 981 members of the 1972 to 1973 Dunedin Study birth cohort (96% retention).

MAIN OUTCOME MEASURES

For each disorder, family history scores were calculated as the proportion of affected family members from data on 3 generations of the participants' families. Data collected prospectively at the study's repeated assessments (ages 11-32 years) were used to assess recurrence, impairment, and age at onset; data collected by means of a life history calendar at age 32 years were used to assess service use.

RESULTS

Family history was associated with the presence of all 4 disorder types. In addition, family history was associated with a more recurrent course for all 4 disorders (but not significantly for women with depression), worse impairment, and greater service use. Family history was not associated with younger age at onset for any disorder.

CONCLUSIONS

Associations between family history of a disorder and clinical features of that disorder in probands showed consistent direction of effects across depression, anxiety disorder, alcohol dependence, and drug dependence. For these disorder types, family history is useful for determining patients' clinical prognosis and for selecting cases for genetic studies.

Authors+Show Affiliations

Growing Up in New Zealand, University of Auckland, Tamaki Campus, Auckland, New Zealand. b.milne@auckland.ac.nzNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19581565

Citation

Milne, Barry J., et al. "Predictive Value of Family History On Severity of Illness: the Case for Depression, Anxiety, Alcohol Dependence, and Drug Dependence." Archives of General Psychiatry, vol. 66, no. 7, 2009, pp. 738-47.
Milne BJ, Caspi A, Harrington H, et al. Predictive value of family history on severity of illness: the case for depression, anxiety, alcohol dependence, and drug dependence. Arch Gen Psychiatry. 2009;66(7):738-47.
Milne, B. J., Caspi, A., Harrington, H., Poulton, R., Rutter, M., & Moffitt, T. E. (2009). Predictive value of family history on severity of illness: the case for depression, anxiety, alcohol dependence, and drug dependence. Archives of General Psychiatry, 66(7), 738-47. https://doi.org/10.1001/archgenpsychiatry.2009.55
Milne BJ, et al. Predictive Value of Family History On Severity of Illness: the Case for Depression, Anxiety, Alcohol Dependence, and Drug Dependence. Arch Gen Psychiatry. 2009;66(7):738-47. PubMed PMID: 19581565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictive value of family history on severity of illness: the case for depression, anxiety, alcohol dependence, and drug dependence. AU - Milne,Barry J, AU - Caspi,Avshalom, AU - Harrington,HonaLee, AU - Poulton,Richie, AU - Rutter,Michael, AU - Moffitt,Terrie E, PY - 2009/7/8/entrez PY - 2009/7/8/pubmed PY - 2009/7/21/medline SP - 738 EP - 47 JF - Archives of general psychiatry JO - Arch Gen Psychiatry VL - 66 IS - 7 N2 - CONTEXT: If family history is associated with clinical features that are thought to index seriousness of disorder, this could inform clinicians predicting patients' prognosis and researchers selecting cases for genetic studies. Although tests of associations between family history and clinical features are numerous for depression, such tests are relatively lacking for other disorders. OBJECTIVE: To test the hypothesis that family history is associated with 4 clinical indexes of disorder (recurrence, impairment, service use, and age at onset) in relation to 4 psychiatric disorders (major depressive episode, anxiety disorder, alcohol dependence, and drug dependence). DESIGN: Prospective longitudinal cohort study. SETTING: New Zealand. PARTICIPANTS: A total of 981 members of the 1972 to 1973 Dunedin Study birth cohort (96% retention). MAIN OUTCOME MEASURES: For each disorder, family history scores were calculated as the proportion of affected family members from data on 3 generations of the participants' families. Data collected prospectively at the study's repeated assessments (ages 11-32 years) were used to assess recurrence, impairment, and age at onset; data collected by means of a life history calendar at age 32 years were used to assess service use. RESULTS: Family history was associated with the presence of all 4 disorder types. In addition, family history was associated with a more recurrent course for all 4 disorders (but not significantly for women with depression), worse impairment, and greater service use. Family history was not associated with younger age at onset for any disorder. CONCLUSIONS: Associations between family history of a disorder and clinical features of that disorder in probands showed consistent direction of effects across depression, anxiety disorder, alcohol dependence, and drug dependence. For these disorder types, family history is useful for determining patients' clinical prognosis and for selecting cases for genetic studies. SN - 1538-3636 UR - https://www.unboundmedicine.com/medline/citation/19581565/Predictive_value_of_family_history_on_severity_of_illness:_the_case_for_depression_anxiety_alcohol_dependence_and_drug_dependence_ L2 - https://jamanetwork.com/journals/jamapsychiatry/fullarticle/10.1001/archgenpsychiatry.2009.55 DB - PRIME DP - Unbound Medicine ER -