Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland
Correspondence: Dr Laura Niemi, Department of Mental Health and Alcohol Research, KTL, National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland. Tel: +358 9 4744 8894; fax: +358 9 4744 8478; e-mail: laura.niemi{at}ktl.fi
Declaration of interest None. Funding detailed in Acknowledgements.
Background The Helsinki High-Risk Study follows up all women born between 1916 and 1948 and treated for schizophrenia-spectrum disorders in psychiatric hospitals in Helsinki, their offspring born between 1960 and 1964, and controls.
Aims To determine the cumulative incidence of adulthood Axis I disorders among offspring.
Method Using all hospital and out-patient treatment records we rediagnosed parents and offspring according to DSMIVTR criteria. Offspring were grouped by mothers diagnosis (schizophrenia n=104, schizoaffective disorder n=20, other schizophrenia-spectrum disorder n=30, and affective disorder n=25) and compared with a control group (n=176). The cumulative incidences of Axis I disorders among offspring were calculated.
Results The cumulative incidences of any psychotic disorder were 13.5%, 10.0%, 10.0%, 4.0% and 1.1% among offspring of mothers with schizophrenia, schizo-affective disorder, other schizophrenia-spectrum disorders, affective disorders and controls, respectively. The corresponding figures for schizophrenia were 6.7%, 5.0%, 6.7%, 0% and 0.6%, and for any mental disorder 23.1%, 20.0%, 20.0%, 12.0% and 6.9%.
Conclusions Offspring of mothers with a psychotic disorder have heightened risk of developing a wide range of severe mental disorders.
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