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The Finnish Adoptive Family Study of Schizophrenia: differences in somatic diseases and conditions between adoptees with high or low genetic risk for schizophrenia spectrum disorders.
Karjalainen, Emma; Niemelä, Mika; Hakko, Helinä; Wahlberg, Karl-Erik; Räsänen, Sami.
Afiliación
  • Karjalainen E; Research Unit of Clinical Medicine, Psychiatry, University of Oulu, Oulu, Finland.
  • Niemelä M; Research Unit of Clinical Medicine, Psychiatry, University of Oulu, Oulu, Finland.
  • Hakko H; Research Unit of Population Health, University of Oulu, Oulu, Finland.
  • Wahlberg KE; Research Unit of Population Health, University of Oulu, Oulu, Finland.
  • Räsänen S; Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
Nord J Psychiatry ; 78(4): 312-318, 2024 May.
Article en En | MEDLINE | ID: mdl-38456792
ABSTRACT
BACKGROUND AND

AIMS:

There is some evidence that offspring of patients with schizophrenia have higher somatic morbidity, which is thought to be partially due to genetic links between somatic disorders and schizophrenia. This study explored differences in somatic diseases and conditions of adoptees with high genetic risk (HR) or low genetic risk (LR) for schizophrenia spectrum disorders. MATERIAL AND

METHODS:

The study is part of the Finnish Adoptive Family Study of Schizophrenia. The adoptive research design used made it possible to examine how the somatic health of adoptees raised in similar adoptive families, is affected by their genetic susceptibility to schizophrenia. The study sample consisted of 373 adoptees, of whom 190 had HR and 183 had LR for schizophrenia spectrum disorders. Data on somatic morbidity were gathered from the hospital records and from the national registers of the Care Register of Health Care and the Social Insurance Institution.

RESULTS:

The only statistically significant difference found was in genitourinary diseases, the likelihood being twofold higher in HR adoptees compared to LR adoptees (16.8% vs. 8.2%; adj. OR = 2.13, 95% CI 1.06-4.25, p = .033). Adoptees who were female and aged over 40 had a higher prevalence of genitourinary illnesses than non-adoptees.

CONCLUSION:

The significant prevalence of genitourinary diseases in adoptees at risk for schizophrenia spectrum disorders suggests that some specific somatic diseases and schizophrenia may have a shared hereditary etiology. More research is required for specific somatic diseases in study populations that can differentiate between the effects of genetic and environmental factors.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Adopción / Predisposición Genética a la Enfermedad Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Nord J Psychiatry Asunto de la revista: PSICOFARMACOLOGIA / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Adopción / Predisposición Genética a la Enfermedad Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Nord J Psychiatry Asunto de la revista: PSICOFARMACOLOGIA / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Reino Unido