Children
of mothers with schizophrenia are significantly more likely to develop
mental illness by young adulthood
Maternal schizophrenia
is associated with increased risk for mental illness in their adolescent
and young adult children, according to an article in the May issue
of The Archives of General Psychiatry. According
to information in the article, the lifetime risk of developing schizophrenia
is approximately 1 percent in the general population, but the risk
is 10 to 15 percent in children with an affected parent.
Erland W. Schubert, M.D., and Thomas F. McNeil,
Ph.D., followed 166 adult children in the Swedish High-Risk Project,
a study of children of women with schizophrenic, schizoaffective,
and affective disorders with no history of psychosis. The children
and their environments were studied before they were born and again
during childhood. The current report gives information from follow-up
of these children at 22 years of age.
The researchers found that compared with children
whose mothers had no signs of schizophrenia or schizoaffective disorders
(91 children), the children of mothers with schizophrenia (28 children)
showed a significantly increased frequency of Axis I (clinical disorders
like anxiety disorder, depression, schizophrenia) and Axis II disorders
(personality disorders such as anti-social disorder or histrionic
personality disorder), poor global functioning, high Symptom Checklist-90
scores (a checklist of psychological symptoms), and a history of
mental health care and psychopharmacologic medication use.
Children of mothers with affective disorders
(22 children) showed high Symptom Checklist-90 scores, more frequent
poor functioning, and receipt of mental health care with a significant
increase in Axis I depressive disorders. There was no increase in
Axis II disorders in this group.
The authors noted, "A high rate
of accumulated signs of mental disturbance, defined according to
our a priori model, was especially abundant among [children of mothers
with schizophrenia]: 89 percent of these offspring had 1 or more
signs of mental disturbance. Our results confirm that maternal psychosis,
and definitely schizophrenia, plays an important role in the mental
health of offspring in young adulthood."
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