Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-13T02:29:28.424Z Has data issue: false hasContentIssue false

Schizotypal and affective traits in the offspring of antenatally depressed mothers – Relationship to family history of psychosis in the Northern Finland 1966 Birth Cohort

Published online by Cambridge University Press:  23 March 2020

T. Taka-Eilola (née Riekki)*
Affiliation:
Department of Psychiatry, Research Unit of Clinical Neuroscience, University of Oulu, Finland
J. Miettunen
Affiliation:
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland Center for Life Course Health Research, University of Oulu, Finland
P. Mäki
Affiliation:
Department of Psychiatry, Research Unit of Clinical Neuroscience, University of Oulu, Finland Department of Psychiatry, Oulu University Hospital, Finland Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland Department of Psychiatry, Länsi-Pohja Healthcare District, Finland Department of Psychiatry, the Middle Ostrobothnia Central Hospital, Soite, Finland Mental Health Services, Joint Municipal Authority of Wellbeing in Raahe District, Finland Mental Health Services, Basic Health Care District of Kallio and Oulaskangas-Visala Hospital, the Northern Ostrobothnia Hospital District, Finland
*
*Corresponding author at: Department of Psychiatry, Research Unit of Clinical Neuroscience, University of Oulu, P.O. Box 5000, FIN-90014 University of Oulu, Finland. Tel.: +358 41 4364184. E-mail address:tiinarie@mail.student.oulu.fi (T. Taka-Eilola (née Riekki)).
Get access

Abstract

Background

Maternal depression is relatively common during pregnancy. However, follow-ups of the adult offspring of antenatally depressed mothers are scarce. Previously we found the risk of schizophrenia to be higher in the adult offspring with antenatally depressed mothers and parents with psychosis than in subjects with only one or neither of these risk factors. The aim was to study whether the risk of schizotypal or affective traits differ among adult offspring with antenatally depressed mothers with or without a parental history of psychosis when compared with offspring without antenatally depressed mothers and without parental psychosis.

Methods

In the general population-based Northern Finland 1966 Birth Cohort (NFBC 1966), the mothers of the cohort members were asked at mid-gestation whether they felt depressed. Parental psychosis (Familial Risk, FR) was detected using the Finnish Care Register for Health Care. In the 31-year field study, seven psychometric questionnaires surveyed schizotypal and affective traits in the offspring. The final sample included 4928 individuals (2203 males).

Results

There were no statistically significant differences in mean scores on the schizotypal and affective scales between offspring with and without antenatally depressed mothers, or between subjects with and without parental psychosis. The scores were not highest in the subjects with both maternal antenatal depressed mood and FR.

Conclusion

Surprisingly, maternal depressed mood during pregnancy was unlikely to increase the risk of schizotypy or affective traits in adult offspring, and not even with parental psychosis (FR) in this general population-based birth cohort with about 5000 subjects.

Type
Original article
Copyright
Copyright © European Psychiatric Association 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rasic, D., Hajek, T., Alda, M., Uher, R.Risk of mental illness in offspring of parents with schizophrenia, bipolar disorder, and major depressive disorder: a meta-analysis of family high-risk studies. Schizophr Bull 2014;40:2838.CrossRefGoogle ScholarPubMed
Chapman, L.J., Chapman, J.P., Raulin, M.L.Scales for physical and social anhedonia. J Abnorm Psychol 1976;85:374382.CrossRefGoogle ScholarPubMed
Meehl, P.E.Schizotaxia, schizotypy, schizophrenia. Am Psychol 1962;17:827838.CrossRefGoogle Scholar
Lenzenweger, M.L.Schizotaxia, schizotypy, and schizophrenia: Paul E. Meehl's blueprint for the experimental psychopathology and genetics of schizophrenia. J Abnorm Psychol 2006;115:195200.CrossRefGoogle Scholar
Grant, P., Judith, L.M.A., Kuepper, Y., Wielpuetz, C., Hennig, J.Additive genetic effects for schizotypy support a fully-dimensional model of psychosis-proneness. J Ind Diff 2015;36:8792.CrossRefGoogle Scholar
Mason, O., Startup, M., Halpin, S., Schall, U., Conrad, A., Carr, V.Risk factors for transition to first episode psychosis among individuals with ‘at-risk mental states’. Schizophr Res 2004;71:227237.CrossRefGoogle ScholarPubMed
Salokangas, R.K.R., Dingemans, P., Heinimaa, M., Svirskis, T., Luutonen, S., Hietala, J.et al.Prediction of psychosis in clinical high-risk patients by the Schizotypal Personality Questionnaire. Results of the EPOS project. Eur Psychiatry 2013;28(8):469475.CrossRefGoogle ScholarPubMed
Yung, A.R., McGorry, P.D., McFarlane, C.A., Jackson, H.J., Patton, G.C., Rakkar, A.Monitoring and care of young people at incipient risk of psychosis. Schizophr Bull 1996;22(2):283303.CrossRefGoogle ScholarPubMed
Yung, A.R., Phillips, L.J., Yuen, H.P., McGorry, P.D.Risk factors for psychosis in an ultra high-risk group: psychopathology and clinical features. Schizophr Res 2004;67:131142.CrossRefGoogle Scholar
Thaker, G., Moran, M., Adami, H., Cassady, S.Psychosis proneness scales in schizophrenia spectrum personality disorders: familial vs. nonfamilial samples. Psychiatry Res 1993;46:4757.CrossRefGoogle ScholarPubMed
Laurent, A., Biloa-Tang, M., Bougerol, T., Duly, D., Anchisi, A.-M., Bosson, J.-L.et al.Executive/attentional performance and measures of schizotypy in patients with schizophrenia and in their nonpsychotic first-degree relatives. Schizophr Res 2000;46:269283.CrossRefGoogle ScholarPubMed
Keshavan, M.S., Montrose, D.M., Rajarethinam, R., Diwadkar, V., Prasad, K., Sweeney, J.A.Psychopathology among offspring of parents with schizophrenia: relationship to premorbid impairments. Schizophr Res 2008;103:114120.CrossRefGoogle ScholarPubMed
Raine, A.The SPQ: a scale for the assessment of schizotypal personality based on DSM-III-R criteria. Schizophr Bull 1991;17(4):555564.CrossRefGoogle ScholarPubMed
Bora, E., Veznedaroglu, B.Temperament and character dimensions of the relatives of schizophrenia patients and controls: the relationship between schizotypal features and personality. Eur Psychiatry 2007;22:2731.CrossRefGoogle Scholar
Mechri, A., Gassab, L., Slama, H., Gaha, L., Saoud, M., Krebs, M.O.Neurological soft signs and schizotypal dimensions in unaffected siblings of patients with schizophrenia. Psychiatry Res 2010;175:2226.CrossRefGoogle ScholarPubMed
Bollini, A.M., Compton, M.T., Esterberg, M.L., Rutland, J., Chien, V.H., Walker, E.F.Associations between schizotypal features and indicators of neurological and morphological abnormalities. Schizophr Res 2007;92:3240.CrossRefGoogle ScholarPubMed
Grove, W.M., Lebow, B.S.Familial prevalence and coaggregation of schizotypy indicators: a multitrait family study. J Abnorm Psychol 1991;100:115121.CrossRefGoogle ScholarPubMed
Kendler, K.S., Thacker, L., Walsh, D.Self-report measures of schizotypy as indices of familial vulnerability to schizophrenia. Schizophr Bull 1996;2:511520.CrossRefGoogle Scholar
Fanous, A.H., Neale, M.C., Gardner, C.O., Kendler, K.S.Significant correlation in linkage signals from genome-wide scans of schizophrenia and schizotypy. Mol Psychiatry 2007;12:958965.CrossRefGoogle ScholarPubMed
Docherty, A.R., Sponheim, S.R., Kerns, J.G.Self-reported affective traits and current affective experiences of biological relatives of people with schizophrenia. Schizophr Res 2015;161:340344.CrossRefGoogle ScholarPubMed
Soler, J., Ferentinos, P., Prats, C., Miret, S., Giralt, M., Peralta, V.et al.Familial aggregation of schizotypy in schizophrenia-spectrum disorders and its relation to clinical and neurodevelopmental characteristics. J Psychiatr Res 2017;84:214220.CrossRefGoogle ScholarPubMed
Caspi, A., Moffitt, T.E., Cannon, M., McClay, J., Murray, R., Harrington, H.et al.Moderation of the effect of adolescent-onset cannabis use on adult psychosis by a functional polymorphism in the catechol-O-methyltransferase gene: longitudinal evidence of a gene x environment interaction. Biol Psychiatry 2005;57:11171127.CrossRefGoogle ScholarPubMed
Van Os, J., Rutten, B.P.F., Poulton, R.Gene–environment interactions in schizophrenia: review of epidemiological findings and future directions. Schizophr Bull 2008;34(6):10661082.CrossRefGoogle ScholarPubMed
Kelleher, I., Keeley, H., Corcoran, P., Ramasay, H., Wasserman, C., Carli, V.et al.Childhood trauma and psychosis in a prospective cohort study: cause, effect, and directionality. Am J Psychiatry 2013;170(7):734741.CrossRefGoogle Scholar
van Os, J., Marcelis, M.The ecogenetics of schizophrenia: a review. Schizophr Res 1998;32:127135.CrossRefGoogle ScholarPubMed
Giakoumaki, S.G., Roussos, P., Zouraraki, C., Spanoudakis, E., Mavrikaki, M., Tsapakis, E.M.et al.Sub-optimal parenting is associated with schizotypic and anxiety personality in young adulthood. Eur Psychiatry 2013;29(4):254260.CrossRefGoogle Scholar
Mäki, P., Riekki, T., Miettunen, J., Isohanni, M., Jones, P.B., Murray, G.K.et al.Schizophrenia in the offspring of antenatally depressed mothers in the Northern Finland 1966 Birth Cohort – relationship to family history of psychosis. Am J Psychiatry 2010;167:7077.CrossRefGoogle ScholarPubMed
Freedman, R., Leonard, S., Olincy, A., Kaufmann, C.A., Malaspina, D., Cloninger, C.R.et al.Evidence for the multigenic inheritance of schizophrenia. Am J Med Genetics Part B: Neuropsychiatr Gen 2001;105:794800.CrossRefGoogle ScholarPubMed
Evans, J., Heron, J., Francomb, H., Oke, S., Golding, J.Cohort study of depressed mood during pregnancy and after childbirth. BMJ 2001;323:257260.CrossRefGoogle ScholarPubMed
Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R.et al.Longitudinal study of maternal depressive symptoms and child well-being. J Am Acad Child Adolesc Psychiatry 2001;40:13671374.CrossRefGoogle ScholarPubMed
Stein, A., Pearson, R.M., Goodman, S.H., Rapa, E., Rahman, A., McCallum, R.et al.Effects of perinatal mental disorders on the fetus and child. Lancet 2014;384:18001819.CrossRefGoogle Scholar
Mäki, P., Veijola, J., Joukamaa, M., Isohanni, M., Jokelainen, J., Räsänen, P.Criminality in the offspring of antenatally depressed mothers – a 33 year follow-up of the Northern Finland 1966 Birth Cohort. J Affect Disord 2003;74:273278.CrossRefGoogle ScholarPubMed
Mäki, P., Veijola, J., Rantakallio, P., Jokelainen, J., Jones, P.B., Isohanni, M.Schizophrenia in the offspring of antenatally depressed mothers: a 31-year follow-up of the Northern Finland 1966 Birth Cohort. Schizophr Res 2004;66:7981.CrossRefGoogle ScholarPubMed
Alaräisänen, A., Miettunen, J., Pouta, A., Isohanni, M., Räsänen, P., Mäki, P.Ante- and perinatal circumstances and risk of attempted suicides and suicides in the offspring: the Northern Finland birth cohort 1966 study. Soc Psychiatry Psychiatr Epidemiol 2012;47(11):17831794.CrossRefGoogle ScholarPubMed
Härkönen, J., Kaymakçalan, H., Mäki, P., Taanila, A.Prenatal health, educational attainment, and intergenerational inequality: the Northern Finland Birth Cohort 1966 Study. Demography 2012;49(2):525552.CrossRefGoogle ScholarPubMed
Pelkonen, E.S., Mäki, P.H., Kyllönen, M.A., Miettunen, J.A., Taanila, A.M., Sipilä, K.K.Pain-related symptoms of temporomandibular disorders in the offspring of antenatally depressed mothers and depressed parents: a 31-year follow-up of the Northern Finland Birth Cohort 1966. Eur J Pain 2013;17(7):10481057.CrossRefGoogle ScholarPubMed
Rantakallio, P.Groups at risk in low birth weight infants and perinatal mortality. Acta Paediatr Scand 1969;193:171.Google ScholarPubMed
Haapea, M., Miettunen, J., Läärä, E., Joukamaa, M.I., Järvelin, M.-R., Isohanni, M.et al.Non-participation in a field survey with respect to psychiatric disorders. Scand J Public Health 2008;36:728736.CrossRefGoogle Scholar
Chapman, L.J., Chapman, J.P., Raulin, M.L.Body-image aberration in schizophrenia. J Abnorm Psychol 1979;87:399407.CrossRefGoogle Scholar
Golden, R.R., Meehl, P.E.Detection of the schizoid taxon with MMPI indicators. J Abnorm Psychol 1979;88:217233.CrossRefGoogle ScholarPubMed
Akiskal, H.S., Maser, J.D., Zeller, P., Endicott, J., Coryell, W., Keller, M.et al.Switching from ‘unipolar’ to bipolar II. An 11-year prospective study of clinical and temperamental predictors in 559 patients. Arch Gen Psychiatry 1995;52:114123.CrossRefGoogle ScholarPubMed
Eckblad, M., Chapman, L.J.Development and validation of a scale for hypomanic personality. J Abnorm Psychol 1986;95:214222.CrossRefGoogle ScholarPubMed
Miettunen, J., Veijola, J., Isohanni, M., Paunio, T., Freimer, N., Jääskeläinen, E.et al.Identifying schizophrenia and other psychoses with psychological scales in the general population. J Nerv Ment Dis 2011;199(4):230238.CrossRefGoogle ScholarPubMed
Derogatis, L.R., Lipman, R.S., Covi, L.SCL-90: an outpatient psychiatric rating scale—preliminary report. Psychopharmacol Bull 1973;9:1328.Google ScholarPubMed
Miettunen, J., Veijola, J., Freimer, N., Lichtermann, D., Peltonen, L., Paunio, T.et al.Data on schizotypy and affective scales are gender and education dependent – study in the Northern Finland 1966. Birth Cohort Psychiatry Res 2010;78:408413.CrossRefGoogle Scholar
Veijola, J., Jokelainen, J., Läksy, K., Kantojärvi, L., Kokkonen, P., Järvelin, M.-R.et al.The Hopkins Symptom Checklist-25 in screening DSM-III-R axis-I disorders. Nord J Psychiatry 2003;57:119123.CrossRefGoogle ScholarPubMed
Baryshnikov, I., Suvisaari, J., Aaltonen, K., Koivisto, M., Näätänen, P., Karpov, B.et al.Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders. Eur Psychiatry 2016;33:3744.CrossRefGoogle ScholarPubMed
Cohen, J.A power primer. Psychol Bull 1992;112:155159.CrossRefGoogle ScholarPubMed
Meyer, T.D., Hautzinger, M.Screening for bipolar disorders using the Hypomanic Personality Scale. J Affect Disord 2003;75:149154.CrossRefGoogle ScholarPubMed
Henn, S., Bass, N., Shields, G., Crow, T.J., DeLisi, L.E.Affective illness and schizophrenia in families with multiple schizophrenic members: independent illnesses or variant gene(s)?. Eur Neuropsychopharm 1995;5:3136.CrossRefGoogle ScholarPubMed
Craddock, N., Forty, L.Genetics of affective (mood) disorders. Eur J Hum Genet 2006;14:660668.CrossRefGoogle ScholarPubMed
Morvan, Y., Tibaoui, F., Bourdel, M.C., Loo, H., Akiskal, K.K., Akiskal, H.S.et al.Confirmation of the factorial structure of temperamental autoquestionnaire TEMPS-A in non-clinical young adults and relation to current state of anxiety, depression and to schizotypal traits. J Affect Disord 2011;131:3744.CrossRefGoogle ScholarPubMed
Pawlby, S., Hay, D.F., Sharp, D., Waters, C.S., O’Keane, V.Antenatal depression predicts depression in adolescent offspring: prospective longitudinal community-based study. J Affect Disord 2009;113:236243.CrossRefGoogle ScholarPubMed
Pearson, R.M., Evans, J., Kounal, , Lewis, G, Heron, J, Ramchandani, PG D.et al.Maternal depression during pregnancy and the postnatal period: risks and possible mechanisms for offspring depression at age 18 years. JAMA Psychiatry 2013;70:13121319.CrossRefGoogle ScholarPubMed
Hay, D.F., Pawlby, S., Waters, C.S., Perra, O., Sharp, D.Mother's antenatal depression and their children's antisocial outcomes. Child Dev 2010;81:149165.CrossRefGoogle ScholarPubMed
Korhonen, M., Luoma, I., Salmelin, R., Tamminen, T.A longitudinal study of maternal prenatal, postnatal and concurrent depressive symptoms and adolescent well-being. J Affect Disord 2012;136:680692.CrossRefGoogle ScholarPubMed
Clementz, B.A., Grove, W.M., Katsanis, J., Lacono, W.G.Psychometric detection of schizotypy: perceptual aberration and physical anhedonia in relatives of schizophrenics. J Abnorm Psychol 1991;100:607612.CrossRefGoogle ScholarPubMed
Docherty, A.R., Sponheim, S.R.Anhedonia as a phenotype for the Val158Met COMT polymorphism in relatives of patients with schizophrenia. J Abnorm Psychol 2008;4:788798.CrossRefGoogle Scholar
Shah, J.L., Tandon, N., Howard, E.R., Mermon, D., Miewald, J.M., Montrose, D.M.et al.Pituitary volume and clinical trajectory in young relatives at risk for schizophrenia. Psychol Med 2015;45:28132824.CrossRefGoogle ScholarPubMed
Yaralian, P.S., Raine, A., Lencz, T., Hooley, J.M., Bihrle, S.E., Mills, S.et al.Elevated levels of cognitive-perceptual deficits in individuals with a family history of schizophrenia spectrum disorders. Schizophr Res 2000;46:5763.CrossRefGoogle ScholarPubMed
Katsanis, J., Iacono, W.G.Anhedonia and perceptual aberration in first-episode psychotic patients and their relatives. J Abnorm Psychol 1990;99:202206.CrossRefGoogle ScholarPubMed
Catts, S., Fox, A., Ward, P., McConaghy, N.Schizotypy: phenotypic marker as risk factor. ANZJP 2000;34:101107.CrossRefGoogle ScholarPubMed
Tienari, P., Wynne, L.C., Läksy, K., Moring, J., Nieminen, P., Sorri, A.et al.Genetic boundaries of the schizophrenia spectrum: evidence from the Finnish Adoptive Family Study of Schizophrenia. Am J Psychiatry 2003;160:15871594.CrossRefGoogle ScholarPubMed
Appels, M., Sitskoorn, M., Vollema, M., Kahn, R.Elevated levels of schizotypal features in parents of patients with a family history of schizophrenia spectrum disorders. Schizophr Bull 2004;30:781790.CrossRefGoogle ScholarPubMed
Malm, H., Brown, A.S., Gissler, M., Gyllenberg, D., Hinkka-Yli-Salomäki, S., McKeague, I.W.et al.Gestational exposure to selective serotonin reuptake inhibitors and offspring psychiatric disorders: a national register-based study. J Am Acad Child Adolesc Psychiatry 2016;55(5):359366.CrossRefGoogle ScholarPubMed
Perälä, J., Suvisaari, J., Saarni, , Kuoppasalmi, K, Isometsä, E, Pirkola, S S.I.et al.Lifetime prevalence of psychotic and bipolar I disorders in a general population. Arch Gen Psychiatry 2007;64(1):1928.CrossRefGoogle Scholar
Supplementary material: File

Taka-Eilola et al. supplementary material

Supplementary material

Download Taka-Eilola et al. supplementary material(File)
File 25.6 KB
Submit a response

Comments

No Comments have been published for this article.