Age-of-onset and genetic transmission in affective disorders

Acta Psychiatr Scand. 1981 Nov;64(5):373-80. doi: 10.1111/j.1600-0447.1981.tb00796.x.

Abstract

Age-of-onset data were gathered on first-degree relatives of 252 probands with bipolar and unipolar affective disorders. Early onset probands (younger than 40 at onset) had more early onset relatives and a greater risk for affective disorder among their relatives than late onset probands (40 or older). This indicates that age-of-onset is a familial factor correlated with the liability to affective illness. Multiple threshold models of inheritance were applied to the data using age-of-onset as a liability-threshold determinant. The hypothesis of autosomal single-major locus was ruled out. Multifactorial-polygenic inheritance provided a better fit to the data. The data suggest that early and late onset affective disorders can be placed at different thresholds on a genetic environmental continuum and that the early onset form is more deviant genetically than the late onset type. The implications for genetic research in affective disorder are discussed.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Affective Disorders, Psychotic / genetics*
  • Age Factors
  • Female
  • Gene Frequency
  • Humans
  • Male
  • Models, Genetic