A meta-analysis of the risk of major affective disorder in relatives of individuals affected by major depressive disorder or bipolar disorder
Open accessAbstract
Background To conduct a meta-analysis to estimate the incidence of major depressive disorder (MDD) and bipolar disorder (BD) in first-degree relatives (FDRs) of probands affected by MDD or BD. The risk for MDD in FDR of BD probands and vice versa is also investigated.Methods A systematic review of case-control and cohort studies, which were published between 1977 and 2012; reported relative risks (RR) or odd ratios (OR) or equivalent raw data; made an explicit distinction between MDD and BD; used operational diagnostic criteria; and reported systematic proband recruitment and ascertainment of relatives. Studies were obtained by electronic MEDLINE and EMBASE searches and hand-searching. Estimates were derived from pooled data using random effects methods.Results Of an initial sample of 241 articles, 22 were eligible for inclusion. For FDRs of one proband with MDD compared to healthy control probands, estimates for MDD were OR=2.14 (95% CI 1.72-2.67), increasing to OR=3.23 (95% CI 2.11-4.94) for two MDD probands. For FDRs of one BD proband compared to healthy control probands, estimates for BD were OR=7.92 (95% CI 2.45-25.61), and OR=6.58 (95% CI 2.64-16.43) for FDRs of two BD probands.Conclusions These findings support previously published data indicating strong familiality for both MDD and BD. Data will be useful in providing individuals with a family history of MDD or BPD with tailored risk estimates.
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Monozygotic twins and first-degree relatives also have an increased likelihood of developing psychotic, bipolar or common mental disorders.
“Monozygotic twins 123-126 and first-degree relatives (depending on the number of probands) 127-130 also have an increased likelihood of developing these disorders.”
From Preventive psychiatry: a blueprint for improving the mental health of young people (2021) · cites this paper as [130]
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Self-citationAge-specific familial risks of depression: A nation-wide epidemiological study from Sweden
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Genes and the Mind: Inheritance of Mental Illness
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Genes and the Mind: Inheritance of Mental Illness
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Preventive psychiatry: a blueprint for improving the mental health of young people
Fusar‐Poli, P., Correll, C. U., Arango, C., Berk, M., Patel, V., & Ioannidis, J. P. A. (2021) · World Psychiatry · doi:10.1002/wps.20869 · Cited by 497 · see citing works
The cortisol awakening response and major depression: examining the evidence
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Risk of schizophrenia in relatives of individuals affected by schizophrenia: A meta-analysis
LE, L., R, K., B, M., & MJ, G. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112852 · Cited by 32 · see citing works
- Authors
- Wilde, A., Chan, H.-N., Rahman, B., Meiser, B., Mitchell, P. B., Schofield, P. R., & Green, M. J.
- Affiliations
- Black Dog Institute (AU)
- UNSW Sydney (AU)
- Corresponding author
- Wilde, A.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 158
- Pages
- 37-47
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1987817077
- Cited by
- 55
- References
- 101
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 10 · 2016: 4 · 2015: 4 · 2014: 2
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- green
- handle.unsw.edu.au
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Funders
- Australian National Health and Medical Research Council (NHMRC) (1037196)
- University of New South Wales
- NHMRC Career Development Award, Level 2 (1003921)
- Future Fellowship (FT0991511)
- Australian Research Council
- NHMRC R.D. Wright Biomedical Research Fellowship
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- major depressive disorder, bipolar disorder, first-degree relatives, familial risk, mood disorders, genetic risk, family history (medicine), relative risk
- MeSH terms
- Bipolar Disorder, Major Depressive Disorder, Family, Humans, Incidence, Risk Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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