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Open Access Research article

Psychosis among "healthy" siblings of schizophrenia patients

Ritva Arajärvi1*, Jonna Ukkola1, Jari Haukka1, Jaana Suvisaari1, Jukka Hintikka3, Timo Partonen1 and Jouko Lönnqvist12

Author affiliations

1 Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland

2 Department of Psychiatry, Helsinki University Hospital, Helsinki, Finland

3 Päijät-Häme Central Hospital, Lahti, Finland and University of Tampere, Tampere, Finland

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Citation and License

BMC Psychiatry 2006, 6:6  doi:10.1186/1471-244X-6-6

Published: 31 January 2006

Abstract

Background

Schizophrenia aggregates in families and accurate diagnoses are essential for genetic studies of schizophrenia. In this study, we investigated whether siblings of patients with schizophrenia can be identified as free of any psychotic disorder using only register information. We also analyzed the emergence of psychotic disorders among siblings of patients with schizophrenia during seven to eleven years of follow-up.

Methods

A genetically homogenous population isolate in north-eastern Finland having 365 families with 446 patients with a diagnosis of schizophrenia was initially identified in 1991 using four nationwide registers. Between 1998 and 2002, 124 patients and 183 siblings in 110 families were contacted and interviewed using SCID-I, SCID-II and SANS. We also compared the frequency of mental disorders between siblings and a random population comparison group sample.

Results

Thirty (16%) siblings received a diagnosis of psychotic disorder in the interview. 14 siblings had had psychotic symptoms already before 1991, while 16 developed psychotic symptoms during the follow-up. Over half of the siblings (n = 99, 54%) had a lifetime diagnosis of any mental disorder in the interview.

Conclusion

Register information cannot be used to exclude psychotic disorders among siblings of patients with schizophrenia. The high rate of emergence of new psychotic disorders among initially healthy siblings should be taken into account in genetic analysis.