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aim
To investigate the potential genetic nature of Major Depressive Disorder (MDD)
method (3)
longitudinal family study (over 20 years)
Interviews
Researcher triangulation
participants
sample of 161 grandchildren, their parents and grandparents
Original sample (6)
Looked at families with high and low risk for depression
Original sample of parents (the now grandparent) included 2 groups:
Depressed grandparents - patients selected from an outpatient clinic that specialized in mood disorders
Non-depressed grandparents - selected from the same local community
The original sample of parents and their children was interviewed 4 times during this period
These children, now parents, have children, allowing the 3rd generation to be studied
data collection
data collected from clinicians, blind to past diagnosis of depression or data collected in previous interviews
researcher triangulation→ evaluated by 2 experienced clinicians: a child psychiatrist and psychologist
(RESULTS) inter-rater reliability for major depressive disorder (MDD)
0.82
(RESULTS) inter-rater reliability for anxiety disorders
0.65
(RESULTS) inter-rater reliability for alcohol dependency
0.94
(RESULTS) Grandchildren with 2 Generations of MDD (3)
had high rates of psychiatric disorders
By 12, 59.2% of the grand children were already showing signs of a psychiatric disorder (most commonly anxiety disorders)
increased risk of any disorder
(RESULTS) General findings (2)
Severity of the parent’s depression correlated with an increased rate of mood disorders in the children
No significant effect of parental depression on the grandchildren, if there was no history of depression in the grandparents
conclusion (2)
Suggests that Major Depressive Disorder (MDD) may have a genetic component
Indicates that the severity and family history of depression play a key role in a child’s mental health risk