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aim
The aim was to study the potential genetic nature of psychiatric disorders in grandchildren by their parents’ and grandparents’ depression status.
method (3)
longitudinal family study (over 20 years)
Interviews
Researcher triangulation
participants
sample of 161 grandchildren, their parents and grandparents
original sample
looked at families with high and low risk for depression
original sample of parents (the now grandparent) included 2 groups:
Depressed grandparents, were patients selected from an outpatient clinic that specialized in mood disorders (experimental group)
Non-depressed patients, were selected from the same local community (control group)
original sample of parents and their children were 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)
the severity of the parent’s depression correlated with an increased rate of mood disorders in the children
if a parent was depressed but there was no history of depression in the grandparents
there was no significant effect of parental depression on the grandchildren
conclusion (2)
suggests that Major Depressive Disorder (MDD) may have a genetic component
indicates that the severity and family history of depression plays a key role in a child’s mental health risk