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Familial liability to psychosis is a risk factor for multimorbidity in people with psychotic disorders and their unaffected siblings

Islam, M. A., Khan, M. F. H., Quee, P. J., Snieder, H., van den Heuvel, E. R., Bruggeman, R., Alizadeh, B. Z., Bartels-Velthuis, A. A., van Beveren, N. J., Cahn, W., de Haan, L., Delespaul, P., Meijer, C. J., Myin-Germeys, I., Kahn, R. S., Schirmbeck, F., Simons, C. J. P., van Haren, N. E., van Os, J., van Winkel, R. & GROUP Investigators Sep-2017 In : European Psychiatry. 45, p. 81-89 9 p.

Research output: Scientific - peer-reviewArticle

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  • Familial liability to psychosis is a risk factor for multimorbidity in people with psychotic disorders and their unaffected siblings

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DOI

Background: Multimorbidity may impose an overwhelming burden on patients with psychosis and is affected by gender and age. Our aim is to study the independent role of familial liability to psychosis as a risk factor for multimorbidity.

Methods: We performed the study within the framework of the Genetic Risk and Outcome of Psychosis (GROUP) project. Overall, we compared 1024 psychotic patients, 994 unaffected siblings and 566 controls on the prevalence of 125 lifetime diseases, and 19 self-reported somatic complaints. Multimorbidity was defined as the presence of two or more complaints/diseases in the same individual. Generalized linear mixed model (GLMM) were used to investigate the effects of gender, age (adolescent, young, older) and familial liability (patients, siblings, controls) and their interactions on multimorbidity.

Results: Familial liability had a significant effect on multimorbidity of either complaints or diseases. Patients had a higher prevalence of multimorbidity of complaints compared to siblings (OR 2.20, 95% CI 1.79-2.69, P <0.001) and to controls (3.05, 2.35-3.96, P <0.001). In physical health multimorbidity, patients (OR 1.36, 95% CI 1.05-1.75, P = 0.018), but not siblings, had significantly higher prevalence than controls. Similar finding were observed for multimorbidity of lifetime diseases, including psychiatric diseases. Significant results were observed for complaints and disease multimorbidity across gender and age groups.

Conclusion: Multimorbidity is a common burden, significantly more prevalent in patients and their unaffected siblings. Familial liability to psychosis showed an independent effect on multimorbidity; gender and age are also important factors determining multimorbidity.

Original languageEnglish
Pages (from-to)81-89
Number of pages9
JournalEuropean Psychiatry
Volume45
StatePublished - Sep-2017

    Keywords

  • Familial liability, Multimorbidity, Physical health, Psychosis, Schizophrenia, MAJOR DEPRESSIVE DISORDER, SEVERE MENTAL-ILLNESS, BIPOLAR DISORDER, GENERAL-PRACTICE, HEALTH-CARE, PHYSICAL ILLNESS, CHRONIC DISEASE, CO-MORBIDITY, SCHIZOPHRENIA, PREVALENCE

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