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Some Possible Childhood Indicators of Adult Schizophrenia Inferred from Children of Schizophrenics

Published online by Cambridge University Press:  29 January 2018

D. R. Hanson
Affiliation:
Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA; Department of Psychology, McMaster University, Hamilton, Ontario, Canada
I. I. Gottesman
Affiliation:
Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA
L. L. Heston
Affiliation:
Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA

Summary

Prospective developmental data on 33 children of consensus diagnosed schizophrenic parents were compared to control samples of children of other psychiatric patients and children of normal parents. Contrary to several reports, the children of schizophrenics, observed from birth to age seven, were remarkably normal on a host of pregnancy and delivery variables, neurological examinations, physical growth measures, and psychological tests. However, a combination of three indicators characterized five of the 116 children, and all five were offspring of schizophrenics (17 per cent of the high risk sample), thus matching the expected lifetime risk for schizophrenia previously observed in such samples. Case histories show that all five children have enduring patterns of maladjustment and exhibit behaviours often reported in the premorbid histories of schizophrenics. Most have family histories heavily loaded with schizophrenia. In terms of a diathesis-stress model, these five children appear especially vulnerable to future schizophrenia in the absence of rational methods of prevention.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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References

Anthony, E.J. (1972) A clinical and experiemental study of high-risk children and their schizophrenic parents. In Genetic Factors in ‘Schizophrenia’ (ed. Kaplan, ). Springfield: Charles C. Thomas.Google Scholar
Bleuler, E. (1911) Dementia Praecox or The Group of Schizophrenias. Leipzig: Deutiche. Translated 1950 by Joseph Zinkin, . New York: International Universities Press.Google Scholar
Bleuler, M. (1972) Die Schizophrenen Geistesstörungen im Uchte langjahriger Kranken- und Familiengeschichten. Stuttgart: Thieme.Google Scholar
Brohman, S., Nichols, P., Kennedy, W. (1975) Pre-school IQ: Prenatal and Early Developmental Correlates. Hillside, New Jersey: Lawrence Elbaum Associates.Google Scholar
Cronbach, L. and Meehl, P. (1955) Construct validity in psychological tests. Psychological Bulletin, 52, 281302.CrossRefGoogle ScholarPubMed
Erlenmeyer-Kimling, L. (1975) A prospective study of children at risk for schizophrenia: Methodological considerations and some preliminary findings. In Life History Research in Psychopathology (eds. Wirt, R., Winokur, G., Roff, M.), Vol. IV. Minneapolis: University of Minnesota Press.Google Scholar
Fischer, M. (1973) Genetic and environmental factors in schizophrenia. Acta Psychiatrica Scandinavica, Supplement 238.Google ScholarPubMed
Fish, B. (1957) The detection of schizophrenia in infancy. Journal of Nervous and Mental Disease, 125, 124.CrossRefGoogle ScholarPubMed
Fish, B. & Hagin, R. (1973) Visual-motor disorders in infants at high risk for schizophrenia. Archives of General Psychiatry, 28, 900–4.CrossRefGoogle Scholar
Garmezy, N. with Streitman, S. (1974a) Children at risk: The search for the antecedents of schizophrenia, Part I. Schizophrenia Bulletin, 8, 1390.Google Scholar
Garmezy, N. (1974b) Children at risk: The search for the antecedents of schizophrenia, Part II. Schizophrenia Bulletin, 9, 55125.CrossRefGoogle Scholar
Garrone, G. (1962) Étude statistique et génétique de la schizophrénie a Genève de 1901 à 1950. Journal de Génétique Humaine, 11, 89219.Google Scholar
Genonaoel, E. (1933) Beitrag zum Problem der Erbprognosebestimmung. Zeitung für die geramte Neurologie und Psychiatrie, 145, 5261.Google Scholar
Gottesman, I. I. and Shields, J. (1972) Schizophrenia and Genetics: A Twin Study Vantage Point. New York: Academic Press.Google Scholar
Grunebaum, H., Weiss, J., Gallant, D. & Cohler, B. (1974) Attention in young children of psychotic mothers. American Journal of Psychiatry, 131, 887–91.CrossRefGoogle ScholarPubMed
Hallgren, G. & Sjögren, T. (1959) A clinical and genetico-statistical study of schizophrenia and low grade mental deficiency in a large Swedish rural population. Acta Psychiatrica Scandinavica, Supplement 140.Google Scholar
Hanson, D. (1974) The children of schizophrenic mothers or fathers compared to other psychiatric controls: Their first eight years. Unpublished Doctoral Dissertation. University of Minnesota.Google Scholar
Hellman, L. & Pritchard, J. (1971) Williams’ Obstetrics, 14th Edition. New York: Appleton-Century-Crofts.Google Scholar
Heston, L. L. (1966) Psychiatric disorders in foster-home-reared children of schizophrenic mothers. British Journal of Psychiatry, 112, 819–25.CrossRefGoogle ScholarPubMed
Heston, L. L. (1970) The genetics of schizophrenic and schizoid disease. Science, 167, 249–56.CrossRefGoogle ScholarPubMed
Hoffmann, H. (1921) Die Nachkommenschoft bei Endogenen Psychosen. Berlin: Springer-Verlag.Google Scholar
Kallman, F. (1938) The Genetics of Schizophrenia. New York: J. J. Augustin.Google Scholar
Karlsson, J. (1974) Inheritance of Schizophrenia. Acta Psychiatrica Scandinavica, Supplement 247.Google ScholarPubMed
Kessler, P. & Neale, J. (1974) Hippocampal damage and schizophrenia: a critique of Mednick's theory. Journal of Abnormal Psychology, 83, 91–6.CrossRefGoogle Scholar
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. Edinburgh: E. and S. Livingstone.Google Scholar
Lindelius, R. (1970) A study of Schizophrenia. Acta Psychiatrica Scandinavica, Supplement 216.Google ScholarPubMed
Macfarlane, J. W., Allen, L. & Honzik, M. (1962) A Developmental Study of the Behavior Problems of Normal Children between 21 Months and 14 Years. Berkeley: University of California Press.Google Scholar
Marcus, J. (1974) Cerebral function in offspring of schizophrenics: possible genetic factors. International Journal of Mental Health, 3, 5773.CrossRefGoogle Scholar
Mcneil, T. F. & Kaij, L. (1973) Obstetric complications and physical size of offspring of schizophrenic, schizophrenic-like, and control mothers. British Journal of Psychiatry, 123, 341–8.CrossRefGoogle ScholarPubMed
Mcneil, T. F., Kaij, L. & Person-Blennow, I. (1975) Offspring sex and degree of active maternal disturbance near reproduction among female mental patients. Comprehensive Psychiatry, 16, 6976.CrossRefGoogle Scholar
Meehl, P. E. (1973) Maxcov-Hitmax: a taxonomic search for loose genetic syndromes. In Psychodiagnosis: Selected Papers, by Meehl, P. E. Minneapolis: University of Minnesota Press.Google Scholar
Mednick, B. R. (1973) Breakdown in high-risk subjects: Familial and early environmental factors. Journal of Abnormal Psychology, 82, 469–75.CrossRefGoogle ScholarPubMed
Mednick, S. A. (1970) Breakdown in individuals at high risk of schizophrenia: possible predispositional perinatal factors. Mental Hygiene, 54, 5063.Google Scholar
Mednick, S. A. Mura, E., Schulsinger, F. & Mednick, G. (1971) Perinatal conditions and infant development in children with schizophrenic parents. Social Biology, 18, Supplement.Google ScholarPubMed
Mednick, S. A. Mura, E., Schulsinger, F. & Mednick, G. (1973) Erratum and further analysis: perinatal conditions and infant development in children with schizophrenic parents. Social Biology, 20, 111–12.CrossRefGoogle ScholarPubMed
Mednick, S. A. & Schulsinger, F. (1968) Some premorbid characteristics related to breakdown in children with schizophrenic mothers. In The Transmission of Schizophrenia (eds. Rosenthal, and Kety, ). Oxford: Pergamon.Google Scholar
Mednick, S. A. & Schulsinger, F. (1973) Studies of children at high risk for schizophrenia. In Schizophrenia: the first ten Dean Award Lectures (ed. Dean, S. R.). New York: MSS Information Corp.Google Scholar
Michael, C. M., Morris, D. P. & Soroker, E. (1957) Follow-up studies of shy, withdrawn children: II Relative incidence of schizophrenia. American Journal of Orthopsychiatry, 27, 331–7.CrossRefGoogle ScholarPubMed
Mirdal, G. K., Mednick, S., Schulsinger, F. & Fuchs, F. (1974) Perinatal complications in children of schizophrenic mothers. Acta Psychiatrica Scandinavica, 50, 553–68.Google ScholarPubMed
Morris, D. P., Soroker, E. & Burruss, G. (1954) Follow-up studies of shy, withdrawn children: I Evaluation of later adjustment. American Journal of Orthopsychiatry, 24, 743–54.CrossRefGoogle ScholarPubMed
Myrianthopoulous, N. C. & French, K. S. (1968) An application of the U.S. Bureau of the census socioeconomic index to a large diversified patient population. Social Science and Medicine, 2, 283–99.CrossRefGoogle Scholar
Niswander, K. & Gordon, M. (1972) The Women and their Pregnancies. Philadelphia: Saunders.Google Scholar
Offord, D. R. & Cross, L. A. (1969) Behavioural antecedents of adult schizophrenia. Archives of General Psychiatry, 21, 267–83.CrossRefGoogle ScholarPubMed
Oppler, W. (1932) Zum Problem der Erbprognosebestimmung, für die Geramte Neurologie und Psychiatrie, 141, 549616.Google Scholar
Paffenbarger, R. S., Steinmetz, G. H., Pooler, B. G. & Hyde, R. T. (1961) The picture puzzle of the postpartum psychoses. Journal of Chronic Disease, 13, 161–3.CrossRefGoogle ScholarPubMed
Pasamanick, B. & Lilienfeld, A. (1955) Association of maternal and fetal factors with development of mental deficiency. Journal of the American Medical Association, 159, 155–60.CrossRefGoogle ScholarPubMed
Pearson, J. S. & Kley, I. B. (1957) On the application of genetic expectancies as age specific base rates in the study of human behaviour disorders. Psychological Bulletin, 54, 406–20.CrossRefGoogle Scholar
Reed, S. C., Hartly, C., Anderson, V. E., Phillips, V. P. & Johnson, N. A. (1973) The Psychoses: Family Studies. Philadelphia: Saunders.Google Scholar
Reisby, N. (1967) Psychoses in children of schizophrenic mothers. Acta Psychiatrica Scandinavica, 43, 820.CrossRefGoogle ScholarPubMed
Rieder, R., Rosenthal, D., Wender, P. & Blumenthal, H. (1975) The offspring of schizophrenics: fetal and neonatal deaths. Archives of General Psychiatry, 32, 200–11.CrossRefGoogle ScholarPubMed
Rosenthal, D., Wender, P., Kety, S., Welner, J. & Schulsinger, F. (1971) The adopted-away offspring of schizophrenics. American Journal of Psychiatry, 128, 307–11.CrossRefGoogle ScholarPubMed
Sameroff, A. J. & Zax, M. (1973) Perinatal characteristics of the offspring of schizophrenic women. Journal of Nervous und Mental Disease, 157, 191–9.CrossRefGoogle ScholarPubMed
Shields, J., Heston, L. & Gottesman, I. (1975) Schizophrenia and the schizoid: The problem for genetic analysis- In Genetic Research in Psychiatry (eds. Rosenthal, D. and Brill, H.). Baltimore: Johns Hopkins Press.Google Scholar
Slater, E. & Cowie, V. (1971) The Genetics of Menial Disorders. London: Oxford University Press.Google Scholar
Slater, E. & Roth, M. (1969) Mayer-Gross, Slater and Roth's Clinical Psychiatry (3rd Edition). London: Baillière.Google Scholar
Sobel, D. (1961) Children of schizophrenic patients: Preliminary observations on early development. American Journal of Psychiatry, 118, 512–17.CrossRefGoogle ScholarPubMed
Soichet, S. (1959) Emotional factors in toxemia of pregnancy. American Journal of Obstetrics and Gynecology, 77, 1065–73.CrossRefGoogle ScholarPubMed
Ward, J. H. & Hook, M. E. (1963) Application of an hierarchial grouping procedure to a problem of grouping profiles. Educational and Psychological Measurement, 23, 6981.CrossRefGoogle Scholar
Watt, N. F. (1974) Childhood roots of schizophrenia. In Life History Research in Psychopathology, Vol III (eds. Ricks, D. F., Thomas, A., Roff, M.). Minneapolis: University of Minnesota Press.Google Scholar
Weidorn, W. S. (1954) Toxemia of pregnancy and schizophrenia. Journal of Nervous and Mental Disease, 120, 19.CrossRefGoogle Scholar
Wender, P. H., Rosenthal, D., Kety, S. S., Schulsinger, F. and Welmer, J. (1974) Crossfostering: A research strategy for clarifying the role of genetic and experiential factors in the etiology of schizophrenia. Archives of General Psychiatry, 30, 121–8.CrossRefGoogle ScholarPubMed
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