Clinical characteristics of familial schizophrenia

Asia Pac Psychiatry. 2021 Jun;13(2):e12422. doi: 10.1111/appy.12422. Epub 2020 Oct 14.

Abstract

Introduction: A family history of psychiatric disorders is one of the strongest risk factors for schizophrenia. The characteristics of patients with a family history of psychiatric disorders have not been systematically evaluated.

Methods: This multicenter study (26 centers, 2425 cases) was performed in a Chinese population to examine the sociodemographic and clinical characteristics of schizophrenia patients with a family history of psychotic disorders in comparison with those of patients with sporadic schizophrenia.

Results: Nineteen percent of patients had a family history of mental disease. Multiple logistic regression analysis revealed that ≥4 hospitalizations (OR = 1.78, P = .004), tobacco dependence (OR = 1.48, P = .006), alcohol dependence (OR = 1.74, P = .013), and physical illness (OR = 1.89, P = .001) were independently and significantly associated with a family history of mental disease.

Conclusion: Patients with a family history of mental disorders present different demographics and clinical features than patients without a family history of psychiatric disorders.

Keywords: familial history; risk; schizophrenia; sporadic; symptom.

Publication types

  • Multicenter Study

MeSH terms

  • Hospitalization
  • Humans
  • Psychotic Disorders* / epidemiology
  • Psychotic Disorders* / genetics
  • Risk Factors
  • Schizophrenia* / epidemiology
  • Schizophrenia* / genetics