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February 25, 2013Philosophical Transactions of the Royal Society B Biological SciencesOpen Access

Using the high-risk family design to identify biomarkers for major depression

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Key result

Offspring of depressed parents were at increased risk for depressive and anxiety disorders and exhibited cortical thinning and reduced resting-state activity compared to low-risk offspring.

Why the study?

Do offspring of depressed parents have identifiable early vulnerability markers for major depressive disorder compared to offspring of non-depressed parents?

Population

Children and grandchildren of probands with and without major depressive disorder across three generations

Design

Cohort

Follow-up

25 years

Authors

ATArdesheer TalatiColumbia University Irving Medical CenterMyrna M. WeissmanMyrna M. WeissmanColumbia University Irving Medical CenterSHSteven P. HamiltonColorado Permanente Medical Group

Discussion

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Implication

May flag high-risk offspring for monitoring; leaves open whether brain markers predict onset or guide prevention.

Study Design

Type

Cohort

Structured PICO

Do offspring of depressed parents have identifiable early vulnerability markers for major depressive disorder compared to offspring of non-depressed parents?

P
Population
Children and grandchildren of probands with and without MDD followed over three generations spanning 25 years to examine transmission of depression.
C
Comparator
Offspring of non-depressed parents ('low-risk')
O
Outcome
Risk for depressive and anxiety disorders, and early vulnerability markers (brain structure via MRI, physiology via EEG, and DNA)

The high-risk family design identifies structural and physiological brain differences in offspring of depressed parents prior to disease onset, serving as potential familial trait markers.

Cite This Study

Talati et al. (2013) conducted a cohort in Major depressive disorder (MDD). Depressed parent (high-risk) vs. Non-depressed parent (low-risk) was evaluated on Depressive and anxiety disorders. Offspring of depressed parents were at increased risk for depressive and anxiety disorders and exhibited cortical thinning and reduced resting-state activity compared to low-risk offspring.

synapsesocial.com/papers/6a1ecfa800756c160baf445bhttps://doi.org/10.1098/rstb.2012.0129
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Translational Epidemiology in Psychiatry2011 · 47 citations
  2. 2The role of fear and anxiety in the familial risk for major depression: a three-generation study2008 · 65 citations
  3. 3Psychiatric disorders in America: the epidemiologic catchment area study1991 · 2,573 citations