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Elliot S. Gershon, MD; Joel Hamovit, MSW; Juliet J. Guroff; Eleanor Dibble, DSW; James F. Leckman, MD; Walter Sceery, PhD; Steven D. Targum, MD; John I. Nurnberger, Jr, MD; Lynn R. Goldin, PhD; William E. Bunney, Jr, MD

Arch Gen Psychiatry. 1982;39(10):1157-1167.

Abstract
• In a family study of 1,254 adult relatives of patients and controls, lifetime prevalences of major affective disorder (including schizoaffective) were 37%, 24%, 25%, 20% and 7% in relatives of probands with schizoaffective, bipolar I, bipolar II, and unipolar disease, and normal controls. These data were compatible with the different affective disorders representing thresholds on a continuum of underlying multifactorial vulnerability. In this model, schizoaffective illness represents greatest vulnerability, followed by bipolar I and bipolar II, then unipolar illnesses. Alcoholism, drug abuse, and sociopathy were not more frequent in relatives of patients v relatives of controls. Sex-related transmission of morbid risk was not present. Morbid risk was 74% to offspring of two ill parents, and 27% to offspring of one ill parent. Nationality and age at time of interview seem to be nongenetic factors that affect frequency of diagnosis.

Author Affiliations
From the Biological Psychiatry Branch, National Institute of Mental Health, Bethesda, Md (Drs Gershon, Sceery, Nürnberger, Goldin, and Bunney, Mrs Hamovit, and Ms Guroff), the Office of Extramural Project Review, Social Work Education Review Committee, Alcohol, Drug Abuse and Mental Health Administration, Rockville, Md (Dr Dibble), the Child Study Center, Departments of Psychiatry and Pediatrics, Yale University School of Medicine, New Haven, Conn (Dr Leckman), and the Psychiatric Institute of Washington, DC (Dr Targum).

Footnotes
Accepted for publication June 1,1982.

Reprint requests to Bldg 10, Room 3N218, National Institute of Mental Health, Bethesda, MD 20205 (Dr Gershon).

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