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Diabetes Mellitus and Schizophrenia
Preben Bo Mortensen, MD, DMSc;
William W. Eaton, PhD
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We have with great interest read the recent report from Finland by Juvonen et al1 of a reduced incidence of schizophrenia in patients with type 1 diabetes mellitus. Their finding replicates and strengthens our marginally significant finding of a negative association (males, odds ratio [OR], 0.7; 95% confidence limits, 0.5, 1.1; females, OR, 0.7; 95% confidence limits, 0.4, 1.0) in our report from 2006 based on independent registers in Denmark.2
Juvonen et al suggest linkage disequilibrium of protective and liability genes for the 2 diseases as one explanation for the negative association. However, in our study, a parental history of type 1 diabetes was associated with an increased risk of schizophrenia in the offspring (OR, 1.5; 95% confidence limits, 1.3, 1.7). Therefore, linkage disequilibrium alone is unlikely to explain the negative association. If linkage disequilibrium is the explanation, one must hypothesize . . . [Full Text of this Article] AUTHOR INFORMATION
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Incidence of Schizophrenia in a Nationwide Cohort of Patients With Type 1 Diabetes Mellitus
Hannu Juvonen, Antti Reunanen, Jari Haukka, Maria Muhonen, Jaana Suvisaari, Ritva Arajärvi, Timo Partonen, and Jouko Lönnqvist
Arch Gen Psychiatry. 2007;64(8):894-899.
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