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Genetic explanation
    Family, twin and adoption   Biological
    studies
                                  explanations
                                    of Depression
Mood Disorders – Genetic
• Depression tends to run in families

• The closer the relationship with a sufferer, the
  more likely a person will have a mood disorder

• Genetic evidence is strongest for most severe
  forms of the disorder

• Concordance rates also indicate a substantial
  environmental contribution
Mood Disorders – Genetic
• Zubenko et al (2001)
  – Family history – 50% of FD relatives, 25% of
    SD relatives also had mood disorder
  – Relatives had increased risk of suicide & liver
    disease
Genetics & Depression
 Qu. How do you ‘prove’ a
  genetic argument for any
         behaviour?
           Twin studies:
     Allen, 1976 Bertelsen 1977
MZ 40%             59%
                             Qu. Problems?
DZ   11%           30%
Genetics & Depression
            Family concordance rates




          Gershon 1990    Wender 1986
Gen Pop        15%             15%
Family       40-50%      70% if adopted

              Qu. Problems?
Genetic explanation                                     DEPRESSION
                                                        RESEARCHER




Family studies
             “In 1990, I reviewed many
                  family studies …

            … in each study, depression
             was assessed in the first
            degree relatives of patients
                 with depression …
Gershon

                           “I showed that depression
                          rates in these first degree
                           relatives was about two to
                          three times the rate in the
                               general population …


          “My work was supported by Sullivan et al
           (2000), who showed similar findings in a
              review of several family studies…
Genetic explanation                                   McGuffin 1996

Twin studies
                                      “In twin studies, we look at
                                      CONCORDANCE RATES for
                                       depression in MZ and DZ
                                                twins …



                                  “If depression is
MZ twins have identical genes!
                                 caused by a gene,
If depression is caused by
genes, then if they have the      we would expect
gene they should BOTH have         that MZ twins
depression!                      either BOTH have
                                   depression, or
     “So we would                  NEITHER have
   expect to find a                 depression …          DZ twins share 50% of their
                                                          genes!
       HIGHER
   CONCORDANCE                                            So one twin could have the
                                                          gene for depression, while the
   for depression in
                                                          other doesn’t!
   MZ twins than in
      DZ twins …
Genetic explanation                                    McGuffin

Twin studies
                                      “Here are the twin study
                                        research findings …


                                    “In 1976, Allen
                                   reviewed MZ/DZ
                                 studies and found a
MZ: either both have the gene
for depression, or neither
                                  mean concordance
does – so should be concordant   rate of 40% for MZ
                                 twins, and just 11%
                                    for DZ twins …

 “In 1977, Bertelson
     et al found a               “In 1996, my team     DZ: might both have the gene,
 concordance of 59%               and I found 46%      both not have the gene, or one
  for MZ twins, and                concordance for     could have the gene and one
 30% for DZ twins …                                    might not have it! This means
                                  depression in MZ     we expect a lower concordance
                                 twins, and just 20%   for depression in DZ twins,
                                    in DZ twins …      than we do in MZ twins
Genetic explanation                                        McGuffin

Twin studies
                                    “I’ll summarise the findings
                                             for you …


                               TWIN STUDIES …
                             Allen (1976) MZ 40%
                                          DZ 11%
CONCORDANT FOR DEPRESSION?
                             Bertelson   (1977)   MZ 59%
                                                  DZ 30%
                             McGuffin    (1996)   MZ 46%
                                                  DZ 20%
    “Do these data
 support the idea that         “Thinking about what        CONCORDANT FOR DEPRESSION?
  depression is caused            you understand
     by genes? …                 about genes and
                                MZ/DZ twins, can
                                you criticise these
                                    findings? …
Genetic explanation                              Wender

Adoption studies              “I looked at adoption
                            studies, because when a
                          child is adopted, it is taken
                            away from its home and
                              family environment …



                                 “Family studies like Gershon’s, and
                               twin studies like McGuffin’s, can’t say
                                    genes are the only reason for
    What causes   depression       depression, because they didn’t
                                separate genes from environment …


                                                  “Adoption studies
                                                are an improvement,
                                                     because they
                                                     eliminate the
                                                   influence of the
                                                family environment …
Genetic explanation                                                      Wender
                                                                  “I published two
 Adoption studies                                                sets of findings in
                                                                      1986 …
  We found that biological relatives of adopted
  sufferers of depression were SEVEN TIMES
  more likely than adoptive relatives to have
  had depression themselves!                                       “Both sets of
                                                                  findings suggest
  When we looked at adopted children who                         that genetics play
  later developed depression, we found that                         a big part in
  their biological parents were EIGHT                               depression …
  TIMES more likely than their adoptive
  parents, to have suffered from depression
                                               And we’re happy
       I’m feeling      So am I …
                                               … so why is our
         prickly        but I don’t
                                                 adopted lad
         today…         know why!
                                                depressed???




                                                       We’re both
                                                          okay!
                                                         What a
                                                        nice day!

                      Parents with   Parent with
Biological parent    adopted child biological child

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Genetic explanation

  • 1. Genetic explanation Family, twin and adoption Biological studies explanations of Depression
  • 2. Mood Disorders – Genetic • Depression tends to run in families • The closer the relationship with a sufferer, the more likely a person will have a mood disorder • Genetic evidence is strongest for most severe forms of the disorder • Concordance rates also indicate a substantial environmental contribution
  • 3. Mood Disorders – Genetic • Zubenko et al (2001) – Family history – 50% of FD relatives, 25% of SD relatives also had mood disorder – Relatives had increased risk of suicide & liver disease
  • 4. Genetics & Depression Qu. How do you ‘prove’ a genetic argument for any behaviour? Twin studies: Allen, 1976 Bertelsen 1977 MZ 40% 59% Qu. Problems? DZ 11% 30%
  • 5. Genetics & Depression Family concordance rates Gershon 1990 Wender 1986 Gen Pop 15% 15% Family 40-50% 70% if adopted Qu. Problems?
  • 6. Genetic explanation DEPRESSION RESEARCHER Family studies “In 1990, I reviewed many family studies … … in each study, depression was assessed in the first degree relatives of patients with depression … Gershon “I showed that depression rates in these first degree relatives was about two to three times the rate in the general population … “My work was supported by Sullivan et al (2000), who showed similar findings in a review of several family studies…
  • 7. Genetic explanation McGuffin 1996 Twin studies “In twin studies, we look at CONCORDANCE RATES for depression in MZ and DZ twins … “If depression is MZ twins have identical genes! caused by a gene, If depression is caused by genes, then if they have the we would expect gene they should BOTH have that MZ twins depression! either BOTH have depression, or “So we would NEITHER have expect to find a depression … DZ twins share 50% of their genes! HIGHER CONCORDANCE So one twin could have the gene for depression, while the for depression in other doesn’t! MZ twins than in DZ twins …
  • 8. Genetic explanation McGuffin Twin studies “Here are the twin study research findings … “In 1976, Allen reviewed MZ/DZ studies and found a MZ: either both have the gene for depression, or neither mean concordance does – so should be concordant rate of 40% for MZ twins, and just 11% for DZ twins … “In 1977, Bertelson et al found a “In 1996, my team DZ: might both have the gene, concordance of 59% and I found 46% both not have the gene, or one for MZ twins, and concordance for could have the gene and one 30% for DZ twins … might not have it! This means depression in MZ we expect a lower concordance twins, and just 20% for depression in DZ twins, in DZ twins … than we do in MZ twins
  • 9. Genetic explanation McGuffin Twin studies “I’ll summarise the findings for you … TWIN STUDIES … Allen (1976) MZ 40% DZ 11% CONCORDANT FOR DEPRESSION? Bertelson (1977) MZ 59% DZ 30% McGuffin (1996) MZ 46% DZ 20% “Do these data support the idea that “Thinking about what CONCORDANT FOR DEPRESSION? depression is caused you understand by genes? … about genes and MZ/DZ twins, can you criticise these findings? …
  • 10. Genetic explanation Wender Adoption studies “I looked at adoption studies, because when a child is adopted, it is taken away from its home and family environment … “Family studies like Gershon’s, and twin studies like McGuffin’s, can’t say genes are the only reason for What causes depression depression, because they didn’t separate genes from environment … “Adoption studies are an improvement, because they eliminate the influence of the family environment …
  • 11. Genetic explanation Wender “I published two Adoption studies sets of findings in 1986 … We found that biological relatives of adopted sufferers of depression were SEVEN TIMES more likely than adoptive relatives to have had depression themselves! “Both sets of findings suggest When we looked at adopted children who that genetics play later developed depression, we found that a big part in their biological parents were EIGHT depression … TIMES more likely than their adoptive parents, to have suffered from depression And we’re happy I’m feeling So am I … … so why is our prickly but I don’t adopted lad today… know why! depressed??? We’re both okay! What a nice day! Parents with Parent with Biological parent adopted child biological child