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Gender Differences in Age at Onset of Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Stephen V. Faraone*
Affiliation:
Department of Psychiatry, Harvard Medical School, Brockton-West Roxbury Veterans Affairs Medical Center
Wei J. Chen
Affiliation:
Institute of Public Health, National Taiwan University College of Medicine
Jill M. Goldstein
Affiliation:
Harvard Medical School
Ming T. Tsuang
Affiliation:
Division of Psychiatric Epidemiology and Genetics, Department of Psychiatry, Harvard Medical School, Brockton-West Roxbury Veterans Affairs Medical Center, and Massachusetts Mental Health Center, USA
*
Psychiatry Service (116A), Brockton Veterans Affairs Medical Center, 940 Belmont Street, Brockton, MA 02401, USA

Abstract

Numerous studies have found that male schizophrenic patients have earlier ages at onset than females. However, none of these studies have corrected the observed ages for known gender differences in the age distribution of the population. Using a pre-existing data set, we applied a non-parametric method to correct the male and female distributions of observed age at onset for sex-specific age distributions. The distributions of observed age at onset indicated earlier onset among males. After correction, the age-at-onset distributions shifted toward older ages, but the difference between males and females remained statistically significant. Thus, gender differences in the age at onset of schizophrenia are not artefactual.

Type
Papers
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Angermeyer, M. C. & KUHN, (1988) Gender differences in age at onset of schizophrenia: an overview. European Archives of Psychiatry and Neurological Sciences, 237, 351364.Google Scholar
Baron, M., Risch, N. & Mendlewicz, J. (1983) Age at onset in bipolar-related major affective illness: clinical and genetic implications. Journal of Psychiatric Research, 17, 518.Google Scholar
Castle, D. J. & Murray, R. M. (1991) The neurodevelopmental basis of sex differences in schizophrenia. Psychological Medicine, 21, 565575.CrossRefGoogle ScholarPubMed
Cavalli-Sforza, L. L. & Bodmer, W. F. (1971) The Genetics of Human Populations, pp. 289301. San Francisco: Freeman.Google Scholar
Chen, W. J., Faraone, S. V. & Tsuang, M. T. (1992) Linkage studies of schizophrenia: a simulation study of statistical power. Genetic Epidemiology, 9, 123139.CrossRefGoogle ScholarPubMed
Chen, W. J., Faraone, S. V. & Tsuang, M. T. (1992 b) Estimating age at onset distributions: a review of methods and issues. Psychiatric Genetics, 2, 219238.CrossRefGoogle Scholar
Chen, W. J., Faraone, S. V., Orav, E. J., et al (1993) Estimating age at onset distributions: the bias from prevalent cases and its impact on risk estimation. Genetic Epidemiology, 10, 4360.Google Scholar
Crowe, R. R. & Smouse, P. E. (1977) The genetic implications of age-dependent penetrance in manic-depressive illness. Journal of Psychiatric Research, 13, 273285.CrossRefGoogle ScholarPubMed
DeLisi, L. E., Crow, T. J., Davies, K. E., et al (1991) No genetic linkage detected for schizophrenia to Xq27-q28. British Journal of Psychiatry, 158, 630634.Google Scholar
DeLisi, L. E., Dauphinais, I. D. & Hauser, P. (1989) Gender differences in the brain: are they relevant to the pathogenesis of schizophrenia? Comprehensive Psychiatry, 30, 197208.Google Scholar
Eaton, W. W. (1985) Epidemiology of schizophrenia. Epidemiology Review, 7, 105126.CrossRefGoogle ScholarPubMed
Goldstein, J. M., Tsuang, M. T. & Faraone, S. V. (1989) Gender and schizophrenia: implications for understanding the heterogeneity of the illness. Psychiatry Research, 28, 243253.CrossRefGoogle ScholarPubMed
Hafner, H. (1987) Epidemiology of schizophrenia. In Search for the Causes of Schizophrenia (eds Haufner, H., Gattaz, W. F. & Janzarik, W.), pp. 4774. Berlin: Springer-Verlag.Google Scholar
Hafner, H., Behrens, S., De Vry, J., et al (1991) An animal model for the effects of estradiol on dopamine-mediated behavior: Implications for sex differences in schizophrenia. Psychiatry Research, 38, 125134.CrossRefGoogle ScholarPubMed
Heimbuch, R. C., Matthysse, S. & Kidd, K. K. (1980) Estimating age-of-onset distributions for disorders with variable onset. American Journal of Human Genetics, 32, 564574.Google ScholarPubMed
Kendler, K. S., Gruenberg, A. M. & Tsuang, M. T. (1985) Psychiatric illness in first-degree relatives of schizophrenic and surgical control patients. Archives of General Psychiatry, 42, 770779.Google Scholar
Kendler, K. S., Tsuang, M. T. & Hays, P. (1987) Age at onset in schizophrenia: a familial perspective. Archives of General Psychiatry, 44, 881890.CrossRefGoogle ScholarPubMed
Lewine, R. R. J. (1981) Sex differences in schizophrenia: timing or subtypes? Psychological Bulletin, 90, 432444.Google Scholar
Kendler, K. S., (1988) Gender and schizophrenia. In Handbook of Schizophrenia. Nosology, Epidemiology and Genetics of Schizophrenia Vol. 3. (eds Tsuang, M. T. & Simpson, J. C.), pp. 379397. Amsterdam: Elsevier.Google Scholar
Morrison, J., Clancy, J., Crowe, R., et al (1972) The Iowa 500. I. Diagnostic validity in mania, depression, and schizophrenia. Archives of General Psychiatry, 27, 457461.Google Scholar
Press, W. H., Flannery, B. P., Teukolsky, S. A., et al (1986) Numerical Recipes: The Art of Scientific Computing. Cambridge: Cambridge University Press.Google Scholar
Seeman, M. V. (1983) Interaction of sex, age and neuroleptic dose. Comprehensive Psychiatry, 24, 125128.Google Scholar
Seeman, M. V. & Lang, M. (1990) The role of estrogens in schizophrenia gender differences. Schizophrenia Bulletin, 16, 185194.Google Scholar
Tsuang, M. T. & Winokur, G. (1975) The Iowa 500: field work in a 35-year follow-up of depression, mania, and schizophrenia. Canadian Psychiatric Association Journal, 20, 359365.Google Scholar
Tsuang, M. T. & Woolson, R. F. (1977) Mortality in patients with schizophrenia, mania, depression and surgical conditions. British Journal of Psychiatry, 130, 162166.CrossRefGoogle ScholarPubMed
Tsuang, M. T., Woolson, R. F. & Simpson, J. C. (1980) The Iowa Structured Psychiatric Interview: Rationale, Reliability and Validity. Acta Psychiatrica Scandinavica (supplement 283).Google Scholar
Wyatt, R. J., Alexander, R. C., Egan, M. F., et al (1988) Schizophrenia, just the facts: what do we know, how well do we know it? Schizophrenia Research, 1, 318.Google Scholar
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