A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Risk of severe mood and anxiety disorders in the adult children of parents with alcohol use disorder : a nationwide cohort study




TekijätKane Kimberly, Westman Jeanette, Franck Johan, Gissler Mika

KustantajaBMJ Publishing Group Ltd

Julkaisuvuosi2024

JournalJournal of Epidemiology and Community Health

Tietokannassa oleva lehden nimiJournal of Epidemiology & Community Health

Vuosikerta78

Numero7

ISSN0143-005X

eISSN1470-2738

DOIhttps://doi.org/10.1136/jech-2023-221720

Verkko-osoitehttps://jech.bmj.com/content/early/2024/04/29/jech-2023-221720

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/393408168


Tiivistelmä

Background: Growing up with parental alcohol use disorder (AUD) is a risk factor for psychiatric disorders. This study investigated the risk of mood disorders and of anxiety disorders in the adult children of parents with AUD, adjusted for sociodemographic factors.

Methods: Individual-level register data on the total population were linked to follow children of parents with AUD from 1973 to 2018 to assess their risk of mood disorders and of anxiety disorders. AUD, mood disorders and anxiety disorders were defined with International Statistical Classification of Diseases and Related Health Problems codes from the National Patient Register. HRs of outcomes were calculated with Cox regression. Model 1 was adjusted for the child's sex, parental education and death of a parent. Model 2 was adjusted for those factors and parental diagnosis of mood or anxiety disorder.

Results: Those with ≥1 parent with AUD (99 723 of 2 421 479 children) had a higher risk of mood disorder and of anxiety disorder than those whose parents did not have AUD (HR mood 2.32, 95% CI 2.26 to 2.39; HR anxiety 2.66, 95% CI 2.60 to 2.72). The risk remained elevated after adjustment for sociodemographic factors and parental psychiatric diagnosis (HR mood 1.67, 95% CI 1.63 to 1.72; HR anxiety 1.74, 95% CI 1.69 to 1.78). The highest risks were associated with AUD in both parents, followed by AUD in mothers and then in fathers.

Conclusion: Adult children of parents with AUD have a raised risk of mood and anxiety disorders even after adjustment for sociodemographic factors and parental mood or anxiety disorder. These population-level findings can inform future policies and interventions.


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Last updated on 2024-26-11 at 12:35