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Table 4 Onset of mood episodes or disorders in offspring by preceding individual or familial environmental factors

From: Environmental factors in offspring of parents with mood disorders and their role in parent–child transmission: findings from a 14-year prospective high-risk study

 

Mania/hypomania onset in offspring

MDD onset in offspringb

Yes

No

HRa (95% CI)

Yes

No

HRa (95% CI)

%/m (SD)

%/m (SD)

%/m (SD)

%/m (SD)

N = 42

N = 346

N = 181

N = 165

Childhood adversity

 Traumatic events

33.3

19.9

1.3 (0.7, 2.7)

35.4

3.0

2.8*** (2.0, 3.8)

Family environment

 Parental separation

78.6

60.4

2.2° (1.0, 4.7)

65.2

55.2

1.1 (0.8, 1.6)

 Family cohesion

34.8 (5.0)

34.7 (7.9)

1.0 (0.9, 1.1)

35.1 (8.1)

34.5 (7.9)

1.0 (1.0, 1.0)

Parental attitudes

 Proband

  Care

28.5 (5.2)

28.9 (6.0)

1.0 (0.6, 1.5)

28.9 (6.1)

28.8 (6.0)

1.0 (0.8, 1.2)

  Denial of autonomy

4.3 (3.2)

5.2 (3.9)

1.0 (0.6, 1.5)

5.1 (3.7)

5.4 (4.1)

1.0 (0.8, 1.3)

  Encouragement of freedom

13.6 (2.3)

12.4 (3.6)

1.0 (0.6, 1.5)

12.9 (3.8)

12.2 (3.5)

1.0 (0.8, 1.3)

 Spouse

  Care

27.6 (4.3)

28.3 (6.9)

1.1 (0.7, 1.7)

28.2 (6.9)

28.4 (6.9)

1.0 (0.8, 1.3)

  Denial of autonomy

5.2 (3.4)

5.2 (4.0)

1.1 (0.7, 1.6)

5.2 (4.1)

5.3 (4.0)

1.1 (0.8, 1.3)

  Encouragement of freedom

13.4 (2.9)

12.4 (3.4)

1.1 (0.7, 1.6)

12.8 (3.2)

12.2 (3.6)

1.0 (0.8, 1.3)

  1. Statistically significant values are in bold
  2. MDD major depressive disorder, m mean value, SD standard deviation, HR hazard ratios, 95% CI 95% confidence intervals
  3. ***p < 0.001
  4. **p < 0.01
  5. °p < 0.1
  6. aOne overall model for the two offspring outcomes with imputations for mediating variables, adjusted for sex and number of assessments in offspring, and SES of the family
  7. bExcluding offspring with mania/hypomania