Evidence map›Paper›PMID 29112198›Full record

ArticleMolecular psychiatry2018

Co-aggregation of major psychiatric disorders in individuals with first-degree relatives with schizophrenia: a nationwide population-based study.

C-M Cheng, W-H Chang, M-H Chen, C-F Tsai, T-P Su, C-T Li, S-J Tsai, J-W Hsu, K-L Huang, W-C Lin and 2 more

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
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  10. Generalized anxiety disorder, psychiatric comorbidities, and suicide.Social psychiatry and psychiatric epidemiology · 2026
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  11. Transdiagnostic prevention in youth mental health, Part I: rationale, shared risk factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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  16. Observational
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

C-M Cheng *Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
W-H Chang *Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
M-H ChenDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan. kremer7119@gmail.com.
C-F TsaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
T-P SuDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
C-T LiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
S-J TsaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
J-W HsuDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
K-L HuangDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
W-C LinDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
T-J ChenDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Y-M BaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan. ymbibai@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A previous genetic study has suggested that schizophrenia, bipolar disorder, major depressive disorder, autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) share common disease-associated genes. However, whether individuals with first-degree relatives (FDRs) with schizophrenia have a higher risk of these major psychiatric disorders requires further investigation. This study used Taiwan's National Health Insurance Research Database and identified 151 650 patients with schizophrenia and 227 967 individuals with FDRs with schizophrenia. The relative risks (RRs) of schizophrenia and other major psychiatric disorders were assessed in individuals with FDRs with schizophrenia. The individuals with FDRs with schizophrenia exhibited higher RRs (95% confidence interval) of major psychiatric disorders, namely schizophrenia (4.76, 4.65-4.88), bipolar disorder (3.23, 3.12-3.35), major depressive disorder (2.05, 2.00-2.10), ASD (2.55, 2.35-2.77) and ADHD (1.31, 1.25-1.37) than were found in the total population. Several sensitivity analyses were conducted to confirm these results. A dose-dependent relationship was observed between the risks of major psychiatric disorders and the numbers of FDRs with schizophrenia. The increased risks of major psychiatric disorders were consistent in different family relationships, namely among parents, offspring, siblings and twins. Our study supports the familial dose-dependent co-aggregation of schizophrenia, bipolar disorder, major depressive disorder, ASD and ADHD, and our results may prompt governmental public health departments and psychiatrists to focus on the mental health of individuals with FDRs with schizophrenia.

Indexed as

FamilyGenetic Predisposition to DiseaseAdultFemaleHumansMaleMental DisordersTaiwan

Identifiers

PMID29112198

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.