2009
DOI: 10.1017/s0033291709005431
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Lifetime reproductive output over two generations in patients with psychosis and their unaffected siblings: the Uppsala 1915–1929 Birth Cohort Multigenerational Study

Abstract: Schizophrenia, but not affective psychosis, is associated with reduced biological fertility; this disadvantage is partly explained by marital status and persists into the second generation.

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Cited by 52 publications
(49 citation statements)
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“…This is consistent with other first-episode samples. [31][32][33][34] Mean household income (R2 560 ($365) per month) was less than half that of the general population (R5 360 ($777) per month), consistent with previous findings.…”
Section: Discussionsupporting
confidence: 90%
“…This is consistent with other first-episode samples. [31][32][33][34] Mean household income (R2 560 ($365) per month) was less than half that of the general population (R5 360 ($777) per month), consistent with previous findings.…”
Section: Discussionsupporting
confidence: 90%
“…While the mutation rate is low, the overall target size is large, involving many genes and regulatory regions. This model fits well with the apparent impact of rare structural and de novo variants on schizophrenia susceptibility [146,147,148,149,150,151,152], the reported effects of paternal age [153], and with the severe fertility disadvantages that have been observed in schizophrenia [154,155,156]. While structural variants do not appear to contribute significantly to risk for bipolar disorder, rare variants may play a role [157,158,159,160].…”
Section: Bipolar Disorder and Evolutionsupporting
confidence: 70%
“…Others have suggested that the observed association between schizotypal traits and creativity may partially explain the persistence of psychosis risk variants in the population [117,141,166,168,169,170,171]. Consistent with these notions, studies have shown at least moderate evidence for reduced fecundity in individuals with bipolar disorder and increased fecundity in their unaffected siblings, who presumably carry a reduced burden of risk variants and may express these traits in a milder, more advantageous form [142,155,156]. Antagonistic pleiotropy provides an attractive evolutionary model in this context, wherein alleles associated with an increased fitness for one trait also decrease fitness for another [143,144,172].…”
Section: Bipolar Disorder and Evolutionmentioning
confidence: 99%
“…On the one hand, it has been reported that sterilization rates were no higher in Uppsala than other parts of Sweden 36 . Moreover, it is worth noting that the majority of sterilisations performed on the grounds of "feeble-mindedness" in fact referred to socially marginal women with deviant sexual behaviour, such as unmarried working class girls seeking abortions (M Runcis, personal communication).…”
Section: Historical Context: Enforced Sterilisation In Twentieth Centmentioning
confidence: 96%