Abstract
纪文艳,胡永华,黄悦勤,曹卫华,吕筠,秦颖,逄增昌,汪韶洁,李立明.人格障碍遗传度双生子研究[J].Chinese journal of Epidemiology,2006,27(2):137-141
人格障碍遗传度双生子研究
A twin study of personality disorder heritability
Received:March 29, 2005  
DOI:
KeyWord: 双生子  人格障碍  遗传度
English Key Word: Twins  Personality disorder  Her itability
FundProject:中华医学基金资助项目(01-746)
Author NameAffiliationE-mail
Ji Wenyan Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China  
Hu Yonghua Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China Yhhu@vip.sina.com 
Huang Yueqin 北京大学精神卫生研究所  
Cao Weihua Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China  
Lv Jun Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China  
Qin Ying Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China  
Pang Zengchang 青岛市疾病预防控制中心  
Wang Shaojie 青岛市疾病预防控制中心  
Li Liming Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China  
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Abstract:
      目的利用双生子人群估计人格障碍的遗传度。方法采用人格障碍诊断问卷第4版(PDQ-4)作为筛查工具,在知情同意的基础上,对青岛市20~70岁的成人双生子进行问卷调查。其中已知卵性鉴定结果的双生子共324对,对其中性别相同的242对双生子进行结构方程模型拟合,计算人格障碍的遗传度。结果人格障碍总评分遗传度为68.26%(60.26~74.78),A组评分遗传度为59.00%(49.22~67.17),B组评分遗传度为64.99%(56.24~72.16),C组评分遗传度为63.66%(54.72~71.02)。分裂型、自恋型和依赖型有显著的遗传效应,遗传度分别为49.96%(37.94~60.14)、52.89%(41.85~62.24)和68.87%(60.80~75.40)。戏剧型不受遗传因素作用,共同环境效应显著,占总变异方差的54.08%(44.50~62.43)。结论人格障碍主要受遗传因素决定,这些结果将会对人格障碍的进一步研究提供依据。
English Abstract:
      Objective To calculate heritabilities of personality disorders(PDs) in twin population.Methods Based on info rmed consent, we used Personality Diag nostic Questionnaire(fourth-v ersion) as our screening tool to study the adult tw ins (aged 20- 70 years) in Qing dao city. There were 324 twin pairs whose zygosity had been determined. Structur al equatio n modeling was used to estimate the heritabilities by 242 same-sex tw in pairs. Results The best- fitting models yielded a heritability of 68. 26%(60. 26- 74. 78) of overall PDs, 59. 00%(49. 22- 67. 17) of cluster A, 64. 99%(56. 24- 72. 16) of cluster B, and 63. 66% (54. 72- 71. 02 ) of cluster C. There were sig nificant genetic effects for schizotypal, narcissistic and dependent, ex plaining 49. 96%(37. 94- 60. 14), 52. 89%(41. 85- 62.24) and 68. 87% (60. 80- 75. 40) of the var iance respectively. No genetic effects were found on Histrionic, but common environmental effect accounted for 54. 08%(44.50- 62.43) of the total variances. Conclusion PD was mainly determined by genetic factor. These findings may prov ide evidence for future r esearch on PD.
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