Reproductive success in patients with schizophrenia and bipolar disorder and their unaffected siblings: A study of fertility over two generations in a cohort born 1915–1929

2008 ◽  
Vol 98 ◽  
pp. 25
Author(s):  
J.H. Maccabe ◽  
I. Koupil ◽  
D.A. Leon
Author(s):  
Iain Mathieson ◽  
Felix R. Day ◽  
Nicola Barban ◽  
Felix C. Tropf ◽  
David M. Brazel ◽  
...  

AbstractIdentifying genetic determinants of reproductive success may highlight mechanisms underlying fertility and also identify alleles under present-day selection. Using data in 785,604 individuals of European ancestry, we identify 43 genomic loci associated with either number of children ever born (NEB) or childlessness. These loci span diverse aspects of reproductive biology across the life course, including puberty timing, age at first birth, sex hormone regulation and age at menopause. Missense alleles in ARHGAP27 were associated with increased NEB but reduced reproductive lifespan, suggesting a trade-off between reproductive ageing and intensity. As NEB is one component of evolutionary fitness, our identified associations indicate loci under present-day natural selection. Accordingly, we find that NEB-increasing alleles have increased in frequency over the past two generations. Furthermore, integration with data from ancient selection scans identifies a unique example of an allele—FADS1/2 gene locus—that has been under selection for thousands of years and remains under selection today. Collectively, our findings demonstrate that diverse biological mechanisms contribute to reproductive success, implicating both neuro-endocrine and behavioural influences.


Author(s):  
Martin Brüne

Bipolar disorder concerns a syndrome in which both manic and depressive episodes occur, or states where manic and depressive symptoms cooccur. Mania is characterized by elevated mood, drive, and accelerated cognition. Behaviourally, mania reflects an extreme phenotypic variation of cognitive, emotional, and behavioural traits involved in competitiveness and dominance. Evolutionary explanations of mania suggest that dilute versions of the syndrome may confer increased reproductive success, which could partly account for the preservation of genes that predispose to bipolar disorder. Life-history perspectives suggest that mania reflects a ‘fast’ life-history strategy. Why such a strategy can switch—sometimes rapidly—to the extreme of a ‘slow’ strategy (i.e. depression) remains unclear.


2011 ◽  
Vol 26 (S2) ◽  
pp. 199-199
Author(s):  
G. Danevski

The field of bipolar affective disorders research now immence methodological challenges, some of which have only recently become obvious.It has become more clear that bipolar affective disorder should be viewed longitudinally rather than in terms of individual episodes. As result of these methodological challenges, more have been far a few mood stabilizers approwed for use in bipolar disorder. Lithium was the gold standard of treatment for bipolar disorder, but a number of studies over the past several decades shown that many drugs with antiepileptic properties are effective in the treatment of some patients with bipolar affective disorder, especially for those whose disorder inadequately responds to lithium, and those who are intolerant of treatment with lithium. These antiepileptic agents include two generations of drugs: cabamazepin and valproate as first generation, and lamotrigine, gabapentine and topiramate as second generation of mood stabilising antiepileptic agents. In this article are rewiew the pharmacological properties and their efficacy in the treatment of bipolar disorder.A series of 32 patients with bipolar affective disorder was reported. All patients were supervized in the Emergency psychiatry service in Psychiatric Hospital Skopje, as the greatest and most important psychiatric institution in Macedonia. We also summarise use of these agents in combination with other psychotropics.


Ob Gyn News ◽  
2005 ◽  
Vol 40 (3) ◽  
pp. 11
Author(s):  
DIANA MAHONEY

2005 ◽  
Vol 39 (5) ◽  
pp. 26
Author(s):  
Jeff Evans
Keyword(s):  

2017 ◽  
Author(s):  
Robert P. Reiser ◽  
Larry W. Thompson ◽  
Sheri L. Johnson ◽  
Trisha Suppes
Keyword(s):  

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