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Association of parental Communication Deviance with offspring's psychiatric and thought disorders. A systematic review and meta-analysis

Published online by Cambridge University Press:  15 April 2020

R. Roisko ,
K.-E. Wahlberg ,
J. Miettunen  and
P. Tienari
R. Roisko*
Affiliation:
Oulu University Hospital, Department of Psychiatry, PO Box 26, 90029OYS, Finland
K.-E. Wahlberg
Affiliation:
University of Oulu, Institute of Clinical Medicine, Department of Psychiatry, PO Box 5000, 90014Oulun Yliopisto, Finland Department of Psychology, University of Jyväskylä, Jyväskylä, Finland
J. Miettunen
Affiliation:
University of Oulu, Institute of Clinical Medicine, Department of Psychiatry, PO Box 5000, 90014Oulun Yliopisto, Finland
P. Tienari
Affiliation:
University of Oulu, Institute of Clinical Medicine, Department of Psychiatry, PO Box 5000, 90014Oulun Yliopisto, Finland
*
*Corresponding author. Tel.: +358 40 727 2180; fax: +358 8 333 167. E-mail address:rroisko@paju.oulu.fi (R. Roisko).
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Abstract

Elevated number of parental Communication Deviance (CD) has been connected with psychiatric and thought disorders in their offspring. However, no earlier systematic efforts have been made to review this issue. The aim of this study was to survey the existing literature systematically and perform a meta-analysis of this association. A literature search for published and unpublished observational studies on the association of parental Communication Deviance with psychopathology in the offspring was conducted. Multiple electronic databases were searched (from 1960 to 2012) and the reference lists of the resulting publications were scanned. The findings were pooled using random effect meta-analysis. A total of 19 relevant papers were found and accessed. The results showed that a high level of parental CD is associated with schizophrenia spectrum disorders in the offspring. A large overall effect size (0.79) was found in the meta-analysis. No meta-analysis could be performed on the association of parental CD with an offspring's thought disorders, but the results suggest that such an association may exist. Parental Communication Deviance is associated with schizophrenia spectrum disorders in the offspring. High parental CD could be treated as an indicator of a risk of developing a schizophrenia spectrum disorder, at least among high-risk groups.

Keywords

CDGene-environment interactionSchizophrenia spectrumSystemic modelVulnerability-stress theory

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Type
Review
Information
European Psychiatry , Volume 29 , Issue 1 , January 2014 , pp. 20 - 31
Copyright
Copyright © 2013 Elsevier Masson SAS

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References

Allen, A.J.Griss, M.E.Folley, B.J.Hawkins, K.A.Pearlson, G.D.Endophenotypes in schizophrenia: a selective review. Schizophr Res 2009;109:24–37.CrossRefGoogle ScholarPubMed
Asarnow, J.R.Goldstein, M.J.Ben-Meir, S.Parental Communication Deviance in childhood onset schizophrenia spectrum and depressive disorders. J Child Psychol Psychiatry 1988;29:825–838.CrossRefGoogle ScholarPubMed
Bateson, G.Jackson, D.D.Haley, J.Weakland, J.H.Toward a theory of schizophrenia. Behav Sci 1956;1:251–264.CrossRefGoogle Scholar
Borenstein, M.Hedges, L.V.Higgins, J.P.T.Rothstein, H.R.Introduction to meta-analysis. Chichester, West Sussex: John Wiley & Sons; 2009.CrossRefGoogle Scholar
Cohen, J.A power primer. Psychol Bull 1992;112:155–159.CrossRefGoogle ScholarPubMed
Cole, R.E.Kane, C.F.Zastowny, T.Grolnick, W.Lehman, A.Expressed emotion, communication, and problem solving in the families of chronic schizophrenic young adults. In: Cole, R.E.Reiss, D., editors. How do families cope with chronic illness? Hillsdale: Lawrence Erlbaum Associates, Inc., Publishers; 1993. p. 141–172.Google Scholar
Doane, J.A.Mintz, J.Communication Deviance in adolescence and adulthood: a longitudinal study. Psychiatry 1987;50:5–13.CrossRefGoogle ScholarPubMed
Doane, J.A.West, K.L.Goldstein, M.J.Rodnick, E.H.Jones, J.E.Parental communication deviance and affective style. Predictors of subsequent schizophrenia spectrum disorders in vulnerable adolescents. Arch Gen Psychiatry 1981;38:679–685.CrossRefGoogle ScholarPubMed
Docherty, N.M.Communication Deviance, attention, and schizotypy in parents of schizophrenic patients. J Nerv Ment Dis 1993;181:750–756.CrossRefGoogle ScholarPubMed
Friedman, H.Perceptual regression in schizophrenia: a hypothesis suggested by the use of the Rorschach test. J Genet Psychol 1952;81:63–98.Google ScholarPubMed
Goldstein, M.J.Family factors associated with schizophrenia and anorexia nervosa. J Youth Adolesc 1981;10:385–405.CrossRefGoogle ScholarPubMed
Goldstein, M.J.The UCLA high-risk project. Schizophr Bull 1987;13:505–514.CrossRefGoogle ScholarPubMed
Goldstein, M.J.Family interaction patterns that antedate the onset of schizophrenia and related disorders: a further analysis of data from a longitudinal, prospective study. In: Hahlweg, K.Goldstein, M.J., editors. Understanding major mental disorder. The contribution of family interaction research New York: Family Process Press; 1987. p. 11–32.Google Scholar
Goldstein, M.J.Rodnick, E.H.Jones, J.E.McPherson, S.R.West, K.L.Familial precursors of schizophrenia spectrum disorders. In: Wynne, L.C.Cromwell, R.L.Matthysse, S., editor. The nature of schizophrenia. New approaches to research and treatment New York: John Wiley & Sons, Inc; 1978. p. 487–498.Google Scholar
Higgins, J.P.T.Thompson, S.G.Deeks, J.Altman, D.G.Measuring inconsistency in meta-analyses. BMJ 2003;327:557–560.CrossRefGoogle ScholarPubMed
Hirsch, L.Leff, J.Parental abnormalities of verbal communication in the transmission of schizophrenia. Psychol Med 1971;1:118–127.CrossRefGoogle ScholarPubMed
Johnston, M.H.Holzman, P.S.Assessing schizophrenic thinking. San Francisco: Jossey-Bass; 1979.Google Scholar
Lidz, T.Cornelison, A.Fleck, S.Terry, D.The intrafamilial environment of the schizophrenic patient: II. Marital schism and marital skew. Am J Psychiatry 1957;114:241–248.CrossRefGoogle ScholarPubMed
Metsänen, M.Wahlberg, K.E.Hakko, H.Saarento, O.Tarvainen, T.Koistinen, P.et al.Communication Deviance of the adoptive parents as a predictor of thought disorder in the adoptee. Clin Neuropsychiatry 2007;4:23–29.Google Scholar
Miklowitz, D.J.Velligan, D.I.Goldstein, M.J.Nuechterlein, K.H.Gitlin, M.J.Ranlett, G.et al.Communication Deviance in families of schizophrenic and manic patients. J Abnorm Psychol 1991;100:163–173.CrossRefGoogle ScholarPubMed
Nugter, M.A.Dingemans, P.M.A.J.Linszen, D.H.Van der Does, A.J.W.Gersons, B.P.R.Parental communication deviance: its stability and the effect of family treatment in recent-onset schizophrenia. Acta Psychiatr Scand 1997;95:199–204.CrossRefGoogle ScholarPubMed
Overall, J.E.Gorham, D.R.The Brief Psychiatric Rating Scale. Psychol Rep 1962;10:799–812.CrossRefGoogle Scholar
Reichenberg, A.The assessment of neuropsychological functioning in schizophrenia. Dialogues Clin Neurosci 2010;12:383–392.Google Scholar
Roisko, R.Wahlberg, K.E.Hakko, H.Tienari, P.Wynne, L.C.Communication Deviance in parents of families with offspring at high or low risk of schizophrenia spectrum disorders and its associations with attributes the adoptee and the adoptive parents. Psychiatry Res 2011;185:66–71.CrossRefGoogle ScholarPubMed
Rund, B.R.Communication Deviances in parents of schizophrenics. Fam Process 1986;25:133–147.CrossRefGoogle ScholarPubMed
Sass, L.A.Gunderson, J.G.Singer, M.T.Wynne, L.C.Parental communication deviance and forms of thinking in male schizophrenic offspring. J Nerv Ment Dis 1984;172:513–520.CrossRefGoogle ScholarPubMed
Singer, M.T.The Rorschach as a transaction. In: Rickers-Ovsiankina, M., editor. Rorschach psychology Huntington: Robert E. Krieger Publishing Company; 1977. p. 455–485.Google Scholar
Singer, M.T.Wynne, L.C.Thought disorder and family relations of schizophrenics. III. Methodology using projective techniques. Arch Gen Psychiatry 1965;12:187–200.CrossRefGoogle Scholar
Singer, M.T.Wynne, L.C.Thought disorder and family relations of schizophrenics. IV. Results and implications. Arch Gen Psychiatry 1965;12:201–212.CrossRefGoogle ScholarPubMed
Singer, M.T.Wynne, L.C.Principles for scoring communication defects and deviances in parents of schizophrenics: Rorschach and TAT Scoring Manuals. Psychiatry 1966;29:260–288.CrossRefGoogle ScholarPubMed
Singer, M.T.Wynne, L.C.Toohey, M.L.Communication disorders and the families of schizophrenics. In: Wynne, L.C.Cromwell, R.L.Matthysse, S., editors. The nature of schizophrenia New York, Toronto: John Wiley & Sons, Inc.; 1978. p. 499–511.Google Scholar
Solovay, M.R.Shenton, M.E.Gasperetti, C.Coleman, M.Kestnbaum, E.Carpenter, J.T.et al.Scoring manual for the Thought Disorder Index. Schizophr Bull 1986;12:483–496.Google ScholarPubMed
Stroup, D.F.Berlin, J.A.Morton, S.C.Olkin, I.Williamson, G.D.Rennie, D.et al.Meta-analysis of observational studies in epidemiology. A proposal for reporting. JAMA 2000;283:2008–2012.CrossRefGoogle Scholar
Tandon, R.Keshavan, M.S.Nasrallah, H.A.Schizophrenia, just the facts what we know in 2008. 2. Epidemiology and etiology. Schizophr Res 2008;102:1–18.CrossRefGoogle ScholarPubMed
Tienari, P.Wynne, L.C.Moring, J.Läksy, K.Nieminen, P.Sorri, A.et al.Finnish adoptive family study: sample selection and adoptee DSM-III-R–diagnoses. Acta Psychiatr Scand 2000;101:1–11.CrossRefGoogle ScholarPubMed
Velligan, D.I.Funderburg, L.Giesecke, S.L.Miller, A.L.Longitudinal analysis of communication deviance in the families of schizophrenic patients. Psychiatry 1995;58:6–19.CrossRefGoogle ScholarPubMed
Velligan, D.I.Miller, A.L.Eckert, S.L.Funderburg, L.G.True, J.E.Mahurin, R.K.et al.The relationship between parental communication deviance and relapse in schizophrenic patients in the 1-year period after hospital discharge. A pilot study. J Nerv Ment Dis 1996;184:490–496.CrossRefGoogle ScholarPubMed
Wahlberg, K.E.Wynne, L.C.Hakko, H.Läksy, K.Moring, J.Miettunen, J.et al.Interaction of genetic risk and adoptive parent communication deviance: longitudinal prediction of adoptee psychiatric disorders. Psychol Med 2004;34:1531–1541.CrossRefGoogle ScholarPubMed
Wahlberg, K.E.Wynne, L.C.Keskitalo, P.Nieminen, P.Moring, J.Läksy, K.et al.Long-term stability of Communication Deviance. J Abnorm Psychol 2001;110:443–448.CrossRefGoogle ScholarPubMed
Wahlberg, K.E.Wynne, L.C.Oja, H.Keskitalo, P.Anias-Tanner, H.Koistinen, P.et al.Thought Disorder Index of Finnish adoptees and communication deviance of their adoptive parents. Psychol Med 2000;30:127–136.CrossRefGoogle ScholarPubMed
Wahlberg, K.E.Wynne, L.C.Oja, H.Keskitalo, P.Pykäläinen, L.Lahti, I.et al.Gene-environment interaction in vulnerability to schizophrenia: findings from the Finnish adoptive family study of schizophrenia. Am J Psychiatry 1997;154:355–362.Google ScholarPubMed
Wynne, L.C.Family transactions schizophrenia: II. Conceptual considerations for a research strategy. In: Romano, J., editor. The origins of schizophrenia Amsterdam: Excerpta Medica; 1967. p. 165–178.Google Scholar
Wynne, L.C.Ryckoff, I.Day, J.Hirsch, S.Pseudo-mutuality in the family relations of schizophrenics. Psychiatry 1958;21:205–220.CrossRefGoogle ScholarPubMed
Wynne, L.C.Singer, M.T.Thought disorder and family relations of schizophrenics. I. A research strategy. Arch Gen Psychiatry 1963;9:25–32.Google ScholarPubMed
Wynne, L.C.Singer, M.T.Thought disorder and family relations of schizophrenics. II. A classification of forms of thinking. Arch Gen Psychiatry 1963;9:33–40.Google Scholar
Wynne, L.C.Singer, M.T.Bartko, J.J.Tophey, M.L.Schizophrenics and their families: research on parental communication. In: Tanner, J.M.Developments in psychiatric research London, England: Hodder & Stoughton; 1977. p. 254–286.Google Scholar
Wynne, L.C.Singer, M.T.Toohey, M.L.Communication of the adoptive parents of schizophrenics. In: Cancro, R.Annual review of the schizophrenic syndrome 1976–7 New York: Brunner/Mazel; 1978. p. 528–559.Google Scholar
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