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Author's reply

Published online by Cambridge University Press:  02 January 2018

Andrea Schreier
Affiliation:
Max Planck Institute of Psychiatry, Munich, Germany. Email: schreier@mpipsykl.mpg.de
Hans-Ulrich Wittchen
Affiliation:
Max Planck Institute of Psychiatry, Munich, and Technical University of Dresden, Clinical Psychology and Psychotherapy, Dresden, Germany
Michael Höfler
Affiliation:
Technical University of Dresden, Clinical Psychology and Psychotherapy, Dresden, Germany
Roselind Lieb
Affiliation:
Max Planck Institute of Psychiatry, Munich, Germany, and University of Basel, Epidemiology and Health Psychology, Basel, Switzerland
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Abstract

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Columns
Copyright
Copyright © Royal College of Psychiatrists, 2008 

As Mushtaq & Minn-Din correctly point out, Bijl et al Reference Bijl, Cuijpers and Smit1 did not find associations between prevalence rates of any psychiatric disorder (including anxiety disorders) in children and anxiety-related symptoms in parents. However, one must be aware of several methodological differences to our investigation: the results cited by Mushtaq & Minn-Din are based on 12-month prevalence rates and multivariate logistic regression analysis additionally controlling for childhood adversities and socio-demographic characteristics. We would like to clarify that the results of the Bijl et al paper are much more comparable with our study and that the results we are actually referring to are those based on life-time prevalence rates of psychiatric disorders in children without controlling for childhood adversities and reported separately for the various offspring disorders. Here, Bijl et al clearly report associations between anxiety in parents and children.

In addition, it is true that the adult children in the Bijl et al study were considerably older (18–65 years) than the offspring in our study (17–21 years at follow-up). We would like to add that there are other substantial ways in which the studies differ; for example, our use of assessment via direct interviews v. family-history information. Reference Bijl, Cuijpers and Smit1 Nevertheless, we do not see why our claim that we confirm and extend the Bijl et al study should be problematic, especially when taking into account the low median for age at onset of anxiety disorders. 2

We would also like to point out that both studies were community-based so that the use of the term ‘patients’ by Mushtaq & Minn-Din is slightly misleading.

References

1 Bijl, RV, Cuijpers, P, Smit, F. Psychiatric disorders in adult children of parents with a history of psychopathology. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 712.CrossRefGoogle ScholarPubMed
2 Cross-national comparisons of the prevalences and correlates of mental disorders. WHO International Consortium in Psychiatric Epidemiology. Bull World Health Organ 2000; 78: 413–26.Google Scholar
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