@article{ref1,
title="Dysfunctional family functioning in high socioeconomic status families as a risk factor for the development of psychiatric disorders in adoptees: the Finnish  Adoptive Family Study of Schizophrenia",
journal="Social psychiatry and psychiatric epidemiology",
year="2021",
author="Räsänen, Sami and Niemelä, Mika and Läksy, Kristian and Tikkanen, Ville and Hakko, Helina and Wahlberg, Karl-Erik and Siira, Virva and Myllyaho, Toni and Roisko, Riikka",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: Earlier findings indicate that socioeconomic status (SES) of family associates with family functioning. This study examined the impacts of family  functioning and genetic risk for schizophrenia on psychiatric morbidity of adoptees  in families of high SES (HSES) and low SES (LSES). <br><br>METHODS: The study population is  a subgroup of the Finnish Adoptive Family Study of Schizophrenia. Of the adoptees,  152 had high genetic risk for schizophrenia spectrum disorders (HR) and 151 adoptees  had low risk (LR). Of the adoptees, 185 (HR = 94, LR = 91) were raised in high-SES  (HSES) families and 118 (HR = 58, LR = 60) in low-SES (LSES) families. The family  SES was determined by the occupational status of the main provider of the family. The functioning of adoptive families was assessed based on Global Family Ratings  (GFRs) and psychiatric disorders on DSM-III-R criteria. <br><br>RESULTS: In the HSES  families, the psychiatric morbidity of the adoptees was emphasized by HR (OR = 4.28,  CI 2.14-8.56) and dysfunctional family processes (OR = 6.44, CI 2.75-15.04). In the  LSES families, the adoptees´ psychiatric morbidity was almost significantly  increased by HR (OR = 2.10, CI 0.99-4.45), but not by dysfunctional family processes  (OR = 1.33, CI 0.53-3.34). <br><br>CONCLUSIONS: This study showed that in HSES families,  dysfunctional family processes and HR for schizophrenia increased the likelihoods  for the development of psychiatric disorders in adoptees. The results can be  utilized in identifying risk factors in the development of psychiatric disorders and  focusing preventative strategies on risk groups with acknowledging the importance of  family functioning.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-020-02016-2",
url="http://dx.doi.org/10.1007/s00127-020-02016-2"
}