Am J Psychiatry 1990; 147:850-854
Copyright © 1990 by American Psychiatric Association
Symptom criteria and family history in major depression
DN Klein
Department of Psychology, State University of New York, Stony Brook 11794-2500.
The author examined the relationship between symptom criteria for major
depression and family history of mood disorders in 82 outpatients with
major depression and 27 outpatients with nonaffective disorders. The family
members of depressed patients with six or more groups of DSM-III symptoms
of major depression exhibited substantially higher rates of mood disorders
than the family members of depressed patients with fewer than six groups of
symptoms and the family members of patients with nonaffective disorders.
These data suggest that stricter symptom criteria for major depression may
define a more homogeneous phenotype, at least from the standpoint of
familial aggregation.
