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The risk for psychiatric disorders in offspring from thrombosis-prone pedigrees in Sweden : a nationwide family study

Zöller, Bengt LU orcid ; Sundquist, Jan LU ; Sundquist, Kristina LU and Ohlsson, Henrik LU (2025) In Research and practice in thrombosis and haemostasis 9(1).
Abstract

Background: Psychiatric disorders have been associated with venous thromboembolism (VTE). However, to our knowledge, no nationwide study has examined the familial association between VTE and psychiatric disorders. Objectives: We took a pedigree-based approach and examined the risk of psychiatric disorders in offspring from extended pedigrees according to the densities of VTE in pedigrees. Methods: This was a Swedish national family study. We identified a total of 482,184 Swedish pedigrees from the Swedish Multigeneration Register containing a mean of 14.2 parents, aunts/uncles, grandparents, and cousins of a core full-sibship that we termed the pedigree offspring (n = 751,060). We then derived 8 empirical classes of these pedigrees... (More)

Background: Psychiatric disorders have been associated with venous thromboembolism (VTE). However, to our knowledge, no nationwide study has examined the familial association between VTE and psychiatric disorders. Objectives: We took a pedigree-based approach and examined the risk of psychiatric disorders in offspring from extended pedigrees according to the densities of VTE in pedigrees. Methods: This was a Swedish national family study. We identified a total of 482,184 Swedish pedigrees from the Swedish Multigeneration Register containing a mean of 14.2 parents, aunts/uncles, grandparents, and cousins of a core full-sibship that we termed the pedigree offspring (n = 751,060). We then derived 8 empirical classes of these pedigrees based on the density of cases of VTE. The risk was determined in offspring for psychiatric disorders as a function of VTE density in their pedigrees. Diagnoses of VTE and psychiatric disorders (F00-F69) were determined according to the International Classification of Diseases codes in Swedish registers. All results were Bonferroni corrected. Results: Higher VTE density, especially for females in pedigrees, was significantly but weakly associated in the offspring with a higher risk of psychiatric disorders. Moreover, VTE density in pedigrees was significantly associated in the offspring with substance abuse disorders, mood (affective) disorders, neurotic, stress-related, and somatoform disorders, behavioral syndromes associated with psychological disturbances and physical factors, personality disorders of adult personality and behavior, depression, and anxiety disorders. Conclusion: Offspring of pedigrees with a high density of VTE, especially for females, are slightly disadvantaged regarding several psychiatric disorders. VTE shares familial susceptibility, albeit weak, with several psychiatric disorders.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
depression, epidemiology, family, mental disorders, venous thromboembolism
in
Research and practice in thrombosis and haemostasis
volume
9
issue
1
article number
102692
publisher
Wiley
external identifiers
  • scopus:85218407932
  • pmid:40093964
ISSN
2475-0379
DOI
10.1016/j.rpth.2025.102692
language
English
LU publication?
yes
id
86a25469-d7d0-4244-a115-4b6df5282857
date added to LUP
2025-07-01 11:30:44
date last changed
2025-07-15 12:15:40
@article{86a25469-d7d0-4244-a115-4b6df5282857,
  abstract     = {{<p>Background: Psychiatric disorders have been associated with venous thromboembolism (VTE). However, to our knowledge, no nationwide study has examined the familial association between VTE and psychiatric disorders. Objectives: We took a pedigree-based approach and examined the risk of psychiatric disorders in offspring from extended pedigrees according to the densities of VTE in pedigrees. Methods: This was a Swedish national family study. We identified a total of 482,184 Swedish pedigrees from the Swedish Multigeneration Register containing a mean of 14.2 parents, aunts/uncles, grandparents, and cousins of a core full-sibship that we termed the pedigree offspring (n = 751,060). We then derived 8 empirical classes of these pedigrees based on the density of cases of VTE. The risk was determined in offspring for psychiatric disorders as a function of VTE density in their pedigrees. Diagnoses of VTE and psychiatric disorders (F00-F69) were determined according to the International Classification of Diseases codes in Swedish registers. All results were Bonferroni corrected. Results: Higher VTE density, especially for females in pedigrees, was significantly but weakly associated in the offspring with a higher risk of psychiatric disorders. Moreover, VTE density in pedigrees was significantly associated in the offspring with substance abuse disorders, mood (affective) disorders, neurotic, stress-related, and somatoform disorders, behavioral syndromes associated with psychological disturbances and physical factors, personality disorders of adult personality and behavior, depression, and anxiety disorders. Conclusion: Offspring of pedigrees with a high density of VTE, especially for females, are slightly disadvantaged regarding several psychiatric disorders. VTE shares familial susceptibility, albeit weak, with several psychiatric disorders.</p>}},
  author       = {{Zöller, Bengt and Sundquist, Jan and Sundquist, Kristina and Ohlsson, Henrik}},
  issn         = {{2475-0379}},
  keywords     = {{depression; epidemiology; family; mental disorders; venous thromboembolism}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Wiley}},
  series       = {{Research and practice in thrombosis and haemostasis}},
  title        = {{The risk for psychiatric disorders in offspring from thrombosis-prone pedigrees in Sweden : a nationwide family study}},
  url          = {{http://dx.doi.org/10.1016/j.rpth.2025.102692}},
  doi          = {{10.1016/j.rpth.2025.102692}},
  volume       = {{9}},
  year         = {{2025}},
}