Summary: Study reports children born to couples who have been in relationships for three years or less may have an increased risk of schizophrenia.
Source: Mount Sinai Hospital
Children may be at a slightly increased risk of schizophrenia when their parents were in sexual contact for less than three years before conceiving them, according to research conducted at the Icahn School of Medicine at Mount Sinai and published April 23 in the journal Schizophrenia Research.
Schizophrenia is a chronic and severe mental disorder that affects how a person thinks, feels, and behaves. People with schizophrenia may seem to have lost touch with reality and may suffer from hallucinations, delusions, disordered thinking, negative mood, and cognitive impairments. Research has shown that many different genes may increase the risk of schizophrenia and also that interactions between genes and aspects of the individual’s environment, including exposure to viruses, malnutrition before birth, problems during birth, and/or psychosocial factors, are necessary for schizophrenia to develop.
Previous research has shown that preeclampsia, the most common pregnancy complication involving placental inflammation, is associated with developmental abnormalities in offspring that predispose them to a two- to four-fold increase in the risk for schizophrenia. Research has also shown that a lengthy period of prepregnancy vaginal exposure to the sperm of the offspring’s father can overcome the maternal intolerance to paternal antigens that is a risk factor for preeclampsia.
“We hypothesized that if maternal immune intolerance to the father’s sperm is a component pathway of risk for schizophrenia, then the couples’ duration of prepregnancy sexual contact could be related to the offspring’s risk for schizophrenia,” said Dolores Malaspina, MD, MS, MPH, Professor of Psychiatry, Genetics and Genomic Sciences, and Neuroscience at the Icahn School of Medicine at Mount Sinai and first author of the paper. “Our results conclude that offspring born to couples married for less than three years, across all paternal ages, harbor a small increased risk for schizophrenia, which was independent of parental psychiatric disorders and paternal age. We anticipate that this work will inspire many follow-up studies to examine this disease pathway.”
A prior study conducted by Dr. Malaspina demonstrated an association between short durations of marriage and increased offspring risk for schizophrenia, with preeclampsia considered as the explanation. That study did not account for parental psychiatric illness or the father’s age at marriage, both of which may be relevant to an inherited vulnerability for the disease.
In this new study, researchers analyzed offspring risk for schizophrenia and separated the inter-related measures of paternal age, father’s age at marriage, parental psychiatric diagnoses, and duration of marriage. Specifically, the research team conducted analyses of more than 90,000 offspring from the prospective, population-based Jerusalem Perinatal Cohort Schizophrenia Study (JPSS), a birth cohort study that recorded all births in a defined area of Jerusalem from 1964 to 1976. They found that offspring born to parents married less than two years, equivalent to about one year of prepregnancy sexual contact, had a 50 percent increase in risk for schizophrenia, and those of marriages lasting two to four years had a 30 percent increase in risk. Conversely, there were protective effects of longer marriage duration against risk, with each five years predicting a 14 percent reduction in risk for schizophrenia.
While duration of marriage is an insufficient proxy for the total length of sexual cohabitation by a couple in almost all developed countries, 97 percent of the offspring in the 1964-1976 JPSS group were born to married couples. Then, as now, Israel had among the lowest out-of-wedlock births of any country and so duration of marriage at the time of each research subject’s birth is reasonably considered to be the lower limit on the length of time that the mother was vaginally exposed to the sperm of the offspring’s father.
“Our findings, which coincide with obstetric literature that shows a shorter duration of parental sexual contact before conception increases the pregnancy risk for preeclampsia, is timely in light of recent discovery that some genes implicated in schizophrenia are placental genes with differential expression from prenatal adversity like preeclampsia and hypertension,” says Dr. Malaspina. “The data suggests that prenatal immune activation from preeclampsia could produce lasting inflammatory vulnerability for the mother and fetus, increasing the susceptibility for psychiatric and metabolic conditions.”
Dr. Malaspina’s research team is currently being examining duration of marriage as a risk factor for other psychiatric disorders and for metabolic disorders.
Researchers from New York University, the University of Miami, Montefiore Medical Center, Columbia University, Hebrew University of Jerusalem, University Hospital Frankfurt in Germany, and Pluristem Therapeutics contributed to this work.
Funding: This work was supported by the National Institutes of Health and the G. Harold and Leila Y. Mathers Charitable Foundation.
Mount Sinai Hospital
Elizabeth Dowling – Mount Sinai Hospital
The image is in the public domain.
Original Research: Closed access.
“Short duration of marriage at conception as an independent risk factor for schizophrenia” Dolores Malaspina, Thorsten Kranz, Karine Kleinhaus, Sulaima Daboul, Karen Rothman, Caitlin Gilman, Mara Getz, Susan Harlap, Yechiel Friedlander. Schizophrenia Research. doi:10.1016/j.schres.2019.03.001
Short duration of marriage at conception as an independent risk factor for schizophrenia
Short duration of marriage (DoM) is a risk factor for preeclampsia that is also related to the risk for schizophrenia. This analysis examined the risk for schizophrenia associated with DoM and its independence from parental psychiatric disorders, parental ages and fathers’ age at marriage.
Relative Risks (RR) for schizophrenia were estimated using continuous and stratified Cox proportional hazards models in the 90,079 offspring from the prospective population-based Jerusalem birth cohort study (1964–1976). Schizophrenia diagnos in offspring and parental diagnoses of schizophrenia or other psychiatric conditions were identified by cross-linkage to Israel’s psychiatric case registry. DoM and paternal age at marriage were abstracted from birth certificates.
In the full model, RR for schizophrenia decreased for each 5 years DoM: 0.83 (0.75–0.95), ptrend = 0.0015. Stratified analyses showed the greatest RR risk for DoM <2 years: 1.53 (1.11–1.66) with lesser risk for 2–4 years DoM: 1.38 (1.05–1.81) compared to more DOM of 10+ years. DoM effects were independent from parental psychiatric diagnoses (RRs = 2–6, p~0.00001), paternal age (1.34: p = 0.0001 /5 years- including fathers of 25–34 years). The apparent risk related to later fathers' age at marriage (1.27: p < 0.0001) was eliminated in after accounting for DoM and later paternal age.
Offspring born to couples married for less than 3 years, across all paternal ages, harbored a small increased risk for schizophrenia, which was independent of parental psychiatric disorders and paternal age. Fathers who married late had particularly short DoM, which, along with paternal age, completely explained the risks related to later paternal age at marriage. Further studies are needed to replicate these results and examine if pathogenic pathways include prenatal immune activation.