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  • Poster presentation
  • Open Access

Premorbid development in twins with schizophrenia

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Annals of General Psychiatry20087 (Suppl 1) :S256

  • Published:


  • Public Health
  • Schizophrenia
  • Personality Trait
  • Genetic Risk
  • Genetic Relationship


Premorbid developmental abnormalities have often been reported in patients with schizophrenia but it is not clear whether these are genetic or environmental in origin.

Materials and methods

Twin pairs (n=77) varying in their concordance and zygosity for schizophrenia were assessed for premorbid adjustment and personality. We used bivariate genetic model fitting techniques to quantify the genetic relationship between schizophrenia and developmental abnormalities and to estimate the heritability of these traits


Premorbid deficits in adjustment and personality were associated with schizophrenia. Heritability estimates were greatest for adolescent developmental abnormalities and schizotypal personality traits, while significant genetic and phenotypic correlations for each were detected with schizophrenia.


Premorbid abnormalities of adjustment and personality are detectable in those who will later develop schizophrenia. These deficits reflect the shared influence of the genetic risk for schizophrenia, and could consequently act as endophenotype markers for the disorder.



Supported by the Wellcome Trust (Fellowship 064971 to M.M.P.) and the Stanley Medical Research Institute.

Authors’ Affiliations

Division of Psychological Medicine, Kings College London, Institute of Psychiatry, London, UK
Kings College London, Institute of Psychiatry, Social, Genetic and Developmental Psychiatry Centre, London, UK
Department of Biostatistics and Computing, Kings College London, Institute of Psychiatry, London, UK


© Picchioni et al.; licensee BioMed Central Ltd. 2008

This article is published under license to BioMed Central Ltd.