"WE THINK THAT APPROXIMATELY ONE THIRD OR ONE QUARTER OF ALL SCHIZOPHRENIA CASES MAY BE ATTRIBUTALBLE TO PATERNAL AGE"

In Session with Dolores Malaspina, MD, MSPH: Impact of Childhood Trauma on Psychiatric Illness
Dolores Malaspina, MD, MSPH, interviewed by Norman Sussman, MD



Primary Psychiatry. 2006;13(7):33-36






What is the most irrefutable finding that you and your colleagues have made?
The most irrefutable finding is our demonstration that a father’s age is a major risk factor for schizophrenia. We were the first group to show that schizophrenia is linearly related to paternal age and that the risk is tripled for the offspring of the oldest groups of fathers.7 This finding has been born out in every single cohort study that has looked at paternal age and the risk for schizophrenia. The only other finding that has been as consistently replicated in schizophrenia research is that there is an increased risk associated with a family history of schizophrenia. Since only 10% to 15% of schizophrenia cases have a family history, family history does not explain much of the population risk for schizophrenia. However, we think that approximately one third or one quarter of all schizophrenia cases may be attributable to paternal age. Paternal age is the major source of de novo genetic diseases in the human population, which was first described by Penrose8 in the 1950s. He hypothesized that this was due to copy errors that arose in the male germ line over the many cycles of sperm cell replications. These mutations accumulate as paternal age advances. After the Penrose report, medical researchers identified scores of sporadic diseases in the offspring of older fathers, suggesting that these could occur from gene mutations. Particular attention was paid to conditions in last-born children.