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One of the strongest predictors of psychological problems in children and adolescents is the presence of psychological problems in one or both parents. Across the full range of diagnoses, parental psychopathology has been consistently associated with psychopathology in their offspring. For example, it has been widely documented that parental depression is associated not only with depression in their offspring, but also with behavioral problems and a variety of social, emotional, and cognitive deficits. Similarly, family studies have documented elevated rates of psychopathol-ogy in the children of parents with diagnoses of anxiety disorders, schizophrenia, antisocial behavior/conduct disorder, and alcohol/substance use disorders. Risk for psychopathology in offspring of parents with a psychological disorder is significant. Offspring of parents with schizophrenia are roughly 13 times more likely to have the disorder, compared with offspring of parents without the disorder, and offspring of depressed parents are two to three times more likely to suffer from major depressive disorder.

Given the risk for psychopathology in the offspring of parents with a psychological disorder, it has often been assumed that there is a direct environmental effect—the stress and environmental exposure to parents with psychological problems causes offspring to have more difficulties. Researchers cannot assume, however, that one phenomenon causes another simply because they are correlated, inasmuch correlation does not prove causation. This entry describes alternative hypotheses regarding the causes of intergenerational transmission of psychopathology, highlights relevant methods for teasing apart the causal processes underlying the intergenerational transmission, and briefly summarizes the current state of the empirical literature.

Complexity of Studying the Intergenerational Transmission of Psychopathology

Although it appears intuitive that parental depression may be associated with offspring psychopathology due to the environmental context, there are other equally plausible alternative explanations for the association. One such explanation is selection factors, or third (confounding) variables, that influence both the parent and offspring generations and account for the association between the two. Historically, two main approaches have been used to investigate selection factors. First, studies have “matched” cases (samples of parents with and without psychological problems) on a number of variables thought to be possible selection factors, such as socioeconomic status, race, age, and other measured variables. Second, researchers have included as many measured selection factors as possible in their analyses of the effects of parental psychopathology to statistically “control for” selection factors. Regardless of the approach, it is difficult to know whether a study has included every salient selection factor.

Additionally, it is crucial to account for genetic factors in studies of intergenerational associations because biological parents provide the environmental context and transmit their genes to their offspring. Thus, parent-offspring associations may be due to environmental factors associated with parental psychopathology and/or genetic factors that contribute to the disorder—in both generations. Thus, it is difficult to tease apart environmental factors from genetic factors that contribute to intergenerational associations. This is supported by many genetically informed studies that have documented that environmental and genetic factors are correlated. One type of genetic confound that can be problematic when studying the inter-generational transmission of psychopathology is passive gene-environmental correlation (rGE), which occurs when the same genetic factors underlying parental traits or behaviors (e.g., environmental risk factors) also influence child outcomes (e.g., depression). Although the presence of rGE renders most traditional family research uninter-pretable, researchers have historically ignored the possible role of genetic factors when studying the effects of parental psychopathology.

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