This project is designed to assess psychiatric disorders and addictive behaviors in the first degree relatives of a sample of opiate addicts and to evaluate the applicability of genetic and non-genetic models as explanations for the patterns of disorders observed in the addicts' families. The design follows in part from our previous work with opiate addicts which indicates that this population is heterogenous for psychiatric disorders, with secondary depression and antisocial personality being the most commonly diagnosed conditions. In this study, three groups of addicted probands will be evaluated: addicts with no additional diagnosis, addicts with secondary depression, and addicts with antisocial personality. First degree relatives of probands will be evaluated for addictive behaviors, substance use patterns, psychiatric disorders, and personality characteristics. In addition, aspects of family functioning such as separation or divorce of parents, excessive closeness, and crossed ethnicity of parents will also be assessed. Rates of psychiatric disorders in the surrounding community and comparable data on the first degree relatives of depressives and normals are available from previously completed research for comparison to findings with opiate addicts. Data analysis will be carried out to evaluate several types of issues. An epidemiological analysis will assess relative risk of addicts' family members for psychiatric disorders in comparison to community rates. Other analyses will assess the extent to which observed patterns of addictive behaviors in addicts families are compatible with various genetic models for transmission of the trait and the extent to which the findings are compatible with hypotheses regarding nongenetic familial factors in opiate addiction.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA003090-03
Application #
3207702
Study Section
(DACA)
Project Start
1983-04-01
Project End
1986-02-28
Budget Start
1985-03-01
Budget End
1986-02-28
Support Year
3
Fiscal Year
1985
Total Cost
Indirect Cost
Name
Yale University
Department
Type
Schools of Medicine
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
Luthar, S S (1993) Annotation: methodological and conceptual issues in research on childhood resilience. J Child Psychol Psychiatry 34:441-53
Luthar, S S; Rounsaville, B J (1993) Substance misuse and comorbid psychopathology in a high-risk group: a study of siblings of cocaine misusers. Int J Addict 28:415-34
Luthar, S S; Glick, M; Zigler, E et al. (1993) Social competence among cocaine abusers: moderating effects of comorbid diagnoses and gender. Am J Drug Alcohol Abuse 19:283-98
Luthar, S S; Merikangas, K R; Rounsaville, B J (1993) Parental psychopathology and disorders in offspring. A study of relatives of drug abusers. J Nerv Ment Dis 181:351-7
Luthar, S S; Anton, S F; Merikangas, K R et al. (1992) Vulnerability to substance abuse and psychopathology among siblings of opioid abusers. J Nerv Ment Dis 180:153-61
Luthar, S S; Anton, S F; Merikangas, K R et al. (1992) Vulnerability to drug abuse among opioid addicts' siblings: individual, familial, and peer influences. Compr Psychiatry 33:190-6
Kosten, T R; Kosten, T A; Rounsaville, B J (1991) Alcoholism and depressive disorders in opioid addicts and their family members. Compr Psychiatry 32:521-7
Rounsaville, B J; Kosten, T R; Weissman, M M et al. (1991) Psychiatric disorders in relatives of probands with opiate addiction. Arch Gen Psychiatry 48:33-42
Kosten, T R; Rounsaville, B J; Kosten, T A et al. (1991) Gender differences in the specificity of alcoholism transmission among the relatives of opioid addicts. J Nerv Ment Dis 179:392-400
Rounsaville, B J; Kosten, T; Kleber, H (1985) Success and failure at outpatient opioid detoxification. Evaluating the process of clonidine- and methadone-assisted withdrawal. J Nerv Ment Dis 173:103-10

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