Lifetime prevalence of mood and anxiety disorders in fragile X premutation carriers

James A. Bourgeois, Andreea L. Seritan, E. Melina Casillas, David R Hessl, Andrea Schneider, Ying Yang, Inderjeet Kaur, Jennifer B. Cogswell, Danh V. Nguyen, Randi J Hagerman

Research output: Contribution to journalArticle

124 Scopus citations

Abstract

Objective: The authors studied the lifetime prevalence of DSM-IV-TR psychiatric disorders in a population of adults with the fragile X premutation. Method: The Structured Clinical Interview for DSM-IV was conducted, from 2007-2008, in 85 individuals with the fragile X premutation, 47 with the fragile X- associated tremor/ataxia syndrome (FXTAS; 33 male, 14 female; mean age = 66 years) and 38 without FXTAS (16 male, 22 female; mean age = 52 years). Lifetime prevalence for mood and anxiety disorders among carriers with and without FXTAS was compared to available age-specific population estimates from the National Comorbidity Survey Replication (NCS-R). Results: Among participants with FXTAS, 30 (65%) met lifetime DSM-IV-TR criteria for a mood disorder; 24 (52%) met lifetime DSM-IV-TR criteria for an anxiety disorder. Among the non-FXTAS participants, there were 15 instances of lifetime mood disorder (42%) and 18 of lifetime anxiety disorder (47%). When compared to age-specific NCS-R data, the lifetime prevalences of any mood disorder (P < .0001), major depressive disorder (P < .0001), any anxiety disorder (P < .0001), panic disorder (P = .006), specific phobia (P = .0003), and posttraumatic stress dis order (P = .004) were significantly higher in participants with FXTAS. The lifetime rates of social phobia in individuals with the premutation without FXTAS were significantly higher than NCS-R data (P = .001). Conclusions: This sample of carriers of the fragile X premutation had a notably high lifetime risk of mood and anxiety disorders. Mood and anxiety disorders may be part of the clinical phenotype of the fragile X premutation conditions, especially in carriers with FXTAS. Clinicians encountering these patients are advised to consider FXTAS as a neuropsychiatric syndrome as well as a neurologic disorder.

Original languageEnglish (US)
Pages (from-to)175-182
Number of pages8
JournalJournal of Clinical Psychiatry
Volume72
Issue number2
DOIs
StatePublished - Feb 2011

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Bourgeois, J. A., Seritan, A. L., Casillas, E. M., Hessl, D. R., Schneider, A., Yang, Y., Kaur, I., Cogswell, J. B., Nguyen, D. V., & Hagerman, R. J. (2011). Lifetime prevalence of mood and anxiety disorders in fragile X premutation carriers. Journal of Clinical Psychiatry, 72(2), 175-182. https://doi.org/10.4088/JCP.09m05407blu