Paternal age and psychiatric disorders: A review: A review

H. de Kluiver, J.E. Buizer-Voskamp, C.V. Dolan, D.I. Boomsma

Research output: Contribution to JournalArticleAcademicpeer-review

48 Citations (Scopus)

Abstract

We review the hypotheses concerning the association between the paternal age at childbearing and childhood psychiatric disorders (autism spectrum- and attention deficit/hyperactive disorder) and adult disorders (schizophrenia, bipolar-, obsessive-compulsive-, and major depressive disorder) based on epidemiological studies. Several hypotheses have been proposed to explain the paternal age effect. We discuss the four main-not mutually exclusive-hypotheses. These are the de novo mutation hypothesis, the hypothesis concerning epigenetic alterations, the selection into late fatherhood hypothesis, and the environmental resource hypothesis. Advanced paternal age in relation to autism spectrum disorders and schizophrenia provided the most robust epidemiological evidence for an association, with some studies reporting a monotonic risk increase over age, and others reporting a marked increase at a given age threshold. Although there is evidence for the de novo mutation hypothesis and the selection into late fatherhood hypothesis, the mechanism(s) underlying the association between advanced paternal age and psychiatric illness in offspring remains to be further clarified.
Original languageEnglish
Pages (from-to)202-213
Number of pages12
JournalAmerican Journal of Medical Genetics Part B: Neuropsychiatric Genetics
Volume174
Issue number3
DOIs
Publication statusPublished - 1 Mar 2017

Keywords

  • autism spectrum disorder
  • bipolar disorder
  • epidemiological evidence
  • paternal age effect
  • schizophrenia

Cite this