2001
DOI: 10.1002/ajmg.1348
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Caught in the trio trap? Potential selection bias inherent to association studies usings parent‐offspring trios

Abstract: During the last years, the validity of classic case control studies in psychiatric genetic research has been increasingly under question due to the risk of population stratification problems inherent to this type of association study. By consequence, the application of family-based association studies using parent-offspring trios has been strongly advocated. Recently, however, in a study comparing clinical characteristics between index patients from parent-offspring trios and singleton patients with bipolar af… Show more

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Cited by 21 publications
(19 citation statements)
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“…Family-based association strategies, i.e., the Transmission Disequilibrium Test (TDT) [Spielman et al, 1993;Ewans and Spielman, 1995] and the Haplotype Relative Risk (HRR) [Falk and Rubinstein, 1987] designs are preferred. However, also TDT and HRR designs have been discussed as having some limitations [Schulze et al, 2001].…”
Section: Discussionmentioning
confidence: 99%
“…Family-based association strategies, i.e., the Transmission Disequilibrium Test (TDT) [Spielman et al, 1993;Ewans and Spielman, 1995] and the Haplotype Relative Risk (HRR) [Falk and Rubinstein, 1987] designs are preferred. However, also TDT and HRR designs have been discussed as having some limitations [Schulze et al, 2001].…”
Section: Discussionmentioning
confidence: 99%
“…Although the specific reason(s) for the discrepancies between the two study designs with respect to this region are uncertain, several factors may have contributed to the discordant findings. First, selection of healthy controls (or unaffected members in the family study) and clinical heterogeneity of the BD patient group in both designs may be factors that underlie inconsistency in replication or confirmation for those three SNPs of the gene: phenotypic heterogeneity such as reflected by AAO, for example, is well recognized as a factor that can contribute to discordant findings between family and case‐control designs (38, 39). Second, because of the challenges to recruitment that result in smaller datasets than can be obtained in case‐control studies, family study designs are relatively underpowered to detect genetic effects of modest or small magnitude (40).…”
Section: Discussionmentioning
confidence: 99%
“…Firstly, the overwhelming number of positive associations carried out in psychiatric genetics, including many of the findings mentioned in this review, are likely going to end up as false positives (type I error), usually due to population stratification or chance associations from multiple testing [146]. This is a common problem of all case control studies; in the attempt to circumvent this bias, family based association studies have been proposed [147], but, apart from recruiting difficulties, those studies are not without criticisms too [148].…”
Section: Methodological Problemsmentioning
confidence: 99%