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Chunk #39 — Discussion — Limitations

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The structure of genetic and environmental risk factors for syndromal and subsyndromal common DSM-IV axis I and all axis II disorders.
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Third, using traditional statistical methods, we were unable to estimate results separately in male and female participants. While we controlled for prevalence differences across the sexes, we cannot rule out the possibility that we have averaged results of the two sexes that might meaningfully differ from one another. However, three findings reduce our concern that we have thereby introduced significant biases in our findings. In our earlier multivariate study in the Virginia Twin Registry (13), once we accounted for differences in prevalence, we were able, in a much larger twin sample, to constrain to equality parameter estimates across the sexes. In all of our previous analyses of the axis I and II disorders in this Norwegian sample, we have failed to find evidence for sex-specific genetic or environmental effects (17–19, 27, 49–52). Finally, we examined several models of our 22 disorders treating the criterion counts and subthreshold and threshold diagnoses as normally distributed variables. While this approach does not correctly capture the distributional properties of our variables, it nonetheless provides some useful information. Compared to the full model with separate