Zygosity was diagnosed using a combination of self-report measures, photographs and DNA analysis(33). In both interviews, most subjects (~90%) were interviewed by telephone. A small number were interviewed in person because of subject preference, residence in an institutional setting (usually jail), or not having a telephone. The project was approved by the Virginia Commonwealth University institutional review board. Subjects were informed about the goals of the study and provided informed consent before interviews. Interviewers had a Master's degree in a mental health-related field or a Bachelor's degree in this area plus two years of clinical experience. The two members of a twin pair were each interviewed by different interviewers.
