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Genetic Associations between Childhood Psychopathology and Adult Depression and Associated Traits in 42998 Individuals: A Meta-analysis

  • Wonuola A. Akingbuwa*
  • , Anke R. Hammerschlag
  • , Eshim S. Jami
  • , Andrea G. Allegrini
  • , Ville Karhunen
  • , Hannah Sallis
  • , Helga Ask
  • , Ragna B. Askeland
  • , Bart Baselmans
  • , Elizabeth Diemer
  • , Fiona A. Hagenbeek
  • , Alexandra Havdahl
  • , Jouke Jan Hottenga
  • , Hamdi Mbarek
  • , Fernando Rivadeneira
  • , Martin Tesli
  • , Catharina Van Beijsterveldt
  • , Gerome Breen
  • , Cathryn M. Lewis
  • , Anita Thapar
  • Dorret I. Boomsma, Ralf Kuja-Halkola, Ted Reichborn-Kjennerud, Per Magnus, Kaili Rimfeld, Eivind Ystrom, Marjo Riitta Jarvelin, Paul Lichtenstein, Sebastian Lundstrom, Marcus R. Munafò, Robert Plomin, Henning Tiemeier, Michel G. Nivard, Meike Bartels, Christel M. Middeldorp
*Corresponding author for this work
  • Department of Biological Psychology
  • Vrije Universiteit Amsterdam
  • University of Amsterdam
  • Child Health Research Centre
  • University of Queensland
  • King's College London
  • Department of Epidemiology and Biostatistics
  • Imperial College London
  • School of Psychological Science
  • University of Bristol
  • Centre for Academic Mental Health
  • Department of Mental Disorders
  • Norwegian Institute of Public Health
  • Child and Adolescent Psychiatry
  • Erasmus University Rotterdam
  • Nic Waals Institute
  • Lovisenberg Diaconal Hospital
  • Qatar Genome Programme
  • Qatar Foundation HQ
  • National Institute of Health Research Biomedical Research Centre
  • South London and Maudsley NHS Foundation Trust
  • Cardiff University
  • Department of Medical Epidemiology and Biostatistics
  • Karolinska Institutet
  • University of Oslo
  • Centre for Fertility and Health
  • PROMENTA Research Center
  • UK Health Security Agency
  • Center for Life Course Health Research
  • University of Oulu
  • Department of Life Sciences
  • University College London
  • Centre for Ethics Law and Mental Health
  • University of Gothenburg
  • Department of Social and Behavioral Science
  • Harvard University
  • Child and Youth Mental Health Service
  • Children’s Health Queensland

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Abstract

Importance: Adult mood disorders are often preceded by behavioral and emotional problems in childhood. It is yet unclear what explains the associations between childhood psychopathology and adult traits. Objective: To investigate whether genetic risk for adult mood disorders and associated traits is associated with childhood disorders. Design, Setting, and Participants: This meta-analysis examined data from 7 ongoing longitudinal birth and childhood cohorts from the UK, the Netherlands, Sweden, Norway, and Finland. Starting points of data collection ranged from July 1985 to April 2002. Participants were repeatedly assessed for childhood psychopathology from ages 6 to 17 years. Data analysis occurred from September 2017 to May 2019. Exposures: Individual polygenic scores (PGS) were constructed in children based on genome-wide association studies of adult major depression, bipolar disorder, subjective well-being, neuroticism, insomnia, educational attainment, and body mass index (BMI). Main Outcomes and Measures: Regression meta-analyses were used to test associations between PGS and attention-deficit/hyperactivity disorder (ADHD) symptoms and internalizing and social problems measured repeatedly across childhood and adolescence and whether these associations depended on childhood phenotype, age, and rater. Results: The sample included 42998 participants aged 6 to 17 years. Male participants varied from 43.0% (1040 of 2417 participants) to 53.1% (2434 of 4583 participants) by age and across all cohorts. The PGS of adult major depression, neuroticism, BMI, and insomnia were positively associated with childhood psychopathology (β estimate range, 0.023-0.042 [95% CI, 0.017-0.049]), while associations with PGS of subjective well-being and educational attainment were negative (β, -0.026 to -0.046 [95% CI, -0.020 to -0.057]). There was no moderation of age, type of childhood phenotype, or rater with the associations. The exceptions were stronger associations between educational attainment PGS and ADHD compared with internalizing problems (Δβ, 0.0561 [Δ95% CI, 0.0318-0.0804]; ΔSE, 0.0124) and social problems (Δβ, 0.0528 [Δ95% CI, 0.0282-0.0775]; ΔSE, 0.0126), and between BMI PGS and ADHD and social problems (Δβ, -0.0001 [Δ95% CI, -0.0102 to 0.0100]; ΔSE, 0.0052), compared with internalizing problems (Δβ, -0.0310 [Δ95% CI, -0.0456 to -0.0164]; ΔSE, 0.0074). Furthermore, the association between educational attainment PGS and ADHD increased with age (Δβ, -0.0032 [Δ 95% CI, -0.0048 to -0.0017]; ΔSE, 0.0008). Conclusions and Relevance: Results from this study suggest the existence of a set of genetic factors influencing a range of traits across the life span with stable associations present throughout childhood. Knowledge of underlying mechanisms may affect treatment and long-term outcomes of individuals with psychopathology.

Original languageEnglish
Pages (from-to)715-728
Number of pages14
JournalJAMA psychiatry
Volume77
Issue number7
DOIs
Publication statusPublished - Jul 2020
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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