4.7 Article

Evidence that genes for depression impact on the pathway from trauma to psychotic-like symptoms by occasioning emotional dysregulation

期刊

PSYCHOLOGICAL MEDICINE
卷 42, 期 2, 页码 283-294

出版社

CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0033291711001474

关键词

Childhood adversity; co-morbidity; depressive disorder; gene-environment interaction; psychosis; twin study

资金

  1. Netherlands Organization for Scientific Research
  2. Fund for Scientific Research, Flanders and Twins
  3. non-profit association for scientific research in multiple births (Belgium)
  4. Dutch Medical Council [916.76.147, 006NARSAD]

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Background. Genes for depression may act by making individuals more sensitive to childhood trauma. Given that childhood adversity is a risk factor for adult psychosis and symptoms of depression and psychosis tend to cluster within individuals and families, the aim was to examine whether the association between childhood adversity and psychotic-like symptoms is moderated by genetic liability for depression. A secondary aim was to determine to what degree a depression-related increase in stress sensitivity or depressive symptoms themselves occasioned the moderating effect. Method. Female twins (n = 508) completed both prospective and retrospective questionnaires regarding childhood adversity [the Symptom Checklist-90 -Revised (SCL-90-R) and SCID-I (psychotic symptoms)] and psychotic trait liability [the Community Assessment of Psychic Experiences (CAPE)]. Stress sensitivity was indexed by appraisals of event-related stress and negative affect (NA) in the flow of daily life, assessed with momentary assessment technology for five consecutive days. Multilevel regression analyses were used to examine moderation of childhood adversity by genetic liability for depression in the prediction of follow-up psychotic experiences. Results. The effect of childhood adversity was significantly moderated by genetic vulnerability for depression in the model of both follow-up psychotic experiences (SCL-90-R) and follow-up psychotic trait liability (CAPE). The moderation by genetic liability was mediated by depressive experience but not by stress sensitivity. Conclusions. Genetic liability for depression may potentiate the pathway from childhood adversity to psychotic-like symptoms through dysfunctional emotional processing of anomalous experiences associated with childhood trauma. Received 5 November 2010; Revised 26 June 2011; Accepted 2 July 2011; First published online 11 August 2011

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