Rice Frances, Harold Gordon T, Shelton Katherine H, Thapar Anita
Section of Child and Adolescent Psychiatry, Department of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, UK.
J Am Acad Child Adolesc Psychiatry. 2006 Jul;45(7):841-8. doi: 10.1097/01.chi.0000219834.08602.44.
To test for gene-environment interaction with depressive symptoms and family conflict. Specifically, to first examine whether the influence of family conflict in predicting depressive symptoms is increased in individuals at genetic risk of depression. Second, to test whether the genetic component of variance in depressive symptoms increases as levels of family conflict increase.
A longitudinal twin design was used. Children ages 5 to 16 were reassessed approximately 3 years later to test whether the influence of family conflict in predicting depressive symptoms varied according to genetic liability. The conflict subscale of the Family Environment Scale was used to assess family conflict and the Mood and Feelings Questionnaire was used to assess depressive symptoms. The response rate to the questionnaire at time 1 was 73% and 65% at time 2. Controlling for initial symptoms levels (i.e., internalizing at time 1), primary analyses were conducted using ordinary least-squares multiple regression. Structural equation models, using raw score maximum likelihood estimation, were also fit to the data for the purpose of model fit comparison.
Results suggested significant gene-environment interaction specifically with depressive symptoms and family conflict. Genetic factors were of greater importance in the etiology of depressive symptoms where levels of family conflict were high. The effects of family conflict on depressive symptoms were greater in children and adolescents at genetic risk of depression.
The present results suggest that children with a family history of depression may be at an increased risk of developing depressive symptoms in response to family conflict. Intervention programs that incorporate one or more family systems may be of benefit in alleviating the adverse effect of negative family factors on children.
检验基因与环境在抑郁症状和家庭冲突方面的相互作用。具体而言,首先考察在有抑郁症遗传风险的个体中,家庭冲突对抑郁症状预测的影响是否增强。其次,检验随着家庭冲突水平的升高,抑郁症状的遗传变异成分是否增加。
采用纵向双生子设计。对5至16岁的儿童在大约3年后进行重新评估,以检验家庭冲突对抑郁症状预测的影响是否因遗传易感性而异。使用家庭环境量表的冲突分量表评估家庭冲突,使用情绪与情感问卷评估抑郁症状。问卷在第1次的应答率为73%,在第2次为65%。在控制初始症状水平(即第1次的内化症状)后,使用普通最小二乘法多元回归进行主要分析。还使用原始分数最大似然估计的结构方程模型对数据进行拟合,以比较模型拟合情况。
结果表明基因与环境存在显著相互作用,特别是在抑郁症状和家庭冲突方面。在家庭冲突水平较高的情况下,遗传因素在抑郁症状的病因中更为重要。家庭冲突对抑郁症状的影响在有抑郁症遗传风险的儿童和青少年中更大。
目前的结果表明,有抑郁症家族史的儿童在面对家庭冲突时可能有更高的患抑郁症状风险。纳入一个或多个家庭系统的干预项目可能有助于减轻负面家庭因素对儿童的不利影响。