Kendler K S, Jacobson K, Myers J M, Eaves L J
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University Medical School, Richmond, VA 23298-0126, USA.
Psychol Med. 2008 Jul;38(7):1001-11. doi: 10.1017/S0033291707001821. Epub 2007 Oct 15.
Conduct disorder (CD) and peer deviance (PD) both powerfully predict future externalizing behaviors. Although levels of CD and PD are strongly correlated, the causal relationship between them has remained controversial and has not been examined by a genetically informative study.
Levels of CD and PD were assessed in 746 adult male-male twin pairs at personal interview for ages 8-11, 12-14 and 15-17 years using a life history calendar. Model fitting was performed using the Mx program.
The best-fit model indicated an active developmental relationship between CD and PD including forward transmission of both traits over time and strong causal relationships between CD and PD within time periods. The best-fit model indicated that the causal relationship for genetic risk factors was from CD to PD and was constant over time. For common environmental factors, the causal pathways ran from PD to CD and were stronger in earlier than later age periods.
A genetically informative model revealed causal pathways difficult to elucidate by other methods. Genes influence risk for CD, which, through social selection, impacts on the deviance of peers. Shared environment, through family and community processes, encourages or discourages adolescent deviant behavior, which, via social influence, alters risk for CD. Social influence is more important than social selection in childhood, but by late adolescence social selection becomes predominant. These findings have implications for prevention efforts for CD and associated externalizing disorders.
品行障碍(CD)和同伴偏差行为(PD)都能有力地预测未来的外化行为。尽管CD和PD的水平密切相关,但它们之间的因果关系仍存在争议,且尚未通过基因信息研究进行检验。
使用生活史日历,在8至11岁、12至14岁和15至17岁的个人访谈中,对746对成年男性双胞胎的CD和PD水平进行了评估。使用Mx程序进行模型拟合。
最佳拟合模型表明CD和PD之间存在动态发展关系,包括两种特质随时间的正向传递以及各时间段内CD和PD之间的强因果关系。最佳拟合模型表明,遗传风险因素的因果关系是从CD到PD,且随时间保持不变。对于共同环境因素,因果路径是从PD到CD,且在早期比后期更强。
一个基因信息模型揭示了其他方法难以阐明的因果路径。基因影响CD风险,而CD通过社会选择影响同伴偏差行为。共享环境通过家庭和社区过程,鼓励或抑制青少年的偏差行为,而这种行为通过社会影响改变CD风险。在童年期,社会影响比社会选择更重要,但到青春期后期,社会选择变得占主导地位。这些发现对CD及相关外化障碍的预防工作具有启示意义。