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遗传和环境因素对父母抑郁向儿童抑郁和行为障碍传递的影响:双胞胎儿童研究的扩展。

Genetic and environmental influences on the transmission of parental depression to children's depression and conduct disturbance: an extended Children of Twins study.

机构信息

Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA, USA.

出版信息

J Child Psychol Psychiatry. 2010 Jun;51(6):734-44. doi: 10.1111/j.1469-7610.2010.02205.x. Epub 2010 Feb 16.

Abstract

BACKGROUND

Despite the increased risk of depression and conduct problems in children of depressed parents, the mechanism by which parental depression affects their children's behavioral and emotional functioning is not well understood. The present study was undertaken to determine whether parental depression represents a genuine environmental risk factor in children's psychopathology, or whether children's depression/conduct can be explained as a secondary consequence of the genetic liability transmitted from parents to their offspring.

METHODS

Children of Twins (COT) data collected on 2,674 adult female and male twins, their spouses, and 2,940 of their children were used to address whether genetic and/or family environmental factors best account for the association between depression in parents and depression and conduct problems in their children. Data collected on juvenile twins from the Virginia Twin Study of Adolescent Behavioral Development (VTSABD) were also included to estimate child-specific genetic and environmental influences apart from those effects arising from the transmission of the parental depression itself. The fit of alternative Children of Twin models were evaluated using the statistical program Mx.

RESULTS

The most compelling model for the association between parental and juvenile depression was a model of direct environmental risk. Both family environmental and genetic factors accounted for the association between parental depression and child conduct disturbance.

CONCLUSIONS

These findings illustrate how a genetically mediated behavior such as parental depression can have both an environmental and genetic impact on children's behavior. We find developmentally specific genetic factors underlying risk to juvenile and adult depression. A shared genetic liability influences both parental depression and juvenile conduct disturbance, implicating child conduct disturbance (CD) as an early indicator of genetic risk for depression in adulthood. In summary, our analyses demonstrate differences in the impact of parental depression on different forms of child psychopathology, and at various stages of development.

摘要

背景

尽管抑郁父母的孩子患抑郁和行为问题的风险增加,但父母抑郁如何影响其孩子的行为和情绪功能的机制尚不清楚。本研究旨在确定父母抑郁是否代表儿童精神病理学中的真正环境风险因素,或者儿童的抑郁/行为问题是否可以解释为从父母遗传给后代的遗传易感性的继发后果。

方法

使用收集于 2674 对成年女性和男性双胞胎及其配偶,以及他们的 2940 个孩子的双胞胎儿童(COT)数据来解决父母抑郁与孩子抑郁和行为问题之间的关联是由遗传和/或家庭环境因素最好解释。还包括了来自弗吉尼亚青少年行为发展双胞胎研究(VTSABD)的青少年双胞胎的数据,以估计除了父母抑郁本身传递的影响之外,儿童特定的遗传和环境影响。使用统计程序 Mx 评估替代双胞胎儿童模型的拟合情况。

结果

父母和青少年抑郁之间关联的最有说服力的模型是直接环境风险模型。家庭环境和遗传因素都解释了父母抑郁与儿童行为障碍之间的关联。

结论

这些发现说明了像父母抑郁这样的遗传介导行为如何对孩子的行为既有环境又有遗传影响。我们发现了青少年和成年抑郁风险的发育特异性遗传因素。共同的遗传易感性影响父母抑郁和青少年行为障碍,暗示儿童行为障碍(CD)是成年期抑郁遗传风险的早期指标。总之,我们的分析表明,父母抑郁对不同形式的儿童精神病理学以及不同发育阶段的影响存在差异。

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