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负性情绪和重性抑郁/品行障碍共病的共享遗传影响。

Shared genetic influences on negative emotionality and major depression/conduct disorder comorbidity.

机构信息

Department of Psychology, University of Toronto, Ontario, Canada.

出版信息

J Am Acad Child Adolesc Psychiatry. 2011 Aug;50(8):818-27. doi: 10.1016/j.jaac.2011.05.007. Epub 2011 Jun 25.

Abstract

OBJECTIVE

To investigate whether genetic contributions to major depressive disorder and conduct disorder comorbidity are shared with genetic influences on negative emotionality.

METHOD

Primary caregivers of 2,022 same- and opposite-sex twin pairs 6 to 18 years of age comprised a population-based sample. Participants were randomly selected across five regions in Tennessee, with stratification by age and geographic location. Face-to-face structured interviews were conducted with the primary caregiver of a representative sample of twins.

RESULTS

After accounting for genetic influences on negative emotionality, genetic influences on major depressive disorder/conduct disorder comorbidity were nonsignficant, but only in male twins. Specifically, 19% of the variance in the two disorders was accounted for by genetic factors shared with negative emotionality in male twins. Although the full hypothesis could not be tested in female twins, 10% to 11% of the variance in the two disorders was also accounted for by genetic factors shared with negative emotionality. Common shared environmental and nonshared environmental influences were found for major depressive disorder/conduct disorder comorbidity in male and female twins.

CONCLUSIONS

Negative emotionality represents an important dispositional trait that may explain genetic influences on major depressive disorder/conduct disorder comorbidity, at least for boys. Models of major depressive disorder/conduct disorder comorbidity must simultaneously measure common and specific genetic and environmental factors for a full understanding of this phenomenon. Gender differences require specific research attention in dispositional factors and developmental progression.

摘要

目的

探讨重度抑郁症和品行障碍共病的遗传因素是否与负性情绪的遗传影响有关。

方法

对 2022 对同性别和异性别双胞胎(6 至 18 岁)的主要照顾者进行了一项基于人群的样本调查。参与者是在田纳西州五个地区随机选择的,按年龄和地理位置分层。对双胞胎的主要照顾者进行了面对面的结构化访谈。

结果

在考虑到负性情绪的遗传影响后,重度抑郁症/品行障碍共病的遗传影响在男性双胞胎中无统计学意义,但仅在男性双胞胎中如此。具体来说,两种疾病有 19%的变异是由与男性双胞胎负性情绪相关的遗传因素决定的。虽然不能在女性双胞胎中完全检验全假设,但两种疾病的 10%至 11%的变异也是由与负性情绪相关的遗传因素决定的。在男性和女性双胞胎中,均发现了重度抑郁症/品行障碍共病的共同共享环境和非共享环境影响。

结论

负性情绪是一个重要的特质,它可能解释了遗传因素对重度抑郁症/品行障碍共病的影响,至少对男孩是如此。要全面理解这一现象,重度抑郁症/品行障碍共病的模型必须同时测量共同和特定的遗传和环境因素。性别差异需要在特质因素和发展进程方面进行具体的研究关注。

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