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非裔美国儿童中的虐待儿童、冲动性与反社会行为:多巴胺能基因累积指数的调节作用

Child maltreatment, impulsivity, and antisocial behavior in African American children: Moderation effects from a cumulative dopaminergic gene index.

作者信息

Thibodeau Eric L, Cicchetti Dante, Rogosch Fred A

机构信息

University of Minnesota Institute of Child Development.

出版信息

Dev Psychopathol. 2015 Nov;27(4 Pt 2):1621-36. doi: 10.1017/S095457941500098X.

Abstract

A model examining the effects of an increasing number of maltreatment subtypes experienced on antisocial behavior, as mediated by impulsivity and moderated by a polygenic index of dopaminergic genotypes, was investigated. An African American sample of children (N = 1,012, M age = 10.07) with and without maltreatment histories participated. Indicators of aggression, delinquency, and disruptive peer behavior were obtained from peer- and counselor-rated measures to form a latent variable of antisocial behavior; impulsivity was assessed by counselor report. Five genotypes in four dopaminergic genes (dopamine receptors D4, D2, known as DRD4, DRD2; dopamine active transporter 1, known as DAT1; and catechol-O-methyltransferase, known as COMT) conferring heightened environmental sensitivity were combined into one polygenic index. Using structural equation modeling, a first-stage, moderated-mediation model was evaluated. Age and sex were entered as covariates, both as main effects and in interaction with maltreatment and the gene index. The model had excellent fit: χ2 (32, N = 1,012) = 86.51, p < .001; comparative fit index = 0.982, Tucker-Lewis index = 0.977, root mean square error of approximation = 0.041, and standardized root mean square residual = 0.022. The effect of maltreatment subtypes on antisocial behavior was partially mediated by impulsivity (β = 0.173, p < .001), and these relations were moderated by the number of differentiating dopaminergic genotypes. Specifically, a significant Gene × Environment interaction (β = 0.016, p = .013) indicated that the relation between maltreatment and impulsivity was stronger as children evinced more differentiating genotypes, thereby strengthening the mediational effect of impulsivity on antisocial behavior. These findings elucidate the manner by which maltreated children develop early signs of antisocial behavior, and the genetic mechanisms involved in greater vulnerability for maladaptation in impulse control within the context of child maltreatment.

摘要

研究了一个模型,该模型考察了经历的虐待亚型数量增加对反社会行为的影响,这种影响由冲动性介导,并由多巴胺能基因型的多基因指数调节。有或没有虐待史的非裔美国儿童样本(N = 1,012,平均年龄 = 10.07岁)参与了研究。攻击、犯罪和破坏同伴行为的指标通过同伴和辅导员评定的量表获得,以形成反社会行为的潜在变量;冲动性通过辅导员报告进行评估。四个多巴胺能基因(多巴胺受体D4、D2,即DRD4、DRD2;多巴胺活性转运体1,即DAT1;以及儿茶酚-O-甲基转移酶,即COMT)中的五种基因型赋予了更高的环境敏感性,将它们组合成一个多基因指数。使用结构方程模型,评估了一个第一阶段的调节中介模型。年龄和性别作为协变量进入模型,既作为主效应,也与虐待和基因指数进行交互作用。该模型拟合良好:χ2(32,N = 1,012)= 86.51,p <.001;比较拟合指数 = 0.982,塔克-刘易斯指数 = 0.977,近似均方根误差 = 0.041,标准化均方根残差 = 0.022。虐待亚型对反社会行为的影响部分由冲动性介导(β = 0.173,p <.001),并且这些关系由不同多巴胺能基因型的数量调节。具体而言,显著的基因×环境交互作用(β = 0.016,p =.013)表明,随着儿童表现出更多不同的基因型,虐待与冲动性之间的关系更强,从而加强了冲动性对反社会行为的中介作用。这些发现阐明了受虐待儿童发展反社会行为早期迹象的方式,以及在儿童虐待背景下,冲动控制方面适应不良易感性增加所涉及的遗传机制。

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