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采用多基因风险评分方法验证神经质与老年期抑郁症之间的心理社会风险途径。

Validating psychosocial pathways of risk between neuroticism and late life depression using a polygenic score approach.

机构信息

Department of Psychology, University of Wisconsin-Madison.

Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison.

出版信息

J Abnorm Psychol. 2019 Apr;128(3):200-211. doi: 10.1037/abn0000419. Epub 2019 Mar 4.

Abstract

Neuroticism is a stable and heritable personality trait that is strongly linked to depression. Yet, little is known about its association with late life depression, as well as how neuroticism eventuates into depression. This study used data from the Wisconsin Longitudinal Study (WLS; N = 4,877) to examine the direct and indirect effects of neuroticism on late life depression at 3 points in the life course-ages 53, 64, and 71-via stressful life events (i.e., independent and dependent) and social supports measured across adulthood and into later life. Neuroticism was assayed using multiple methods, including self-report measures (phenotypic model) and a polygenic score (polygenic model) informed by a meta-analytic genome-wide association study. Results indicated that the phenotypic model of neuroticism and late life depression was partially mediated via dependent stressful life events experienced after the age of 53 and by age 64 social support. This association was replicated in the polygenic model of neuroticism, providing key evidence that the findings are robust. No indirect effects emerged with respect to age 53 social support, age 71 social support, adult dependent stressful life events (experienced between age 19 and 52), and adult and late life independent stressful life events in either the phenotypic or polygenic models as they pertained to late life depression. Results are consistent with previous findings that individuals with high neuroticism may be vulnerable to late life depression through psychosocial risk factors that are, in part, attributable to their own personality. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

神经质是一种稳定且可遗传的人格特质,与抑郁症密切相关。然而,人们对它与老年期抑郁症的关联以及神经质如何导致抑郁症知之甚少。本研究使用威斯康星纵向研究(WLS;N=4877)的数据,通过压力性生活事件(即独立和依赖)和成年期及以后的社会支持,在人生的三个阶段(53、64 和 71 岁),检验神经质对老年期抑郁症的直接和间接影响。神经质采用多种方法进行测定,包括自我报告量表(表型模型)和基于荟萃分析全基因组关联研究的多基因评分(多基因模型)。结果表明,神经质和老年期抑郁症的表型模型部分通过 53 岁以后经历的依赖性生活压力事件和 64 岁的社会支持来间接传递。这一关联在神经质的多基因模型中得到了复制,提供了关键证据表明这些发现是稳健的。在表型或多基因模型中,与老年期 53 岁的社会支持、71 岁的社会支持、成年期依赖性生活压力事件(19-52 岁期间经历的)以及成年期和老年期独立性生活压力事件都没有出现间接影响,与老年期抑郁症有关。这些结果与之前的发现一致,即具有高神经质的个体可能因部分归因于自身个性的心理社会风险因素而容易患老年期抑郁症。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be94/6462143/78740e8f8b2d/nihms-1016375-f0001.jpg

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