Harden K Paige, Engelhardt Laura E, Mann Frank D, Patterson Megan W, Grotzinger Andrew D, Savicki Stephanie L, Thibodeaux Megan L, Freis Samantha M, Tackett Jennifer L, Church Jessica A, Tucker-Drob Elliot M
University of Texas at Austin.
University of Texas at Austin.
J Am Acad Child Adolesc Psychiatry. 2020 Jun;59(6):749-758. doi: 10.1016/j.jaac.2019.05.006. Epub 2019 May 16.
Symptoms of psychopathology covary across diagnostic boundaries, and a family history of elevated symptoms for a single psychiatric disorder places an individual at heightened risk for a broad range of other psychiatric disorders. Both twin-based and genome-wide molecular methods indicate a strong genetic basis for the familial aggregation of psychiatric disease. This has led researchers to prioritize the search for highly heritable childhood risk factors for transdiagnostic psychopathology. Cognitive abilities that involve the selective control and regulation of attention, known as executive functions (EFs), are a promising set of risk factors.
In a population-based sample of child and adolescent twins (n = 1,913, mean age = 13.1 years), we examined genetic overlap between both EFs and general intelligence (g) and a transdiagnostic dimension of vulnerability to psychopathology, comprising symptoms of anxiety, depression, neuroticism, aggression, conduct disorder, oppositional defiant disorder, hyperactivity, and inattention. Psychopathology symptoms in children were rated by children and their parents.
Latent factors representing general EF and g were highly heritable (h = 86%-92%), and genetic influences on both sets of cognitive abilities were robustly correlated with transdiagnostic genetic influences on psychopathology symptoms (genetic r values ranged from -0.20 to -0.38).
General EF and g robustly index genetic risk for transdiagnostic symptoms of psychopathology in childhood. Delineating the developmental and neurobiological mechanisms underlying observed associations between cognitive abilities and psychopathology remains a priority for ongoing research.
精神病理学症状跨越诊断界限而共同变化,单一精神障碍症状升高的家族史会使个体患其他多种精神障碍的风险增加。基于双胞胎和全基因组分子方法均表明精神疾病家族聚集存在强大的遗传基础。这使得研究人员将寻找可跨诊断精神病理学的高遗传度儿童期风险因素作为优先事项。涉及注意力选择性控制和调节的认知能力,即执行功能(EFs),是一组很有前景的风险因素。
在一个基于人群的儿童和青少年双胞胎样本(n = 1913,平均年龄 = 13.1岁)中,我们研究了执行功能和一般智力(g)之间的遗传重叠,以及精神病理学易感性的一个跨诊断维度,该维度包括焦虑、抑郁、神经质、攻击、品行障碍、对立违抗障碍、多动和注意力不集中等症状。儿童的精神病理学症状由儿童及其父母进行评定。
代表一般执行功能和g的潜在因素具有高度遗传性(h = 86% - 92%),对这两组认知能力的遗传影响与对精神病理学症状的跨诊断遗传影响密切相关(遗传r值范围为 - 0.20至 - 0.38)。
一般执行功能和g有力地指示了儿童期精神病理学跨诊断症状的遗传风险。阐明认知能力与精神病理学之间观察到的关联背后的发育和神经生物学机制仍是正在进行的研究的优先事项。