Kim Ah Rim, Sin Jae Eun
Department of Nursing, Far East University, 76-32 Daehak-gil, Gamgok-myeon, Eumseong-gun, Chungbuk, 27601, Republic of Korea.
Division of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang, Gyeonggi-do, 10408, Republic of Korea.
Asian J Psychiatr. 2020 Oct;53:102195. doi: 10.1016/j.ajp.2020.102195. Epub 2020 Jun 11.
Psychopathology-related suicide attempts and deaths are increasing, and the research focus remains on mental disorder in childhood and adolescence. We examined the genetic and environmental contributions to internalizing, externalizing, and general psychopathological distress to clarify the role of individual/parental risk factors for suicide in young adults. Data from 1206 young adults were obtained from a publicly available dataset from the Human Connectome Project. Heritability estimates were analyzed by twin modelling using OpenMx and data from a subsample of 402 monozygotic and dizygotic twins. The estimated prevalence of psychopathological symptoms ranged from 9 to 16%. The heritability of internalizing, externalizing, and general psychopathological distress reached significance, with estimates ranging from 22 to 46%. Shared (common) environments contributed to aggressive behavior (30 %). Determining factors for psychopathological distress (internalizing, externalizing, general) were evaluated using logistic regression analysis. Household income (<$50,000), childhood conduct problems, and maternal drug or alcohol problems were common risk factors of internalizing, externalizing, and general psychopathological distress. Marijuana dependence and maternal anxiety were additional risk factors of externalizing distress. The presence of alcohol and maternal drug or alcohol problems was linked to general psychopathological distress. The results highlight risk factors associated with psychopathological symptoms that should be considered in the early detection of high-risk groups and implementation of family-based interventions. Providing continuous care and/or follow-up in at-risk children and young adults may improve mental health and well-being.
与精神病理学相关的自杀未遂和死亡事件不断增加,研究重点仍集中在儿童和青少年时期的精神障碍上。我们研究了遗传和环境因素对内化性、外化性和一般性精神病理困扰的影响,以阐明个体/父母自杀风险因素在年轻成年人中的作用。1206名年轻成年人的数据来自人类连接组计划的一个公开可用数据集。使用OpenMx通过双生子模型分析遗传度估计值,并使用来自402对同卵和异卵双生子子样本的数据。精神病理症状的估计患病率在9%至16%之间。内化性、外化性和一般性精神病理困扰的遗传度达到显著水平,估计值在22%至46%之间。共同(共享)环境对攻击行为有影响(30%)。使用逻辑回归分析评估精神病理困扰(内化性、外化性、一般性)的决定因素。家庭收入(<$50,000)、儿童期行为问题以及母亲的药物或酒精问题是内化性、外化性和一般性精神病理困扰的常见风险因素。大麻依赖和母亲焦虑是外化性困扰的额外风险因素。酒精的存在以及母亲的药物或酒精问题与一般性精神病理困扰有关。研究结果突出了与精神病理症状相关的风险因素,这些因素在高危人群的早期检测和基于家庭的干预措施实施中应予以考虑。对高危儿童和年轻成年人提供持续护理和/或随访可能会改善心理健康和幸福感。