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多基因风险评分、心理社会环境与注意缺陷多动障碍风险。

Polygenic risk score, psychosocial environment and the risk of attention-deficit/hyperactivity disorder.

机构信息

Department of Affective Disorders, Aarhus University Hospital - Psychiatry, Aarhus, Denmark.

Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

出版信息

Transl Psychiatry. 2020 Oct 2;10(1):335. doi: 10.1038/s41398-020-01019-6.

Abstract

The objective of the present study was to investigate whether the polygenic liability for attention-deficit/hyperactivity disorder (ADHD) and the psychosocial environment impact the risk of ADHD in interaction or independently of each other. We conducted a register- and biobank-based cohort study of 13,725 individuals with ADHD and 20,147 randomly drawn population-based controls. These 33,872 cohort members were genotyped on the Infinium PsychChip v1.0 array (Illumina). Subsequently, we calculated the polygenic risk score (PRS) for ADHD and extracted register data regarding the following risk factors pertaining to the psychosocial environment for each cohort member at the time of birth: maternal/paternal history of mental disorders, maternal/paternal education, maternal/paternal work status, and maternal/paternal income. We used logistic regression analyses to assess the main effects of the PRS for ADHD and the psychosocial environment on the risk of ADHD. Subsequently, we evaluated whether the effect of the PRS and the psychosocial environment act independently or in interaction upon the risk of ADHD. We found that ADHD was strongly associated with the PRS (odds ratio: 6.03, 95%CI: 4.74-7.70 for highest vs. lowest 2% liability). All risk factors pertaining to the psychosocial environment were associated with an increased risk of ADHD. These associations were only slightly attenuated after mutual adjustments. We found no statistically significant interaction between the polygenic liability and the psychosocial environment upon the risk of ADHD. In conclusion, we found main effects of both polygenic liability and risk factors pertaining to the psychosocial environment on the risk of ADHD-in the expected direction.

摘要

本研究旨在探讨注意缺陷多动障碍(ADHD)的多基因易感性和心理社会环境是否会相互影响或独立影响 ADHD 的发病风险。我们进行了一项基于登记和生物库的队列研究,纳入了 13725 名 ADHD 患者和 20147 名随机抽取的基于人群的对照者。这 33872 名队列成员在 Infinium PsychChip v1.0 阵列(Illumina)上进行了基因分型。随后,我们计算了 ADHD 的多基因风险评分(PRS),并为每个队列成员提取了出生时与心理社会环境相关的以下风险因素的登记数据:母亲/父亲精神障碍史、母亲/父亲的教育程度、母亲/父亲的工作状态和母亲/父亲的收入。我们使用逻辑回归分析评估了 ADHD 的 PRS 和心理社会环境对 ADHD 发病风险的主要影响。随后,我们评估了 PRS 和心理社会环境的作用是否独立或相互作用于 ADHD 的发病风险。我们发现 ADHD 与 PRS 密切相关(比值比:6.03,95%CI:4.74-7.70,最高与最低 2%的易感性)。所有与心理社会环境相关的风险因素都与 ADHD 的发病风险增加有关。这些关联在相互调整后仅略有减弱。我们没有发现多基因易感性和心理社会环境之间在 ADHD 发病风险上存在统计学上显著的交互作用。总之,我们发现多基因易感性和心理社会环境相关风险因素对 ADHD 的发病风险均有主要影响,且方向符合预期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d757/7532146/92768acf6bfa/41398_2020_1019_Fig1_HTML.jpg

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