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遗传对抑郁症的影响和对不良生活经历的选择。

Genetic influences on depression and selection into adverse life experiences.

机构信息

Department of Sociology, University of Wisconsin-Madison, USA.

Department of Sociology, Stanford University, USA.

出版信息

Soc Sci Med. 2024 Mar;344:116633. doi: 10.1016/j.socscimed.2024.116633. Epub 2024 Feb 2.

Abstract

Genome-wide association studies find that a large number of genetic variants jointly influence the risk of depression, which is summarized by polygenic indices (PGIs) of depressive symptoms and major depression. But PGIs by design remain agnostic about the causal mechanisms linking genes to depression. Meanwhile, the role of adverse life experiences in shaping depression risk is well-documented, including via gene-environment correlation. Building on theoretical work on dynamic and contingent genetic selection, we suggest that genetic influences may lead to differential selection into negative life experiences, forging gene-environment correlations that manifest in various permutations of depressive behaviors and environmental adversities. We also examine the extent to which apparent genetic influences may reflect spurious associations due to factors such as indirect genetic effects. Using data from two large surveys of middle-aged and older US adults, we investigate to what extent a PGI of depression predicts the risk of 27 different adversities. Further, to glean insights about the kinds of processes that might lead to gene-environment correlation, we augment these analyses with data from an original preregistered survey to measure cultural understandings of the behavioral dependence of various adversities. We find that the PGI predicts the risk of majority of adversities, net of class background and prior depression, and that the selection risk is greater for adversities typically perceived as being dependent on peoples' own behaviors. Taken together, our findings suggest that the PGI of depression largely picks up the risk of behaviorally-influenced adversities, but to a lesser degree also captures other environmental influences. The results invite further exploration into the behavioral and interactional processes that lie along the pathways intervening between genetic differences and wellbeing.

摘要

全基因组关联研究发现,大量遗传变异共同影响抑郁症的风险,这可以通过抑郁症状和重度抑郁症的多基因指数(PGI)来总结。但是,PGI 在设计上仍然对将基因与抑郁症联系起来的因果机制保持不可知论。同时,不良生活经历在塑造抑郁风险方面的作用已得到充分证明,包括通过基因-环境相关性。基于动态和偶然遗传选择的理论工作,我们认为遗传影响可能导致对负面生活经历的不同选择,从而形成表现为各种抑郁行为和环境逆境组合的基因-环境相关性。我们还检查了由于间接遗传效应等因素导致的明显遗传影响可能在多大程度上反映出虚假关联。我们使用来自两项针对美国中年和老年人的大型调查的数据,研究了抑郁 PGI 预测 27 种不同逆境风险的程度。此外,为了深入了解可能导致基因-环境相关性的过程,我们使用一项原始的预先注册调查的数据来衡量对各种逆境的行为依赖性的文化理解,对这些分析进行了补充。我们发现,PGI 预测了大多数逆境的风险,在考虑了阶级背景和先前的抑郁后,选择风险对那些通常被认为依赖于人们自身行为的逆境更大。综上所述,我们的研究结果表明,抑郁的 PGI 在很大程度上反映了受行为影响的逆境的风险,但在较小程度上也反映了其他环境影响。这些结果邀请进一步探索遗传差异与幸福感之间干预途径的行为和相互作用过程。

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