Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Transl Psychiatry. 2024 Feb 26;14(1):119. doi: 10.1038/s41398-024-02814-1.
Research has suggested that mental illness may be a risk factor for, as well as a sequela of, experiencing intimate partner violence (IPV). The association between IPV and mental illness may also be due in part to gene-environment correlations. Using polygenic risk scores for six psychiatric disorders - attention-deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), bipolar disorder (BPD), major depressive disorder (MDD), neuroticism, and schizophrenia-and a combined measure of overall genetic risk for mental illness, we tested whether women's genetic risk for mental illness was associated with the experience of three types of intimate partner violence. In this cohort of women of European ancestry (N = 11,095), participants in the highest quintile of genetic risk for ADHD (OR range: 1.38-1.49), MDD (OR range: 1.28-1.43), neuroticism (OR range: (1.18-1.25), schizophrenia (OR range: 1.30-1.34), and overall genetic risk (OR range: 1.30-1.41) were at higher risk for experiencing more severe emotional and physical abuse, and, except schizophrenia, more severe sexual abuse, as well as more types of abuse and chronic abuse. In addition, participants in the highest quintile of genetic risk for neuroticism (OR = 1.43 95% CI: 1.18, 1.72), schizophrenia (OR = 1.33 95% CI: 1.10, 1.62), and the overall genetic risk (OR = 1.40 95% CI: 1.15, 1.71) were at higher risk for experiencing intimate partner intimidation and control. Participants in the highest quintile of genetic risk for ADHD, ASD, MDD, schizophrenia, and overall genetic risk, compared to the lowest quintile, were at increased risk for experiencing harassment from a partner (OR range: 1.22-1.92). No associations were found between genetic risk for BPD with IPV. A better understanding of the salience of the multiple possible pathways linking genetic risk for mental illness with risk for IPV may aid in preventing IPV victimization or re-victimization.
研究表明,精神疾病可能是遭受亲密伴侣暴力(IPV)的一个风险因素,也是其后果。IPV 和精神疾病之间的关联也可能部分归因于基因-环境相关性。我们使用六种精神疾病的多基因风险评分 - 注意力缺陷多动障碍(ADHD)、自闭症谱系障碍(ASD)、双相情感障碍(BPD)、重度抑郁症(MDD)、神经质和精神分裂症 - 以及整体精神疾病的综合遗传风险衡量标准,测试女性精神疾病的遗传风险是否与三种类型的亲密伴侣暴力有关。在这个欧洲血统的女性队列中(N=11095),ADHD(OR 范围:1.38-1.49)、MDD(OR 范围:1.28-1.43)、神经质(OR 范围:1.18-1.25)、精神分裂症(OR 范围:1.30-1.34)和整体遗传风险(OR 范围:1.30-1.41)最高五分位数的女性参与者经历更严重的情感和身体虐待的风险更高,除了精神分裂症,更严重的性虐待,以及更多类型的虐待和慢性虐待的风险更高。此外,神经质(OR=1.43 95% CI:1.18,1.72)、精神分裂症(OR=1.33 95% CI:1.10,1.62)和整体遗传风险(OR=1.40 95% CI:1.15,1.71)最高五分位数的参与者遭受亲密伴侣恐吓和控制的风险更高。与最低五分位数相比,ADHD、ASD、MDD、精神分裂症和整体遗传风险最高五分位数的参与者遭受伴侣骚扰的风险更高(OR 范围:1.22-1.92)。BPD 的遗传风险与 IPV 之间没有关联。更好地理解将精神疾病遗传风险与 IPV 风险联系起来的多种可能途径的重要性,可能有助于预防 IPV 受害或再受害。