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美国中年及老年人群抑郁症状的遗传易感性:随时间变化的影响以及早期社会心理因素的效应修正

Genetic susceptibility to depressive symptoms in middle-aged to older Americans: time-varying effects and effect modification by early psychosocial factors.

作者信息

Wilding Hannah E, Dyer Walter G, Sutara Brianna, Lee Sung-Ha, Linden-Carmichael Ashley N, Lanza Stephanie T, Lee Harold H

机构信息

The Penn State College of Medicine, Hershey, PA, 17033, USA.

Department of Psychology, The Pennsylvania State University, University Park, PA, 16802, USA.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2025 Aug 30. doi: 10.1007/s00127-025-02987-0.


DOI:10.1007/s00127-025-02987-0
PMID:40885866
Abstract

PURPOSE: We examined age-varying genetic influences on depression across young adulthood to older adulthood and the moderating role of early psychosocial factors. METHODS: Data are from the Health and Retirement Study (HRS) with 6,977 European Americans (57% women) from 2006 to 2016 (M age 62.4 ± 14.3, range 26-101 years in 2006). The polygenic score (PGS) for major depression was operationalized as a binary variable at the 75th percentile. Early psychosocial factors examined included maternal warmth, parental education, perceived financial status, and childhood stressful events. Depressive symptoms were measured by the Center for Epidemiological Studies Depression Scale (CES-D; range: 0-8). We utilized time-varying effect modeling to determine the survey wave when genetic risk most affected depressive symptoms. Within this wave, we analyzed the age-varying effect of genetic risk on depressive symptoms and conducted interaction analyses between PGS with each early psychosocial factor. RESULTS: The wave-varying effect model revealed that the genetic effect was strongest in 2006. During that year, genetic effects remained significant and stable across age groups, from middle-aged to older adults. In 2006, without negative experiences, those at high genetic risk for depression had 51-60% higher odds of depressive symptoms (CES-D ≥ 3). Conversely, without genetic risk, adverse early psychosocial factors raised depression risk by 37-54%. No multiplicative or additive interaction was observed between genetic risk and psychosocial factors. CONCLUSION: Identifying individuals with higher genetic susceptibility and adverse early experiences may inform targeted preventive approaches.

摘要

目的:我们研究了从青年期到老年期,年龄变化对抑郁症的遗传影响以及早期心理社会因素的调节作用。 方法:数据来自健康与退休研究(HRS),研究对象为2006年至2016年期间的6977名欧洲裔美国人(57%为女性)(2006年时年龄中位数为62.4±14.3岁,范围为26至101岁)。将重度抑郁症的多基因评分(PGS)作为第75百分位数的二元变量进行操作化。所考察的早期心理社会因素包括母亲的温暖程度、父母的教育程度、感知到的经济状况以及童年时期的应激事件。抑郁症状通过流行病学研究中心抑郁量表(CES-D;范围:0 - 8)进行测量。我们利用时变效应模型来确定遗传风险对抑郁症状影响最大的调查波次。在这一波次内,我们分析了遗传风险对抑郁症状的年龄变化效应,并对PGS与每个早期心理社会因素进行了交互分析。 结果:波次变化效应模型显示,遗传效应在2006年最强。在那一年,从中年到老年,各年龄组的遗传效应均保持显著且稳定。2006年,在没有负面经历的情况下,抑郁症遗传风险高的个体出现抑郁症状(CES-D≥3)的几率要高51 - 60%。相反,在没有遗传风险的情况下,不良的早期心理社会因素会使抑郁风险提高37 - 54%。未观察到遗传风险与心理社会因素之间存在乘性或加性交互作用。 结论:识别出具有较高遗传易感性和不良早期经历的个体,可能有助于制定有针对性的预防措施。

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本文引用的文献

[1]
Promoting equity in polygenic risk assessment through global collaboration.

Nat Genet. 2024-9

[2]
Economic Burden Associated With Untreated Mental Illness in Indiana.

JAMA Health Forum. 2023-10-6

[3]
Parental warmth and young adult depression: A comparison of enduring effects and revisionist models.

Dev Psychopathol. 2024-10

[4]
The Economic Burden of Adults with Major Depressive Disorder in the United States (2019).

Adv Ther. 2023-10

[5]
Life course BMI trajectories from childhood to mid-adulthood are differentially associated with anxiety and depression outcomes in middle age.

Int J Obes (Lond). 2023-8

[6]
Polygenic Risk and Social Support in Predicting Depression Under Stress.

Am J Psychiatry. 2023-2-1

[7]
The association of personality polygenic risk score, psychosocial protective factors and suicide attempt in mood disorder.

J Psychiatr Res. 2022-12

[8]
Polygenic risk score and peer victimisation independently predict depressive symptoms in adolescence: results from the Quebec Longitudinal Study of Children Development.

J Child Psychol Psychiatry. 2023-3

[9]
Treatment-resistant depression and major depression with suicide risk-The cost of illness and burden of disease.

Front Public Health. 2022

[10]
Improving polygenic prediction in ancestrally diverse populations.

Nat Genet. 2022-5

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