Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.

Early childhood trauma can have profound and lifelong effects on adult mental health and psychosocial wellbeing. Nevertheless, responses to trauma are highly variable. Genetic variants may help explain variation in responses to trauma by identifying alleles that associate with changes in mental heal...

Full description

Bibliographic Details
Main Authors: Christopher J Clukay, Rana Dajani, Kristin Hadfield, Jacklyn Quinlan, Catherine Panter-Brick, Connie J Mulligan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0219385
_version_ 1818588137673195520
author Christopher J Clukay
Rana Dajani
Kristin Hadfield
Jacklyn Quinlan
Catherine Panter-Brick
Connie J Mulligan
author_facet Christopher J Clukay
Rana Dajani
Kristin Hadfield
Jacklyn Quinlan
Catherine Panter-Brick
Connie J Mulligan
author_sort Christopher J Clukay
collection DOAJ
description Early childhood trauma can have profound and lifelong effects on adult mental health and psychosocial wellbeing. Nevertheless, responses to trauma are highly variable. Genetic variants may help explain variation in responses to trauma by identifying alleles that associate with changes in mental health measures. Protective factors, such as resilience, likely also play an important role in responses to trauma. The effects of genetic variants, in combination with protective factors, on psychosocial health are not well understood, particularly in non-Western contexts. In this study, we test the relative influence of genetic variants of monoamine oxidase A (MAOA, a gene proposed to influence the impact of childhood trauma on adult violence and antisocial behavior), levels of resilience, and exposure to traumatic events on psychosocial stress and mental health trajectories over time. We use data from a cohort of 12-18-year-old Syrian refugees who were forcibly displaced to neighboring Jordan (n = 399). DNA samples and survey data on trauma exposure, resilience (CYRM-12), and psychosocial stress were collected at three time points: baseline, ~13 weeks, and ~48 weeks. Using multilevel models, we identified an association of MAOA variant, in males only, with symptom scores of psychosocial stress on the Perceived Stress Scale (PSS) over time (p = 8.1 x 10-4). We also found that resilience is strongly associated with PSS (p = 7.9 x 10-9), underscoring the importance of protective factors in influencing levels of psychosocial stress. Furthermore, there was an additive effect wherein the sharpest reductions in perceived psychosocial stress are seen in low-activity MAOA males with low trauma exposure or high resilience levels. Our results highlight the value of studies that integrate genetic and psychosocial factors to better understand complex phenotypes, such as responses to trauma in contexts of high trauma exposure.
first_indexed 2024-12-16T09:19:59Z
format Article
id doaj.art-b9ca613973ac42948cf2adf035f0a79a
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-16T09:19:59Z
publishDate 2019-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-b9ca613973ac42948cf2adf035f0a79a2022-12-21T22:36:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01147e021938510.1371/journal.pone.0219385Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.Christopher J ClukayRana DajaniKristin HadfieldJacklyn QuinlanCatherine Panter-BrickConnie J MulliganEarly childhood trauma can have profound and lifelong effects on adult mental health and psychosocial wellbeing. Nevertheless, responses to trauma are highly variable. Genetic variants may help explain variation in responses to trauma by identifying alleles that associate with changes in mental health measures. Protective factors, such as resilience, likely also play an important role in responses to trauma. The effects of genetic variants, in combination with protective factors, on psychosocial health are not well understood, particularly in non-Western contexts. In this study, we test the relative influence of genetic variants of monoamine oxidase A (MAOA, a gene proposed to influence the impact of childhood trauma on adult violence and antisocial behavior), levels of resilience, and exposure to traumatic events on psychosocial stress and mental health trajectories over time. We use data from a cohort of 12-18-year-old Syrian refugees who were forcibly displaced to neighboring Jordan (n = 399). DNA samples and survey data on trauma exposure, resilience (CYRM-12), and psychosocial stress were collected at three time points: baseline, ~13 weeks, and ~48 weeks. Using multilevel models, we identified an association of MAOA variant, in males only, with symptom scores of psychosocial stress on the Perceived Stress Scale (PSS) over time (p = 8.1 x 10-4). We also found that resilience is strongly associated with PSS (p = 7.9 x 10-9), underscoring the importance of protective factors in influencing levels of psychosocial stress. Furthermore, there was an additive effect wherein the sharpest reductions in perceived psychosocial stress are seen in low-activity MAOA males with low trauma exposure or high resilience levels. Our results highlight the value of studies that integrate genetic and psychosocial factors to better understand complex phenotypes, such as responses to trauma in contexts of high trauma exposure.https://doi.org/10.1371/journal.pone.0219385
spellingShingle Christopher J Clukay
Rana Dajani
Kristin Hadfield
Jacklyn Quinlan
Catherine Panter-Brick
Connie J Mulligan
Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.
PLoS ONE
title Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.
title_full Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.
title_fullStr Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.
title_full_unstemmed Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.
title_short Association of MAOA genetic variants and resilience with psychosocial stress: A longitudinal study of Syrian refugees.
title_sort association of maoa genetic variants and resilience with psychosocial stress a longitudinal study of syrian refugees
url https://doi.org/10.1371/journal.pone.0219385
work_keys_str_mv AT christopherjclukay associationofmaoageneticvariantsandresiliencewithpsychosocialstressalongitudinalstudyofsyrianrefugees
AT ranadajani associationofmaoageneticvariantsandresiliencewithpsychosocialstressalongitudinalstudyofsyrianrefugees
AT kristinhadfield associationofmaoageneticvariantsandresiliencewithpsychosocialstressalongitudinalstudyofsyrianrefugees
AT jacklynquinlan associationofmaoageneticvariantsandresiliencewithpsychosocialstressalongitudinalstudyofsyrianrefugees
AT catherinepanterbrick associationofmaoageneticvariantsandresiliencewithpsychosocialstressalongitudinalstudyofsyrianrefugees
AT conniejmulligan associationofmaoageneticvariantsandresiliencewithpsychosocialstressalongitudinalstudyofsyrianrefugees