Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression

The dominant (‘general’) version of the diathesis-stress theory of depression views stressors and genetic vulnerability as independent risks. In the Australian Genetics of Depression Study (N = 14,146; 75% female), we tested whether polygenic scores (PGS) for major depression, bipolar disorder, schi...

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Main Authors: Crouse, JJ, Park, SH, Byrne, EM, Mitchell, BL, Scott, J, Medland, SE, Lin, T, Wray, NR, Martin, NG, Hickie, IB
Format: Journal article
Language:English
Published: Springer Nature [academic journals on nature.com] 2024
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author Crouse, JJ
Park, SH
Byrne, EM
Mitchell, BL
Scott, J
Medland, SE
Lin, T
Wray, NR
Martin, NG
Hickie, IB
author_facet Crouse, JJ
Park, SH
Byrne, EM
Mitchell, BL
Scott, J
Medland, SE
Lin, T
Wray, NR
Martin, NG
Hickie, IB
author_sort Crouse, JJ
collection OXFORD
description The dominant (‘general’) version of the diathesis-stress theory of depression views stressors and genetic vulnerability as independent risks. In the Australian Genetics of Depression Study (N = 14,146; 75% female), we tested whether polygenic scores (PGS) for major depression, bipolar disorder, schizophrenia, anxiety, ADHD, and neuroticism were associated with reported exposure to 32 childhood, past-year, lifetime, and accumulated stressful life events (SLEs). In false discovery rate-corrected models, the clearest PGS-SLE relationships were for the ADHD- and depression-PGSs, and to a lesser extent, the anxiety- and schizophrenia-PGSs. We describe the associations for childhood and accumulated SLEs, and the 2–3 strongest past-year/lifetime SLE associations. Higher ADHD-PGS was associated with all childhood SLEs (emotional abuse, emotional neglect, physical neglect; ORs = 1.09–1.14; p’s < 1.3 × 10−5), more accumulated SLEs, and reported exposure to sudden violent death (OR = 1.23; p = 3.6 × 10−5), legal troubles (OR = 1.15; p = 0.003), and sudden accidental death (OR = 1.14; p = 0.006). Higher depression-PGS was associated with all childhood SLEs (ORs = 1.07–1.12; p’s < 0.013), more accumulated SLEs, and severe human suffering (OR = 1.17; p = 0.003), assault with a weapon (OR = 1.12; p = 0.003), and living in unpleasant surroundings (OR = 1.11; p = 0.001). Higher anxiety-PGS was associated with childhood emotional abuse (OR = 1.08; p = 1.6 × 10−4), more accumulated SLEs, and serious accident (OR = 1.23; p = 0.004), physical assault (OR = 1.08; p = 2.2 × 10−4), and transportation accident (OR = 1.07; p = 0.001). Higher schizophrenia-PGS was associated with all childhood SLEs (ORs = 1.12–1.19; p’s < 9.3−8), more accumulated SLEs, and severe human suffering (OR = 1.16; p = 0.003). Higher neuroticism-PGS was associated with living in unpleasant surroundings (OR = 1.09; p = 0.007) and major financial troubles (OR = 1.06; p = 0.014). A reversed pattern was seen for the bipolar-PGS, with lower odds of reported physical assault (OR = 0.95; p = 0.014), major financial troubles (OR = 0.93; p = 0.004), and living in unpleasant surroundings (OR = 0.92; p = 0.007). Genetic risk for several mental disorders influences reported exposure to SLEs among adults with moderately severe, recurrent depression. Our findings emphasise that stressors and diatheses are inter-dependent and challenge diagnosis and subtyping (e.g., reactive/endogenous) based on life events.
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spelling oxford-uuid:6395ad4c-6356-4a60-8e64-1a2e6340b0002024-09-23T20:07:49ZPatterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depressionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6395ad4c-6356-4a60-8e64-1a2e6340b000EnglishJisc Publications RouterSpringer Nature [academic journals on nature.com]2024Crouse, JJPark, SHByrne, EMMitchell, BLScott, JMedland, SELin, TWray, NRMartin, NGHickie, IBThe dominant (‘general’) version of the diathesis-stress theory of depression views stressors and genetic vulnerability as independent risks. In the Australian Genetics of Depression Study (N = 14,146; 75% female), we tested whether polygenic scores (PGS) for major depression, bipolar disorder, schizophrenia, anxiety, ADHD, and neuroticism were associated with reported exposure to 32 childhood, past-year, lifetime, and accumulated stressful life events (SLEs). In false discovery rate-corrected models, the clearest PGS-SLE relationships were for the ADHD- and depression-PGSs, and to a lesser extent, the anxiety- and schizophrenia-PGSs. We describe the associations for childhood and accumulated SLEs, and the 2–3 strongest past-year/lifetime SLE associations. Higher ADHD-PGS was associated with all childhood SLEs (emotional abuse, emotional neglect, physical neglect; ORs = 1.09–1.14; p’s < 1.3 × 10−5), more accumulated SLEs, and reported exposure to sudden violent death (OR = 1.23; p = 3.6 × 10−5), legal troubles (OR = 1.15; p = 0.003), and sudden accidental death (OR = 1.14; p = 0.006). Higher depression-PGS was associated with all childhood SLEs (ORs = 1.07–1.12; p’s < 0.013), more accumulated SLEs, and severe human suffering (OR = 1.17; p = 0.003), assault with a weapon (OR = 1.12; p = 0.003), and living in unpleasant surroundings (OR = 1.11; p = 0.001). Higher anxiety-PGS was associated with childhood emotional abuse (OR = 1.08; p = 1.6 × 10−4), more accumulated SLEs, and serious accident (OR = 1.23; p = 0.004), physical assault (OR = 1.08; p = 2.2 × 10−4), and transportation accident (OR = 1.07; p = 0.001). Higher schizophrenia-PGS was associated with all childhood SLEs (ORs = 1.12–1.19; p’s < 9.3−8), more accumulated SLEs, and severe human suffering (OR = 1.16; p = 0.003). Higher neuroticism-PGS was associated with living in unpleasant surroundings (OR = 1.09; p = 0.007) and major financial troubles (OR = 1.06; p = 0.014). A reversed pattern was seen for the bipolar-PGS, with lower odds of reported physical assault (OR = 0.95; p = 0.014), major financial troubles (OR = 0.93; p = 0.004), and living in unpleasant surroundings (OR = 0.92; p = 0.007). Genetic risk for several mental disorders influences reported exposure to SLEs among adults with moderately severe, recurrent depression. Our findings emphasise that stressors and diatheses are inter-dependent and challenge diagnosis and subtyping (e.g., reactive/endogenous) based on life events.
spellingShingle Crouse, JJ
Park, SH
Byrne, EM
Mitchell, BL
Scott, J
Medland, SE
Lin, T
Wray, NR
Martin, NG
Hickie, IB
Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
title Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
title_full Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
title_fullStr Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
title_full_unstemmed Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
title_short Patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
title_sort patterns of stressful life events and polygenic scores for five mental disorders and neuroticism among adults with depression
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