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BMC Med. 2020 Oct 27;18(1):284. doi: 10.1186/s12916-020-01760-1.

How important are parents in the development of child anxiety and depression? A genomic analysis of parent-offspring trios in the Norwegian Mother Father and Child Cohort Study (MoBa).

BMC medicine

Rosa Cheesman, Espen Moen Eilertsen, Yasmin I Ahmadzadeh, Line C Gjerde, Laurie J Hannigan, Alexandra Havdahl, Alexander I Young, Thalia C Eley, Pål R Njølstad, Per Magnus, Ole A Andreassen, Eivind Ystrom, Tom A McAdams

Affiliations

  1. Social Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. [email protected].
  2. Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
  3. Social Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  4. PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway.
  5. Nic Waals Institute at Lovisenberg Diaconal Hospital, Oslo, Norway.
  6. MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
  7. Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA.
  8. NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK.
  9. Center of Diabetes Research, Department of Clinical Science, University of Bergen, Bergen, Norway.
  10. Department of Pediatrics and Adolescents, Haukeland University Hospital, Bergen, Norway.
  11. Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
  12. NORMENT Centre, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
  13. Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
  14. School of Pharmacy, University of Oslo, Oslo, Norway.

PMID: 33106172 PMCID: PMC7590735 DOI: 10.1186/s12916-020-01760-1

Abstract

BACKGROUND: Many studies detect associations between parent behaviour and child symptoms of anxiety and depression. Despite knowledge that anxiety and depression are influenced by a complex interplay of genetic and environmental risk factors, most studies do not account for shared familial genetic risk. Quantitative genetic designs provide a means of controlling for shared genetics, but rely on observed putative exposure variables, and require data from highly specific family structures.

METHODS: The intergenerational genomic method, Relatedness Disequilibrium Regression (RDR), indexes environmental effects of parents on child traits using measured genotypes. RDR estimates how much the parent genome influences the child indirectly via the environment, over and above effects of genetic factors acting directly in the child. This 'genetic nurture' effect is agnostic to parent phenotype and captures unmeasured heritable parent behaviours. We applied RDR in a sample of 11,598 parent-offspring trios from the Norwegian Mother, Father and Child Cohort Study (MoBa) to estimate parental genetic nurture separately from direct child genetic effects on anxiety and depression symptoms at age 8. We tested for mediation of genetic nurture via maternal anxiety and depression symptoms. Results were compared to a complementary non-genomic pedigree model.

RESULTS: Parental genetic nurture explained 14% of the variance in depression symptoms at age 8. Subsequent analyses suggested that maternal anxiety and depression partially mediated this effect. The genetic nurture effect was mirrored by the finding of family environmental influence in our pedigree model. In contrast, variance in anxiety symptoms was not significantly influenced by common genetic variation in children or parents, despite a moderate pedigree heritability.

CONCLUSIONS: Genomic methods like RDR represent new opportunities for genetically sensitive family research on complex human traits, which until now has been largely confined to adoption, twin and other pedigree designs. Our results are relevant to debates about the role of parents in the development of anxiety and depression in children, and possibly where to intervene to reduce problems.

Keywords: Anxiety; Children; Depression; Environment; Genetic nurture; Genomics; MoBa

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