Aino Saarinen, Jarmo Hietala, Leo-Pekka Lyytikäinen, Binisha Hamal Mishra, Elina Sormunen, Veikka Lavonius, Mika Kähönen, Olli Raitakari, Terho Lehtimäki, Liisa Keltikangas-Järvinen
{"title":"精神分裂症的多基因风险在一般人群样本中预测社会轨迹。","authors":"Aino Saarinen, Jarmo Hietala, Leo-Pekka Lyytikäinen, Binisha Hamal Mishra, Elina Sormunen, Veikka Lavonius, Mika Kähönen, Olli Raitakari, Terho Lehtimäki, Liisa Keltikangas-Järvinen","doi":"10.1017/S003329172300346X","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>We investigated (a) whether polygenic risk for schizophrenia predicts different trajectories of social development among those who have not developed psychoses and (b) whether possible associations are PRS<sub>SCZ</sub>-specific or evident also for any polygenic risk for mental disorders, e.g. for major depression.</p><p><strong>Methods: </strong>Participants came from the population-based Young Finns Study (<i>n</i> = 2377). We calculated a polygenic risk score for schizophrenia (PRS<sub>SCZ</sub>) and for major depression (PRS<sub>DEP</sub>). Diagnoses of psychotic disorders were derived from the hospital care register. Social development from adolescence to middle age was measured by (a) perceived social support from friends, family, and a close other, (b) perceived sociability, and (c) family structure (partnership status, number of children, age of first-time parenthood).</p><p><strong>Results: </strong>Among those without manifest psychoses, high PRS<sub>SCZ</sub> predicted lower experienced support from friends (<i>B</i> = -0.04, <i>p</i> = 0.009-0.035) and family (<i>B</i> = -0.04, <i>p</i> = 0.009-0.035) especially after early adulthood, and also lower perceived sociability (<i>B</i> = -0.05, <i>p</i> = 0.010-0.026). PRS<sub>SCZ</sub> was not related to family structure. PRS<sub>DEP</sub> did not predict any domain of social development.</p><p><strong>Conclusions: </strong>Individuals at high PRS<sub>SCZ</sub> (not converted to psychosis) seem to experience a lower preference to be with others over being alone. Individuals with high (<i>v.</i> low) PRS<sub>SCZ</sub> seem to have a similar family structure in terms of partnership status or number of children but, nevertheless, they experience less support from their family. Among those not converted to psychosis in a typical age period, high PRS<sub>SCZ</sub> may predict a 'later risk phase' and reduced functional resilience when approaching middle age.</p>","PeriodicalId":20891,"journal":{"name":"Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":5.9000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Polygenic risk for schizophrenia predicting social trajectories in a general population sample.\",\"authors\":\"Aino Saarinen, Jarmo Hietala, Leo-Pekka Lyytikäinen, Binisha Hamal Mishra, Elina Sormunen, Veikka Lavonius, Mika Kähönen, Olli Raitakari, Terho Lehtimäki, Liisa Keltikangas-Järvinen\",\"doi\":\"10.1017/S003329172300346X\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>We investigated (a) whether polygenic risk for schizophrenia predicts different trajectories of social development among those who have not developed psychoses and (b) whether possible associations are PRS<sub>SCZ</sub>-specific or evident also for any polygenic risk for mental disorders, e.g. for major depression.</p><p><strong>Methods: </strong>Participants came from the population-based Young Finns Study (<i>n</i> = 2377). We calculated a polygenic risk score for schizophrenia (PRS<sub>SCZ</sub>) and for major depression (PRS<sub>DEP</sub>). Diagnoses of psychotic disorders were derived from the hospital care register. Social development from adolescence to middle age was measured by (a) perceived social support from friends, family, and a close other, (b) perceived sociability, and (c) family structure (partnership status, number of children, age of first-time parenthood).</p><p><strong>Results: </strong>Among those without manifest psychoses, high PRS<sub>SCZ</sub> predicted lower experienced support from friends (<i>B</i> = -0.04, <i>p</i> = 0.009-0.035) and family (<i>B</i> = -0.04, <i>p</i> = 0.009-0.035) especially after early adulthood, and also lower perceived sociability (<i>B</i> = -0.05, <i>p</i> = 0.010-0.026). PRS<sub>SCZ</sub> was not related to family structure. PRS<sub>DEP</sub> did not predict any domain of social development.</p><p><strong>Conclusions: </strong>Individuals at high PRS<sub>SCZ</sub> (not converted to psychosis) seem to experience a lower preference to be with others over being alone. Individuals with high (<i>v.</i> low) PRS<sub>SCZ</sub> seem to have a similar family structure in terms of partnership status or number of children but, nevertheless, they experience less support from their family. Among those not converted to psychosis in a typical age period, high PRS<sub>SCZ</sub> may predict a 'later risk phase' and reduced functional resilience when approaching middle age.</p>\",\"PeriodicalId\":20891,\"journal\":{\"name\":\"Psychological Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":5.9000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychological Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/S003329172300346X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/12/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S003329172300346X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/4 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
背景:我们调查了(a)精神分裂症的多基因风险是否预测了未患精神病者的不同社会发展轨迹;(b)可能的关联是prsscz特异性的还是与精神障碍(如重度抑郁症)的多基因风险明显相关。方法:参与者来自以人群为基础的芬兰青年研究(n = 2377)。我们计算了精神分裂症(PRSSCZ)和重度抑郁症(PRSDEP)的多基因风险评分。精神障碍的诊断来自医院护理登记。从青春期到中年的社会发展是通过以下几个方面来衡量的:(a)感知到的来自朋友、家人和亲密他人的社会支持,(b)感知到的社交能力,以及(c)家庭结构(伴侣关系状况、子女数量、首次为人父母的年龄)。结果:在无明显精神障碍的被试中,高PRSSCZ对成年早期的朋友(B = -0.04, p = 0.009-0.035)和家庭(B = -0.04, p = 0.009-0.035)的支持体验较低,对社交能力的感知也较低(B = -0.05, p = 0.010-0.026)。PRSSCZ与家庭结构无关。PRSDEP没有预测任何社会发展领域。结论:高PRSSCZ的个体(未转化为精神病)似乎更倾向于与他人在一起而不是独处。高(或低)PRSSCZ的个体在伴侣关系状态或子女数量方面似乎具有相似的家庭结构,但他们从家庭获得的支持较少。在那些没有在典型年龄阶段转化为精神病的人中,高PRSSCZ可能预示着“后期风险阶段”,并且在接近中年时功能恢复能力降低。
Polygenic risk for schizophrenia predicting social trajectories in a general population sample.
Background: We investigated (a) whether polygenic risk for schizophrenia predicts different trajectories of social development among those who have not developed psychoses and (b) whether possible associations are PRSSCZ-specific or evident also for any polygenic risk for mental disorders, e.g. for major depression.
Methods: Participants came from the population-based Young Finns Study (n = 2377). We calculated a polygenic risk score for schizophrenia (PRSSCZ) and for major depression (PRSDEP). Diagnoses of psychotic disorders were derived from the hospital care register. Social development from adolescence to middle age was measured by (a) perceived social support from friends, family, and a close other, (b) perceived sociability, and (c) family structure (partnership status, number of children, age of first-time parenthood).
Results: Among those without manifest psychoses, high PRSSCZ predicted lower experienced support from friends (B = -0.04, p = 0.009-0.035) and family (B = -0.04, p = 0.009-0.035) especially after early adulthood, and also lower perceived sociability (B = -0.05, p = 0.010-0.026). PRSSCZ was not related to family structure. PRSDEP did not predict any domain of social development.
Conclusions: Individuals at high PRSSCZ (not converted to psychosis) seem to experience a lower preference to be with others over being alone. Individuals with high (v. low) PRSSCZ seem to have a similar family structure in terms of partnership status or number of children but, nevertheless, they experience less support from their family. Among those not converted to psychosis in a typical age period, high PRSSCZ may predict a 'later risk phase' and reduced functional resilience when approaching middle age.
期刊介绍:
Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.