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Inherited and environmental influences on a childhood co-occurring symptom phenotype: Evidence from an adoption study
Leslie E Roos1, Philip A Fisher1, Daniel S Shaw2
1University of Oregon.
Insights
Identifying unique risk factors for co-occurring childhood internalizing and externalizing symptoms is crucial. Uninvolved parenting and slower processing speed in birth mothers, alongside adoptive mothers
Area of Science:
- Child Psychology
- Developmental Psychology
- Behavioral Genetics
Background:
- Co-occurring internalizing and externalizing symptoms in children present a significant clinical challenge with poorly understood developmental pathways.
- This phenotype is prevalent and associated with adverse long-term outcomes, necessitating research into its underlying risk factors.
Purpose of the Study:
- To investigate inherited and environmental risk factors contributing to the development of co-occurring internalizing and externalizing symptoms in children.
- To differentiate risk profiles for internalizing-only, externalizing-only, and co-occurring symptom phenotypes.
Main Methods:
- Structural equation modeling was employed to analyze data from a sample of adopted children (N=293) and their birth and adoptive mothers.
- Examined predictors included birth mothers' processing speed and internalizing symptoms, and adoptive mothers' processing speed, internalizing symptoms, and parenting style (uninvolved parenting).
Main Results:
- A distinct pattern of risk factors predicted the co-occurring phenotype: uninvolved parenting by adoptive mothers, slower processing speed in birth mothers, and a combination of birth mothers' slower processing speed with adoptive mothers' higher internalizing symptoms.
- When children with co-occurring symptoms were analyzed separately, unique risk factors for internalizing and externalizing symptoms emerged, differing from combined analyses.
Conclusions:
- Treating co-occurring symptoms as a unique phenotype is essential for accurate identification of risk factors, avoiding potentially misleading results from combined analyses.
- Findings highlight the complex interplay of genetic and environmental influences, involving both birth and adoptive maternal factors, in the development of childhood behavioral and emotional problems.
Abstract:
Risk factors for the childhood development of co-occurring internalizing and externalizing symptoms are not well understood, despite a high prevalence and poor clinical outcomes associated with this co-occurring phenotype. We examined inherited and environmental risk factors for co-occurring symptoms in a sample of children adopted at birth and their birth mothers and adoptive mothers (N = 293). Inherited risk factors (i.e., birth mothers' processing speed and internalizing symptoms) and environmental risk factors (i.e., adoptive mothers' processing speed, internalizing symptoms, and uninvolved parenting) were examined as predictors for the development of internalizing-only, externalizing-only, or co-occurring symptoms using structural equation modeling. Results suggested a unique pattern of predictive factors for the co-occurring phenotype, with risk conferred by adoptive mothers' uninvolved parenting, birth mothers' slower processing speed, and the birth mothers' slower processing speed in tandem with adoptive mothers' higher internalizing symptoms. Additional analyses indicated that when co-occurring-symptom children were incorporated into internalizing and externalizing symptom groups, differential risk factors for externalizing and internalizing symptoms emerged. The findings suggest that spurious results may be found when children with co-occurring symptoms are not examined as a unique phenotypic group.
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