Genetic Predisposition Between COVID-19 and Four Mental Illnesses: A Bidirectional, Two-Sample Mendelian
Ningning Liu1,2, Jiang-Shan Tan3, Lu Liu1,2
1Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.
Frontiers in Psychiatry
|November 8, 2021
Summary
Attention-deficit/hyperactivity disorder (ADHD) increases the risk of COVID-19 hospitalization. Genetically predicted COVID-19 is also associated with schizophrenia, suggesting a modest causal link between the virus and mental illness.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- The COVID-19 pandemic has raised concerns about its impact on mental health.
- Previous studies suggested links between COVID-19 and mental illness, but causal evidence was lacking.
Purpose of the Study:
- To investigate the potential causal association between COVID-19 severity and mental illnesses using genetic data.
- To explore the genetic links between COVID-19 and specific mental health conditions like ADHD, schizophrenia, bipolar disorder, and depression.
Main Methods:
- Employed Mendelian randomization (MR) analysis utilizing large-scale genome-wide association study (GWAS) summary data for four mental health conditions.
- Applied various MR methods including inverse-variance weighted, weighted median, and MR-Egger, alongside sensitivity analyses to ensure robustness.
Main Results:
- Mendelian randomization analysis revealed that attention-deficit/hyperactivity disorder (ADHD) significantly increases the risk of COVID-19 hospitalization (OR = 1.297).
- Genetically predicted COVID-19 was also significantly associated with an increased risk of schizophrenia (OR = 1.043).
- Sensitivity analyses supported these findings, indicating a modest causal association.
Conclusions:
- The study provides evidence for a modest causal association between COVID-19 and certain mental illnesses, specifically ADHD and schizophrenia.
- Highlights the need for preventative measures for individuals with ADHD and schizophrenia due to their increased vulnerability and the pandemic's widespread impact.
- Emphasizes the necessity for further research into the neurological effects of COVID-19.
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