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Heritability and polygenic load for comorbid anxiety and depression
Fara Tabrizi1, Jörgen Rosén2, Hampus Grönvall3
1Department of Psychology and Social Work, Mid Sweden University, Ostersund, Sweden. fara.tabrizi@miun.se.
Translational Psychiatry
|March 27, 2025
Summary
Genetic factors significantly increase the risk for comorbid anxiety and depression. Higher genetic liability for depressive symptoms strongly predicts combined anxiety and depression, more so than for either condition alone.
Area of Science:
- Psychiatric Genetics
- Behavioral Genetics
- Twin Studies
Background:
- Comorbidity of anxiety and depression leads to poorer health outcomes.
- Understanding the genetic basis of comorbid anxiety and depression is crucial.
Purpose of the Study:
- To investigate if genetic liability for comorbid anxiety and depression is greater than for isolated anxiety or depression.
- To assess the role of common genetic variation in comorbid anxiety and depression.
Main Methods:
- Analysis of 12,792 genotyped twins (ages 38-85) including 1,986 monozygotic and 1,594 dizygotic pairs.
- Heritability estimation using twin modeling.
- Assessment of polygenic scores (PGS) for depressive symptoms, anxiety, and other traits.
Main Results:
- Heritability of comorbid anxiety and depression was 79%, compared to 41% for anxiety and 50% for depression alone.
- Depressive symptom PGS predicted more variation in comorbid anxiety and depression (aOR=1.53) than other outcomes.
- Individuals in the highest PGS decile for depressive symptoms had over 5 times higher odds of medication for comorbid anxiety and depression.
Conclusions:
- Genetic factors explain substantially more variation in comorbid anxiety and depression than in anxiety or depression alone.
- Findings suggest a significant genetic overlap, potentially driven by depressive symptom liability.
- Further research is needed to confirm these findings given data limitations.
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