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Updated: Aug 6, 2026

Noninvasive, High-throughput Determination of Sleep Duration in Rodents
Published on: April 18, 2018
Bidirectional Mendelian randomization of childhood maltreatment and sleep-related phenotypes
Zheng Zhang1,2,3, Ying Liu1,2,3, Yuan Zhao1,2,3,4
1Department of Sleep and Psychology, Chongqing Health Center for Women and Children, Chongqing, People's Republic of China.
Abstract:
Background: Childhood maltreatment (CM) is associated with sleep disturbance, but observational findings may be affected by confounding, shared familial liability, and reverse-direction explanations. We conducted bidirectional two-sample Mendelian randomization (MR) to examine genetic evidence linking composite CM liability with six sleep-related phenotypes.Methods: Genetic instruments for CM were obtained from a large European-ancestry multi-cohort GWAS meta-analysis. CM was defined as a composite phenotype encompassing multiple abuse and neglect subtypes and ascertainment modes. Summary statistics for chronotype, daytime sleepiness (DS), insomnia symptoms, sleep apnea (SA), daytime napping (DN), and sleep duration (SD) were derived from large European-ancestry GWASs. Inverse-variance weighted MR was the primary method, with weighted median and MR-Egger sensitivity analyses. Benjamini-Hochberg correction was applied and reported as P(BH).Results: In forward MR, genetically proxied CM was associated with higher DS (OR = 1.04, 95% CI 1.01-1.07; P(BH) = 0.030), insomnia symptoms (OR = 1.08, 95% CI 1.01-1.15; P(BH) = 0.030), and DN (β = 0.07, 95% CI 0.03-0.09; P(BH) = 0.002). Little evidence was observed for chronotype, SA, or SD. In exploratory reverse-direction MR, genetic liability to DN (β = 0.16, 95% CI 0.05-0.27; P(BH) = 0.012) and insomnia symptoms (β = 0.21, 95% CI 0.07-0.35; P(BH) = 0.012) was associated with CM liability.Conclusions: This study provides suggestive genetic evidence linking composite CM liability with selected sleep-related phenotypes, particularly self-reported DS, insomnia symptoms, and DN. Reverse-direction findings may reflect shared genetic liability, gene-environment correlation, reporting-related mechanisms, or broader familial pathways rather than temporal effects of adult sleep traits on CM. Given modest effects and uneven sensitivity support, findings should be interpreted cautiously.
Insights
Childhood maltreatment (CM) liability is genetically linked to increased daytime sleepiness, insomnia symptoms, and daytime napping. Reverse findings suggest shared genetic factors may influence both CM and sleep disturbances.
Area of Science:
- Psychiatry
- Sleep Medicine
- Genetics
Background:
- Childhood maltreatment (CM) is a known risk factor for sleep disturbances.
- Observational studies are limited by confounding factors, shared familial genetics, and reverse causality.
- Mendelian randomization (MR) offers a method to investigate genetic links between CM and sleep phenotypes.
Purpose of the Study:
- To examine the bidirectional genetic relationship between composite childhood maltreatment (CM) liability and six sleep-related phenotypes using two-sample MR.
- To differentiate genetic influences from environmental or familial factors in the CM-sleep disturbance association.
Main Methods:
- Utilized two-sample Mendelian randomization (MR) analysis.
- Employed genetic instruments for CM from a large GWAS meta-analysis of European ancestry.
- Assessed six sleep phenotypes: chronotype, daytime sleepiness (DS), insomnia symptoms, sleep apnea (SA), daytime napping (DN), and sleep duration (SD).
- Applied inverse-variance weighted MR as the primary method, with weighted median and MR-Egger sensitivity analyses.
Main Results:
- Forward MR indicated that genetically proxied CM liability was associated with higher odds of daytime sleepiness (DS), insomnia symptoms, and increased daytime napping (DN).
- No significant genetic association was found between CM liability and chronotype, sleep apnea (SA), or sleep duration (SD).
- Reverse-direction MR suggested a genetic link between daytime napping (DN) and insomnia symptoms with CM liability.
Conclusions:
- This study provides suggestive genetic evidence for a link between childhood maltreatment (CM) liability and specific sleep disturbances, including daytime sleepiness, insomnia symptoms, and daytime napping.
- Bidirectional findings may indicate shared genetic liability, gene-environment correlations, or reporting biases rather than direct causal effects of sleep on CM.
- Results should be interpreted cautiously due to modest effect sizes and sensitivity analyses supporting the findings.