社会经济地位和严重精神障碍:双向多变量门德尔随机化研究
Álvaro Andreu-Bernabeu1, Javier González-Peñas2, Celso Arango2,3
1Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), CIBERSAM, Hospital General Universitario Gregorio Marañón, Madrid, Spain a.andreu.bernabeu@gmail.com.
BMJ mental health
|November 25, 2023
概括
对更高收入的遗传责任降低了精神分裂症和抑郁症的风险,而教育成就显示了复杂的双向联系与双相情感障碍和精神分裂症. 这些发现突出了导致严重精神疾病的不同社会经济途径.
科学领域:
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 社会经济地位 (SES) 与严重精神障碍 (SMD) 有关,但收入/教育和精神疾病之间的因果方向仍然不清楚.
- 了解这些关系对于公共卫生干预至关重要.
研究的目的:
- 研究收入和教育成就 (EA) 的遗传责任与三种SMD之间的双向因果关系:精神分裂症,双相情感障碍 (BD) 和抑郁症.
- 区分收入和EA在中小企业病因中的作用.
主要方法:
- 使用双向,双样本的门德尔随机化 (MR) 研究设计.
- 采用单变量 (UVMR) 和多变量 (MVMR) 的MR分析,使用大基因组广泛关联研究总结统计数据来分析SES表型和SMD.
主要成果:
- 对更高收入的遗传责任与精神分裂症和抑郁症的风险降低有关,观察到的反作用较小.
- 对EA的遗传责任显示出双向的负面关联与抑郁症和积极的关联与BD.
- MVMR发现,在收入计算后,EA与BD和精神分裂症有双向的积极关联.
结论:
- SES和SMD具有异质的因果关系,有不同的收入和EA途径.
- 收入表明与精神分裂症和抑郁症风险的双向负相关性.
- 经过研究,EA与BD和精神分裂症有着积极的双向关系,特别是在考虑收入时.
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