Polygenic liability, stressful life events and risk for secondary-treated depression in early life: a nationwide register-based case-cohort study
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Polygenic liability, stressful life events and risk for secondary-treated depression in early life : a nationwide register-based case-cohort study. / Musliner, Katherine L; Andersen, Klaus K.; Agerbo, Esben; Albiñana, Clara; Vilhjalmsson, Bjarni J; Rajagopal, Veera M; Bybjerg-Grauholm, Jonas; Bækved-Hansen, Marie; Pedersen, Carsten B.; Pedersen, Marianne G.; Munk-Olsen, Trine; Benros, Michael E; Als, Thomas D; Grove, Jakob; Werge, Thomas; Børglum, Anders D; Hougaard, David M; Mors, Ole; Nordentoft, Merete; Mortensen, Preben B; Suppli, Nis P; Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium.
In: Psychological Medicine, Vol. 53, 2023, p. 217–226.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Polygenic liability, stressful life events and risk for secondary-treated depression in early life
T2 - a nationwide register-based case-cohort study
AU - Musliner, Katherine L
AU - Andersen, Klaus K.
AU - Agerbo, Esben
AU - Albiñana, Clara
AU - Vilhjalmsson, Bjarni J
AU - Rajagopal, Veera M
AU - Bybjerg-Grauholm, Jonas
AU - Bækved-Hansen, Marie
AU - Pedersen, Carsten B.
AU - Pedersen, Marianne G.
AU - Munk-Olsen, Trine
AU - Benros, Michael E
AU - Als, Thomas D
AU - Grove, Jakob
AU - Werge, Thomas
AU - Børglum, Anders D
AU - Hougaard, David M
AU - Mors, Ole
AU - Nordentoft, Merete
AU - Mortensen, Preben B
AU - Suppli, Nis P
AU - Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium
PY - 2023
Y1 - 2023
N2 - BACKGROUND: In this study, we examined the relationship between polygenic liability for depression and number of stressful life events (SLEs) as risk factors for early-onset depression treated in inpatient, outpatient or emergency room settings at psychiatric hospitals in Denmark.METHODS: Data were drawn from the iPSYCH2012 case-cohort sample, a population-based sample of individuals born in Denmark between 1981 and 2005. The sample included 18 532 individuals who were diagnosed with depression by a psychiatrist by age 31 years, and a comparison group of 20 184 individuals. Information on SLEs was obtained from nationwide registers and operationalized as a time-varying count variable. Hazard ratios and cumulative incidence rates were estimated using Cox regressions.RESULTS: Risk for depression increased by 35% with each standard deviation increase in polygenic liability (p < 0.0001), and 36% (p < 0.0001) with each additional SLE. There was a small interaction between polygenic liability and SLEs (β = -0.04, p = 0.0009). The probability of being diagnosed with depression in a hospital-based setting between ages 15 and 31 years ranged from 1.5% among males in the lowest quartile of polygenic liability with 0 events by age 15, to 18.8% among females in the highest quartile of polygenic liability with 4+ events by age 15.CONCLUSIONS: These findings suggest that although there is minimal interaction between polygenic liability and SLEs as risk factors for hospital-treated depression, combining information on these two important risk factors could potentially be useful for identifying high-risk individuals.
AB - BACKGROUND: In this study, we examined the relationship between polygenic liability for depression and number of stressful life events (SLEs) as risk factors for early-onset depression treated in inpatient, outpatient or emergency room settings at psychiatric hospitals in Denmark.METHODS: Data were drawn from the iPSYCH2012 case-cohort sample, a population-based sample of individuals born in Denmark between 1981 and 2005. The sample included 18 532 individuals who were diagnosed with depression by a psychiatrist by age 31 years, and a comparison group of 20 184 individuals. Information on SLEs was obtained from nationwide registers and operationalized as a time-varying count variable. Hazard ratios and cumulative incidence rates were estimated using Cox regressions.RESULTS: Risk for depression increased by 35% with each standard deviation increase in polygenic liability (p < 0.0001), and 36% (p < 0.0001) with each additional SLE. There was a small interaction between polygenic liability and SLEs (β = -0.04, p = 0.0009). The probability of being diagnosed with depression in a hospital-based setting between ages 15 and 31 years ranged from 1.5% among males in the lowest quartile of polygenic liability with 0 events by age 15, to 18.8% among females in the highest quartile of polygenic liability with 4+ events by age 15.CONCLUSIONS: These findings suggest that although there is minimal interaction between polygenic liability and SLEs as risk factors for hospital-treated depression, combining information on these two important risk factors could potentially be useful for identifying high-risk individuals.
U2 - 10.1017/S0033291721001410
DO - 10.1017/S0033291721001410
M3 - Journal article
C2 - 33949298
VL - 53
SP - 217
EP - 226
JO - Psychological Medicine
JF - Psychological Medicine
SN - 0033-2917
ER -
ID: 270573491