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Associations between schizophrenia genetic risk, anxiety disorders and manic/hypomanic episode in a longitudinal population cohort study.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Richards, Alexander 
Horwood, John 
Kennedy, Martin 
Sellers, Ruth 

Abstract

BACKGROUND: Studies involving clinically recruited samples show that genetic liability to schizophrenia overlaps with that for several psychiatric disorders including bipolar disorder, major depression and, in a population study, anxiety disorder and negative symptoms in adolescence.AimsWe examined whether, at a population level, association between schizophrenia liability and anxiety disorders continues into adulthood, for specific anxiety disorders and as a group. We explored in an epidemiologically based cohort the nature of adult psychopathology sharing liability to schizophrenia. METHOD: Schizophrenia polygenic risk scores (PRSs) were calculated for 590 European-descent individuals from the Christchurch Health and Development Study. Logistic regression was used to examine associations between schizophrenia PRS and four anxiety disorders (social phobia, specific phobia, panic disorder and generalised anxiety disorder), schizophrenia/schizophreniform disorder, manic/hypomanic episode, alcohol dependence, major depression, and - using linear regression - total number of anxiety disorders. A novel population-level association with hypomania was tested in a UK birth cohort (Avon Longitudinal Study of Parents and Children). RESULTS: Schizophrenia PRS was associated with total number of anxiety disorders and with generalised anxiety disorder and panic disorder. We show a novel population-level association between schizophrenia PRS and manic/hypomanic episode. CONCLUSIONS: The relationship between schizophrenia liability and anxiety disorders is not restricted to psychopathology in adolescence but is present in adulthood and specifically linked to generalised anxiety disorder and panic disorder. We suggest that the association between schizophrenia liability and hypomanic/manic episodes found in clinical samples may not be due to bias.Declarations of interestNone.

Description

Keywords

ALSPAC, CHDS, Schizophrenia, anxiety, polygenic risk score, Adolescent, Adult, Alcoholism, Anxiety Disorders, Bipolar Disorder, Comorbidity, Depressive Disorder, Major, Female, Humans, Longitudinal Studies, Male, Multifactorial Inheritance, New Zealand, Risk Factors, Schizophrenia, United Kingdom, Young Adult

Journal Title

Br J Psychiatry

Conference Name

Journal ISSN

0007-1250
1472-1465

Volume Title

214

Publisher

Royal College of Psychiatrists
Sponsorship
ESRC (ES/S004467/2)
Economic and Social Research Council (ES/N003098/1)
Economic and Social Research Council (ES/L014718/1)