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      Polygenic liability for schizophrenia and childhood adversity influences daily‐life emotion dysregulation and psychosis proneness

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          Abstract

          Objective

          To test whether polygenic risk score for schizophrenia (PRS‐S) interacts with childhood adversity and daily‐life stressors to influence momentary mental state domains (negative affect, positive affect, and subtle psychosis expression) and stress‐sensitivity measures.

          Methods

          The data were retrieved from a general population twin cohort including 593 adolescents and young adults. Childhood adversity was assessed using the Childhood Trauma Questionnaire. Daily‐life stressors and momentary mental state domains were measured using ecological momentary assessment. PRS‐S was trained on the latest Psychiatric Genetics Consortium schizophrenia meta‐analysis. The analyses were conducted using multilevel mixed‐effects tobit regression models.

          Results

          Both childhood adversity and daily‐life stressors were associated with increased negative affect, decreased positive affect, and increased subtle psychosis expression, while PRS‐S was only associated with increased positive affect. No gene–environment correlation was detected. There is novel evidence for interaction effects between PRS‐S and childhood adversity to influence momentary mental states [negative affect ( b = 0.07, P = 0.013), positive affect ( b = −0.05, P = 0.043), and subtle psychosis expression ( b = 0.11, P = 0.007)] and stress‐sensitivity measures.

          Conclusion

          Exposure to childhood adversities, particularly in individuals with high PRS‐S, is pleiotropically associated with emotion dysregulation and psychosis proneness.

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          Most cited references59

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          Estimation of Relationships for Limited Dependent Variables

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            The environment and schizophrenia.

            Psychotic syndromes can be understood as disorders of adaptation to social context. Although heritability is often emphasized, onset is associated with environmental factors such as early life adversity, growing up in an urban environment, minority group position and cannabis use, suggesting that exposure may have an impact on the developing 'social' brain during sensitive periods. Therefore heritability, as an index of genetic influence, may be of limited explanatory power unless viewed in the context of interaction with social effects. Longitudinal research is needed to uncover gene-environment interplay that determines how expression of vulnerability in the general population may give rise to more severe psychopathology.
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              Development and validation of a brief screening version of the Childhood Trauma Questionnaire.

              The goal of this study was to develop and validate a short form of the Childhood Trauma Questionnaire (the CTQ-SF) as a screening measure for maltreatment histories in both clinical and nonreferred groups. Exploratory and confirmatory factor analyses of the 70 original CTQ items were used to create a 28-item version of the scale (25 clinical items and three validity items) and test the measurement invariance of the 25 clinical items across four samples: 378 adult substance abusing patients from New York City, 396 adolescent psychiatric inpatients, 625 substance abusing individuals from southwest Texas, and 579 individuals from a normative community sample (combined N=1978). Results showed that the CTQ-SF's items held essentially the same meaning across all four samples (i.e., measurement invariance). Moreover, the scale demonstrated good criterion-related validity in a subsample of adolescents on whom corroborative data were available. These findings support the viability of the CTQ-SF across diverse clinical and nonreferred populations.
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                Author and article information

                Contributors
                sinan.guloksuz@maastrichtuniversity.nl
                Journal
                Acta Psychiatr Scand
                Acta Psychiatr Scand
                10.1111/(ISSN)1600-0447
                ACPS
                Acta Psychiatrica Scandinavica
                John Wiley and Sons Inc. (Hoboken )
                0001-690X
                1600-0447
                21 February 2020
                May 2020
                : 141
                : 5 ( doiID: 10.1111/acps.v141.5 )
                : 465-475
                Affiliations
                [ 1 ] Department of Psychiatry and Neuropsychology School for Mental Health and Neuroscience Maastricht University Medical Centre Maastricht The Netherlands
                [ 2 ] Department of Neurosciences University Psychiatric Centre KU Leuven KU Leuven Leuven Belgium
                [ 3 ] Brothers of Charity University Psychiatric Centre Sint‐Kamillus Bierbeek Bierbeek Belgium
                [ 4 ] Antwerp Health Law and Ethics Chair – AHLEC University Antwerp Antwerp Belgium
                [ 5 ] Centre of Human Genetics University Hospitals Leuven KU Leuven Leuven Belgium
                [ 6 ] Department of Obstetrics and Gynecology Ghent University Hospitals Ghent University Ghent Belgium
                [ 7 ] Department of Neurology Ghent University Hospital Ghent University Ghent Belgium
                [ 8 ] Faculty of Psychology and Educational Sciences Open University of the Netherlands Heerlen The Netherlands
                [ 9 ] Department of Psychiatry Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE) University of Groningen University Medical Center Groningen The Netherlands
                [ 10 ] Department of Translational Neuroscience UMC Utrecht Brain Center University Medical Center Utrecht Utrecht University Utrecht The Netherlands
                [ 11 ] Department of Psychiatry UMC Utrecht Brain Center University Medical Center Utrecht Utrecht University Utrecht The Netherlands
                [ 12 ] GGNet Mental Health Apeldoorn The Netherlands
                [ 13 ] Department of Psychosis Studies Institute of Psychiatry King's Health Partners King's College London London UK
                [ 14 ] Department of Psychiatry Yale School of Medicine New Haven CT USA
                Author notes
                [*] [* ] Sinan Guloksuz, Maastricht University Medical Center, Vijverdalseweg 1, PO Box 616 6200 MD Maastricht, The Netherlands.

                Email: sinan.guloksuz@ 123456maastrichtuniversity.nl

                Author information
                https://orcid.org/0000-0003-3823-4155
                https://orcid.org/0000-0002-6363-3767
                https://orcid.org/0000-0003-0329-1977
                https://orcid.org/0000-0002-6439-2774
                Article
                ACPS13158
                10.1111/acps.13158
                7318228
                32027017
                6db59a8a-3d61-4d0e-adf9-7b48575a6941
                © 2020 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 22 October 2019
                : 23 January 2020
                : 02 February 2020
                Page count
                Figures: 1, Tables: 4, Pages: 11, Words: 8425
                Funding
                Funded by: Seventh Framework Programme , open-funder-registry 10.13039/100011102;
                Award ID: HEALTH‐F2‐2009‐241909
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                May 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.4 mode:remove_FC converted:26.06.2020

                Clinical Psychology & Psychiatry
                gene–environment interaction,psychosis,childhood trauma,daily‐life stressors,experience sampling method,emotion regulation

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