Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are u...Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are unclear.Aims We aimed to evaluate the overall and independent causal effects of the three psychosocial factors on common mental disorders.Methods Using genome-wide association study summary datasets,we performed Mendelian randomisation(MR)and multivariable MR(MVMR)analyses to assess potential associations between the 3 factors(EA,N=766345;household income,N=392422;intelligence,N=146808)and 13 common mental disorders,with sample sizes ranging from 9907 to 807553.Inverse-variance weighting was employed as the main method in the MR analysis.Results Our MR analysis showed that(1)higher EA was a protective factor for eight mental disorders but contributed to anorexia nervosa,obsessive-compulsive disorder(OCD),bipolar disorder(BD)and autism spectrum disorder(ASD);(2)higher intelligence was a protective factor for five mental disorders but a risk factor for OCD and ASD;(3)higher household income protected against 10 mental disorders but confers risk for anorexia nervosa.Our MVMR analysis showed that(1)higher EA was a direct protective factor for attention-deficit/hyperactivity disorder(ADHD)and insomnia but a direct risk factor for schizophrenia,BD and ASD;(2)higher intelligence was a direct protective factor for schizophrenia but a direct risk factor for major depressive disorder(MDD)and ASD;(3)higher income was a direct protective factor for seven mental disorders,including schizophrenia,BD,MDD,ASD,post-traumatic stress disorder,ADHD and anxiety disorder.Conclusions Our study reveals that education,intelligence and income intertwine with each other.For each factor,its independent effects on mental disorders present a more complex picture than its overall effects.展开更多
Background We aimed to evaluate whether major depressive disorder(MDD)could aggravate the outcomes of coronavirus disease 2019(COVID-19)or whether the genetic liability to COVID-19 could trigger MDD.Aims We aimed to a...Background We aimed to evaluate whether major depressive disorder(MDD)could aggravate the outcomes of coronavirus disease 2019(COVID-19)or whether the genetic liability to COVID-19 could trigger MDD.Aims We aimed to assess bidirectional causal associations between MDD and COVID-19.Methods We performed genetic correlation and Mendelian randomisation(MR)analyses to assess potential associations between MDD and three COVID-19 outcomes.Literature-based network analysis was conducted to construct molecular pathways connecting MDD and COVID-19.Results We found that MDD has positive genetic correlations with COVID-19 outcomes(rg:0.10–0.15).Our MR analysis indicated that genetic liability to MDD is associated with increased risks of COVID-19 infection(odds ratio(OR)=1.05,95%confidence interval(CI):1.00 to 1.10,p=0.039).However,genetic liability to the three COVID-19 outcomes did not confer any causal effects on MDD.Pathway analysis identified a panel of immunity-related genes that may mediate the links between MDD and COVID-19.Conclusions Our study suggests that MDD may increase the susceptibility to COVID-19.Our findings emphasise the need to increase social support and improve mental health intervention networks for people with mood disorders during the pandemic.展开更多
To the Editor:Major depressive disorder(MDD)is a mood disorder characterized by complex patterns of emotional,cognitive,and behavioral symptomology and deficits in daily functioning.Genital symptoms,including a reduct...To the Editor:Major depressive disorder(MDD)is a mood disorder characterized by complex patterns of emotional,cognitive,and behavioral symptomology and deficits in daily functioning.Genital symptoms,including a reduction in libido and menstrual disturbances,have been considered to be a classic symptom of MDD for many decades.Previous evidence has reached a broad consensus that the incidence of genital symptoms is higher in patients with MDD than in the general population.A systematic review and meta-analysis found a bidirectional association between MDD and genital symptoms,with patients with MDD showing a 50–70%increased risk of developing genital symptoms,while individuals with genital symptoms had a 130–210%increased risk of developing MDD.^([1])As previously reported,50–70%of people with MDD experience sexual dysfunction.^([2])To date,few studies have focused on the comparison of clinical features between patients with MDD with and without genital symptoms,and the longitudinal prognosis.展开更多
基金Nanjing Medical Science and Technology Development Project(ZKX20027).
文摘Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are unclear.Aims We aimed to evaluate the overall and independent causal effects of the three psychosocial factors on common mental disorders.Methods Using genome-wide association study summary datasets,we performed Mendelian randomisation(MR)and multivariable MR(MVMR)analyses to assess potential associations between the 3 factors(EA,N=766345;household income,N=392422;intelligence,N=146808)and 13 common mental disorders,with sample sizes ranging from 9907 to 807553.Inverse-variance weighting was employed as the main method in the MR analysis.Results Our MR analysis showed that(1)higher EA was a protective factor for eight mental disorders but contributed to anorexia nervosa,obsessive-compulsive disorder(OCD),bipolar disorder(BD)and autism spectrum disorder(ASD);(2)higher intelligence was a protective factor for five mental disorders but a risk factor for OCD and ASD;(3)higher household income protected against 10 mental disorders but confers risk for anorexia nervosa.Our MVMR analysis showed that(1)higher EA was a direct protective factor for attention-deficit/hyperactivity disorder(ADHD)and insomnia but a direct risk factor for schizophrenia,BD and ASD;(2)higher intelligence was a direct protective factor for schizophrenia but a direct risk factor for major depressive disorder(MDD)and ASD;(3)higher income was a direct protective factor for seven mental disorders,including schizophrenia,BD,MDD,ASD,post-traumatic stress disorder,ADHD and anxiety disorder.Conclusions Our study reveals that education,intelligence and income intertwine with each other.For each factor,its independent effects on mental disorders present a more complex picture than its overall effects.
文摘Background We aimed to evaluate whether major depressive disorder(MDD)could aggravate the outcomes of coronavirus disease 2019(COVID-19)or whether the genetic liability to COVID-19 could trigger MDD.Aims We aimed to assess bidirectional causal associations between MDD and COVID-19.Methods We performed genetic correlation and Mendelian randomisation(MR)analyses to assess potential associations between MDD and three COVID-19 outcomes.Literature-based network analysis was conducted to construct molecular pathways connecting MDD and COVID-19.Results We found that MDD has positive genetic correlations with COVID-19 outcomes(rg:0.10–0.15).Our MR analysis indicated that genetic liability to MDD is associated with increased risks of COVID-19 infection(odds ratio(OR)=1.05,95%confidence interval(CI):1.00 to 1.10,p=0.039).However,genetic liability to the three COVID-19 outcomes did not confer any causal effects on MDD.Pathway analysis identified a panel of immunity-related genes that may mediate the links between MDD and COVID-19.Conclusions Our study suggests that MDD may increase the susceptibility to COVID-19.Our findings emphasise the need to increase social support and improve mental health intervention networks for people with mood disorders during the pandemic.
基金supported by the National Natural Science Foundation of China(81371522,61372032)the Jiangsu Clinical Medicine Technology Foundation(BL2012052,BL2014009)the Jiangsu Natural Science Foundation(BK2012740,BK20131074)
文摘To the Editor:Major depressive disorder(MDD)is a mood disorder characterized by complex patterns of emotional,cognitive,and behavioral symptomology and deficits in daily functioning.Genital symptoms,including a reduction in libido and menstrual disturbances,have been considered to be a classic symptom of MDD for many decades.Previous evidence has reached a broad consensus that the incidence of genital symptoms is higher in patients with MDD than in the general population.A systematic review and meta-analysis found a bidirectional association between MDD and genital symptoms,with patients with MDD showing a 50–70%increased risk of developing genital symptoms,while individuals with genital symptoms had a 130–210%increased risk of developing MDD.^([1])As previously reported,50–70%of people with MDD experience sexual dysfunction.^([2])To date,few studies have focused on the comparison of clinical features between patients with MDD with and without genital symptoms,and the longitudinal prognosis.