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

Acta Psychiatr Scand. 2020 May;141(5):465-475. doi: 10.1111/acps.13158. Epub 2020 Feb 21.

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.

Keywords: childhood trauma; daily-life stressors; emotion regulation; experience sampling method; gene-environment interaction; psychosis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Twin Study

MeSH terms

  • Adolescent
  • Adverse Childhood Experiences / psychology*
  • Affect
  • Child
  • Ecological Momentary Assessment
  • Emotional Regulation*
  • Female
  • Gene-Environment Interaction
  • Humans
  • Male
  • Multifactorial Inheritance / genetics*
  • Psychotic Disorders / genetics*
  • Risk Factors
  • Schizophrenia / genetics*
  • Stress, Psychological / genetics
  • Twins
  • Young Adult