TY - JOUR
T1 - Depressive symptom trajectories and polygenic risk scores in individuals with an immune-mediated inflammatory disease
AU - for the CIHR Team in Defining the Burden and Managing the Effects of Psychiatric Comorbidity in Chronic Immunoinflammatory Disease
AU - Kowalec, Kaarina
AU - Salter, Amber
AU - Fitzgerald, Kathryn C.
AU - Patel, Mitulkumar
AU - Han, Jing
AU - Lu, Yi
AU - Bolton, James M.
AU - Hitchon, Carol
AU - Bernstein, Charles N.
AU - Patten, Scott
AU - Graff, Lesley A.
AU - Marriott, James J.
AU - Marrie, Ruth Ann
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/7/1
Y1 - 2022/7/1
N2 - Objective: To develop group-based trajectories of depressive symptoms in immune-mediated inflammatory disease (IMID) to understand their evolution and identify any associated factors, with the overall goal of identifying those at highest risk of higher depressive symptom burden. Method: 922 participants had an IMID or anxiety/depression. The PHQ-9 was administered at four visits, and polygenic risk scores (PRS) for major depressive disorder, depressive symptoms, and body mass index (BMI) were generated. Group-based trajectory modelling of PHQ-9 scores estimated distinct trajectories. Regression tested whether specific factors were associated with the trajectories. Mediation analyses assessed whether IMID mediated the association between BMI PRS and trajectories. Results: Three trajectories were identified. Regression demonstrated those in Group 3 (‘high symptoms’) had significantly higher PRS for the three traits, compared to Group 1 (‘minimal symptoms’) (OR: 1.34–1.66, P < 0.01). Stratified analyses in the IMID subgroup revealed an increased effect for BMI PRS in Group 3 (OR: 2.31, P < 0.001), in contrast, BMI PRS was no longer associated in the non-IMID sample. No significant indirect effect of BMI PRS on depressive symptoms trajectories was identified via IMID. Conclusions: A significant association between polygenicity and PHQ-9 trajectories supports a role for genetic inheritance in the variability in depressive symptoms in IMID.
AB - Objective: To develop group-based trajectories of depressive symptoms in immune-mediated inflammatory disease (IMID) to understand their evolution and identify any associated factors, with the overall goal of identifying those at highest risk of higher depressive symptom burden. Method: 922 participants had an IMID or anxiety/depression. The PHQ-9 was administered at four visits, and polygenic risk scores (PRS) for major depressive disorder, depressive symptoms, and body mass index (BMI) were generated. Group-based trajectory modelling of PHQ-9 scores estimated distinct trajectories. Regression tested whether specific factors were associated with the trajectories. Mediation analyses assessed whether IMID mediated the association between BMI PRS and trajectories. Results: Three trajectories were identified. Regression demonstrated those in Group 3 (‘high symptoms’) had significantly higher PRS for the three traits, compared to Group 1 (‘minimal symptoms’) (OR: 1.34–1.66, P < 0.01). Stratified analyses in the IMID subgroup revealed an increased effect for BMI PRS in Group 3 (OR: 2.31, P < 0.001), in contrast, BMI PRS was no longer associated in the non-IMID sample. No significant indirect effect of BMI PRS on depressive symptoms trajectories was identified via IMID. Conclusions: A significant association between polygenicity and PHQ-9 trajectories supports a role for genetic inheritance in the variability in depressive symptoms in IMID.
KW - Depressive symptoms
KW - Group-based trajectory modelling
KW - Immune-mediated inflammatory disease
KW - PHQ-9
KW - Polygenic risk score
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U2 - 10.1016/j.genhosppsych.2022.04.005
DO - 10.1016/j.genhosppsych.2022.04.005
M3 - Article
C2 - 35461162
AN - SCOPUS:85128759869
SN - 0163-8343
VL - 77
SP - 21
EP - 28
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
ER -