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Editorial Perspective: The developmental exposome: timing, hierarchy, and the architecture of psychiatric risk 编辑的观点:发展暴露:时间,层次,和精神风险的架构
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-13 DOI: 10.1111/jcpp.70253
Andrea Raballo, Michele Poletti, Antonio Preti
The psychiatric exposome offers a powerful framework for understanding how environmental conditions shape mental health across the life course, yet existing applications often reduce exposures to static, cumulative risk inventories. The exposome construct may be advanced emphasizing two interdependent dimensions: the timing of exposures within neurodevelopment and their hierarchical weight in terms of severity, chronicity, recurrence, and ecological impact. Environmental influences are neither equivalent nor context‐independent, but operate through dynamic, nonlinear interactions across biological, relational, social, and cultural systems. Sensitive developmental periods, including prenatal life, infancy, childhood, and adolescence, may amplify or transform the impact of specific exposures, while protective contexts such as responsive caregiving, enriched learning environments, and prosocial peer relations can buffer risk and promote resilience. A developmentally sensitive exposome also supports transdiagnostic and preclinical approaches by identifying latent environmental dimensions that cut across categorical diagnoses. Methodological advances, including digital phenotyping, relational biomarkers, network analysis, and artificial intelligence, may enable real‐time modelling of exposure trajectories. Finally, developmental exposomic clocks could be considered as clinically actionable tools to estimate environmentally driven deviations in maturation, supporting early detection, precision prevention, and individualized intervention in psychiatry across diverse clinical and community mental health settings globally.
精神病学暴露为理解环境条件如何在整个生命过程中塑造心理健康提供了一个强大的框架,然而现有的应用往往减少了对静态累积风险清单的暴露。暴露结构可以进一步强调两个相互依赖的维度:神经发育中的暴露时间和它们在严重程度、慢性、复发和生态影响方面的等级权重。环境影响既不等同,也不独立于环境,而是通过生物、关系、社会和文化系统之间的动态、非线性相互作用发挥作用。敏感的发育时期,包括产前、婴儿期、儿童期和青春期,可能会放大或改变特定暴露的影响,而保护性环境,如响应性护理、丰富的学习环境和亲社会同伴关系,可以缓冲风险并促进复原力。一个发育敏感的暴露也支持跨诊断和临床前的方法,通过识别潜在的环境因素,切断分类诊断。方法上的进步,包括数字表型、相关生物标志物、网络分析和人工智能,可能使暴露轨迹的实时建模成为可能。最后,发育暴露钟可以被认为是临床可操作的工具,用于估计环境驱动的成熟偏差,支持全球不同临床和社区精神卫生机构的精神病学早期检测,精确预防和个性化干预。
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引用次数: 0
Parental and early child skills outweigh home numeracy environment in predicting maths development 在预测数学发展方面,父母和幼儿技能比家庭计算环境更重要
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-13 DOI: 10.1111/jcpp.70247
Tonje Amland, Germán Grande, Elsje van Bergen, Monica Melby‐Lervåg, Arne Lervåg
Background Studies on the home numeracy environment (HNE) show mixed evidence of its link with children's mathematical skills. A rarely considered aspect is parents' dual role as providers of the home environment and transmitters of genetic predispositions relevant for learning. Parents' maths abilities may serve as a proxy for the genetic transmission that confounds the home–child association, as proposed in the Familial Control Method. We examined whether numeracy activities at home predict children's maths development, while accounting for parents' maths ability and children's initial skill level. Methods We analysed data from 244 Norwegian school children, 201 mothers and 146 fathers. Children's maths fluency was assessed in Grades 1, 3, 4, 5 and 6. Parents completed an HNE questionnaire and a maths assessment when children were in Grade 2. Relations among HNE, parental maths and children's maths development were tested using structural equation modelling. Results Both formal and informal HNE predicted Grade 3 maths. After controlling for parental maths, only mothers' informal HNE remained associated with Grade 3 performance. When Grade 1 maths was included, only fathers' formal activities were related to Grade 3 skills, while both parents' maths still predicted Grade 3 performance. Only Grade 1 maths predicted Grade 3 as well as subsequent growth. Conclusions The finding that parental maths predicted children's maths beyond family activities underscores the importance of addressing familial confounding in research on the home environment. To better understand the role of the HNE in maths development, research should consider parents' skills, children's early skills and HNE as a dynamic process.
对家庭计算环境(HNE)的研究表明,它与儿童的数学技能的联系的混合证据。一个很少被考虑的方面是父母作为家庭环境的提供者和与学习相关的遗传倾向的传递者的双重角色。正如《家庭控制方法》(family Control Method)中提出的那样,父母的数学能力可能是基因传递的一个代表,这种遗传传递混淆了家庭与孩子之间的联系。在考虑到父母的数学能力和孩子的初始技能水平的情况下,我们研究了在家的数学活动是否能预测孩子的数学发展。方法对244名挪威学龄儿童、201名母亲和146名父亲的数据进行分析。孩子们的数学流利程度在一年级、三年级、四年级、五年级和六年级进行了评估。当孩子们上二年级时,家长们完成了一份HNE问卷和一份数学评估。采用结构方程模型检验HNE、家长数学与儿童数学发展之间的关系。结果正式和非正式的HNE预测三年级数学。在控制了父母的数学之后,只有母亲的非正式HNE与三年级的表现有关。当包括一年级数学时,只有父亲的正式活动与三年级技能有关,而父母双方的数学仍然预测三年级的表现。只有一年级的数学预测了三年级以及随后的增长。结论父母数学预测孩子在家庭活动之外的数学能力的发现,强调了在家庭环境研究中解决家庭混杂因素的重要性。为了更好地理解HNE在数学发展中的作用,研究应该把父母的技能、孩子的早期技能和HNE作为一个动态的过程来考虑。
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引用次数: 0
ADHD symptoms and learning difficulties: co‐occurrence and directionality from Grades 1 to 9 ADHD症状和学习困难:从1年级到9年级的共同发生和方向性
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-12 DOI: 10.1111/jcpp.70244
Maria Psyridou, Minna Torppa, Kati Vasalampi, Anna‐Maija Poikkeus, Marja‐Kristiina Lerkkanen, Elsje van Bergen
Background Children with attention‐deficit/hyperactivity disorder (ADHD) are at increased risk of learning difficulties. This association may reflect shared risk factors, ADHD symptoms hindering learning, or learning difficulties increasing ADHD symptoms. We aimed to map rates of co‐occurrence among ADHD, dyslexia, dyscalculia, and reading comprehension difficulties and to investigate directional influences between ADHD symptoms and reading fluency, arithmetic, and reading comprehension. Methods Reading fluency, arithmetic, and reading comprehension were assessed longitudinally in approximately 2,000 Finnish children across Grades 1–9 (ages 7–16). Attention/hyperactivity symptoms were measured with teacher ratings (Grades 1–4) and self‐reports (Grades 6–9). ADHD, dyslexia, dyscalculia, and reading comprehension difficulties were based on a 10th percentile cut‐off. Directionality between ADHD symptoms and academic skills was examined using random intercept cross‐lagged panel models (RI‐CLPMs) to separate stable traits from time‐specific states. Results Children with a learning difficulty were 1.14–1.76 times more likely to have ADHD, whereas children with one learning difficulty were 4.32–4.62 times more likely to have another. The RI‐CLPMs showed consistent autoregressive effects across all domains, indicating stable within‐person variation over time. At the between‐person level (i.e. trait), academic skills were negatively related to ADHD symptoms, especially those reported by teachers. At the within‐person level (i.e. state), ADHD symptoms were unrelated to reading fluency and arithmetic. However, at multiple time points, cross‐lagged effects emerged from ADHD symptoms to subsequent reading comprehension, indicating that elevated ADHD symptoms predicted subsequent declines in reading comprehension. Conclusions Learning difficulties co‐occurred more frequently with each other (homotypic) than with ADHD (heterotypic co‐occurrence). Both ADHD symptoms and learning difficulties showed trait‐like stability. After accounting for these, ADHD symptoms were no longer linked to reading fluency or arithmetic. However, more ADHD symptoms predicted later declines in reading comprehension, likely because comprehension requires sustained attention – often impaired in children with hyperactivity and inattention.
患有注意力缺陷/多动障碍(ADHD)的儿童出现学习困难的风险增加。这种关联可能反映了共同的风险因素,ADHD症状阻碍学习,或学习困难增加ADHD症状。我们的目的是绘制ADHD、阅读障碍、计算障碍和阅读理解困难的发生率,并研究ADHD症状与阅读流畅性、算术和阅读理解之间的定向影响。方法对大约2000名芬兰1-9年级(7-16岁)儿童的阅读流畅性、算术和阅读理解能力进行纵向评估。注意/多动症状通过教师评分(1-4级)和自我报告(6-9级)进行测量。ADHD、阅读障碍、计算障碍和阅读理解困难基于第10个百分位截断值。使用随机截距交叉滞后面板模型(RI - clpm)检验ADHD症状与学业技能之间的指向性,以分离稳定特征与时间特异性状态。结果有学习困难的儿童患多动症的可能性是有学习困难儿童的1.14-1.76倍,而有一种学习困难的儿童患另一种学习困难的可能性是有学习困难儿童的4.32-4.62倍。RI - clpm在所有领域表现出一致的自回归效应,表明随着时间的推移,人体内的变化是稳定的。在人与人之间的水平(即特征),学术技能与ADHD症状呈负相关,尤其是教师报告的症状。在个体水平(即状态)上,ADHD症状与阅读流畅性和算术无关。然而,在多个时间点上,ADHD症状对随后的阅读理解出现了交叉滞后效应,表明ADHD症状的升高预示着随后的阅读理解下降。结论:学习困难相互之间(同型)的共发比与ADHD(异型)的共发更频繁。ADHD症状和学习困难均表现出特征样稳定性。考虑到这些因素后,ADHD症状不再与阅读流畅性或算术有关。然而,更多的ADHD症状预示着阅读理解能力的下降,这可能是因为理解需要持续的注意力——这在多动症和注意力不集中的儿童中经常受损。
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引用次数: 0
The emotion regulation and recognition account of empathy‐related processes in autism: a multimodal, multilevel case–control study 自闭症共情相关过程的情绪调节和认知:一项多模式、多层次的病例对照研究
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-10 DOI: 10.1111/jcpp.70249
Jeffrey J. Wood, Stian Orm, Karen S. Wood, Jolie Straus, Samara Wolpe, Ashley Morrissey, Maria Cornejo Guevara, Sheila E. Crowell
Background Recent evidence suggests that many autistic individuals exhibit heightened emotional responsiveness to others' affect despite greater difficulty recognizing others' emotions and accurately inferring their perspectives. This study introduces and preliminarily evaluates the Emotion Regulation and Recognition Account (ERRA), a model proposing that susceptibility to emotion dysregulation and challenges with emotion cue interpretation jointly shape empathy‐related processing in autism. Methods Children aged 6–13 years ( N autistic = 103; N non‐autistic = 40) participated; groups were matched demographically. Children watched five videos of youth exhibiting strong affect (e.g. sad and angry) and answered questions about their reactions to and understanding of the videos. These responses were coded for empathy‐related processes such as emotional contagion and perspective taking. Electrodermal reactivity to and eye gaze towards the videos were also measured. Multilevel models were employed to test hypothesized pathways in the ERRA. Results Autistic children experienced greater affective intensity but exhibited less accurate emotion recognition than non‐autistic children when observing youth exhibiting strong affect. Greater physiological and affective intensity were associated with greater attention shifting, and more frequent attention shifting among autistic children was associated with less accurate emotion recognition. Less accurate emotion recognition was, in turn, associated with less emotional synchrony and perspective taking, which were linked with less prosocial motivation. Conclusions The findings provide initial support for the ERRA by suggesting that, rather than experiencing indifference, many autistic individuals have strong affective reactions when observing others in distress. These reactions may lead to attention shifting, which can reduce awareness of others' emotional cues, potentially interrupting the unfolding of empathic understanding and responding. Empathy‐supporting interventions can build upon the affective responsiveness to others experienced by many autistic individuals.
最近的证据表明,许多自闭症患者对他人的影响表现出更高的情绪反应,尽管他们更难以识别他人的情绪并准确地推断他们的观点。本研究引入并初步评估了情绪调节和识别账户(ERRA)模型,该模型提出了情绪失调的易感性和情绪线索解释的挑战共同塑造了自闭症的共情相关加工。方法6 ~ 13岁儿童(自闭症患儿103例,非自闭症患儿40例)参与研究;各组按人口统计学进行匹配。孩子们观看了五段青少年表现出强烈情感(例如悲伤和愤怒)的视频,并回答了他们对这些视频的反应和理解。这些反应被编码为共情相关的过程,如情绪感染和观点采纳。同时还测量了对视频的皮肤电反应和眼睛注视。采用多层模型来检验ERRA的假设通路。结果自闭症儿童在观察表现出强烈情感的青少年时,情感强度高于非自闭症儿童,但情感识别的准确性低于非自闭症儿童。更大的生理和情感强度与更大的注意力转移有关,而自闭症儿童更频繁的注意力转移与更不准确的情绪识别有关。而情绪识别的准确性较低则与情绪同步性和观点接受度较低有关,而情绪同步性和观点接受度又与亲社会动机较低有关。结论:研究结果初步支持了ERRA,表明许多自闭症个体在观察他人处于困境时,并没有表现出冷漠,而是表现出强烈的情感反应。这些反应可能会导致注意力转移,从而降低对他人情绪暗示的意识,可能会中断移情理解和反应的展开。移情支持干预可以建立在许多自闭症患者对他人的情感反应的基础上。
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引用次数: 0
Efficacy and acceptability of digital safety planning therapy for self‐injurious thoughts and behaviors in adolescents with depressive episodes: a randomized controlled trial 数字安全计划治疗青少年抑郁症自残思想和行为的有效性和可接受性:一项随机对照试验
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-10 DOI: 10.1111/jcpp.70246
Yi‐Hui Liu, Jia‐Rong Liang, Cheng‐Jia Yang, Xin‐Cheng‐Cheng Huang, Qin‐Jing Li, Dong‐Ni Wen, Fu‐Jun Jia, Cai‐Lan Hou
Background Self‐injurious thoughts and behaviors (SITB) represent a significant mental health issue among Chinese adolescents. Research on smartphone‐based safety planning as digital therapeutics for SITB in China remains limited. This randomized controlled trial evaluated the efficacy and acceptability of a safety planning mobile application (LIFES) for reducing SITB in adolescents with depressive episodes. Methods Among 189 adolescents with depressive episodes screened, 122 were randomized to either the intervention group (LIFES app plus treatment as usual [TAU], n = 61) or the control group (TAU only, n = 61). Follow‐up assessments at 1, 3, and 6 months measured SITB, depression, anxiety, and sleep quality. This trial is registered with the Chinese Clinical Trial Registry (ChiCTR2300075663; https://www.chictr.org.cn/ ). Results Generalized linear mixed models showed significant time‐by‐group interaction effects for non‐suicidal self‐injury frequency ( F = 3.39, p = .018), suicide planning seriousness ( F = 2.93, p = .034), confidence in suicide completion during preparation ( F = 3.10, p = .027), suicide threat/gesture frequency ( F = 3.64, p = .013), and total suicidal behavior frequency ( F = 3.31, p = .020) after adjusting for depression and anxiety symptom severity, sleep quality, and years of education. The intervention group showed significantly greater reductions in SITB characteristics compared to the control group. User experience surveys indicated good satisfaction with the application. Conclusions This study demonstrates that safety planning‐based digital therapeutics are an effective adjunctive intervention for SITB in adolescents with depressive episodes. Future research should examine the applicability of this intervention to broader populations.
背景自伤思想和行为(SITB)是中国青少年的一个重要心理健康问题。在中国,基于智能手机的安全规划作为SITB的数字治疗方法的研究仍然有限。这项随机对照试验评估了安全计划移动应用程序(LIFES)在减少青少年抑郁发作时SITB的有效性和可接受性。方法在筛选的189例青少年抑郁发作中,122例随机分为干预组(LIFES app加常规治疗[TAU], n = 61)和对照组(仅TAU, n = 61)。1、3和6个月的随访评估测量了SITB、抑郁、焦虑和睡眠质量。本试验已在中国临床试验注册中心注册(ChiCTR2300075663; https://www.chictr.org.cn/)。广义线性混合模型结果显示大量的时间量量组交互作用为非自杀应承担的自我检测损伤频率(F = 3.39, p = .018)、自杀计划严肃性(F = 2.93, p = .034),信心在自杀完成准备(F = 3.10, p = .027),自杀威胁/动作频率(F = 3.64, p = .013)和总自杀行为频率(F = 3.31, p = .020)调整后的抑郁和焦虑症状严重程度,睡眠质量,多年的教育。与对照组相比,干预组在SITB特征方面表现出明显更大的降低。用户体验调查显示了对该应用程序的良好满意度。结论:本研究表明,基于安全计划的数字疗法是治疗青少年抑郁期SITB的有效辅助干预手段。未来的研究应该检查这种干预对更广泛人群的适用性。
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引用次数: 0
Commentary: Intervention research in a conflict setting – a commentary on Trani et al. (2026) 评论:冲突情境下的干预研究——评特拉尼等人(2026)
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-09 DOI: 10.1111/jcpp.70251
Katharina Galuschka
This commentary focuses on the cluster‐randomized controlled trial conducted by Trani et al. ( Journal of Child Psychology and Psychiatry , 2026, 67, 1127). Their study evaluated a psychosocial intervention in Afghanistan amidst the 2021 Taliban transition. The study's primary contribution lies in demonstrating how stable educational environments can serve as a critical protective buffer, shielding children from the most debilitating effects of systemic violence. I argue that the intervention provided a framework in which the classroom functioned as a site where cognitive development was facilitated through structured social exchange. Methodologically, the work serves as a model for a pragmatic randomized controlled trial that maintains high scientific standards while navigating extreme uncertainty. I examine how Trani et al. ( Journal of Child Psychology and Psychiatry , 2026, 67, 1127) establish real‐world feasibility as a scientific prerequisite for intervention research, achieved not through a compromise on rigorous scientific standards but through the deliberate application of core methodological standards that ensure the study remains scientifically sound.
这篇评论集中在Trani等人进行的集群随机对照试验上(《儿童心理学与精神病学杂志》,2026,67,1127)。他们的研究评估了2021年塔利班过渡期间阿富汗的社会心理干预。这项研究的主要贡献在于,它证明了稳定的教育环境可以作为一个关键的保护性缓冲,保护儿童免受系统性暴力的最严重影响。我认为,干预提供了一个框架,在这个框架中,课堂作为一个场所,通过结构化的社会交流促进认知发展。在方法上,这项工作可以作为一个实用的随机对照试验的模型,在导航极端不确定性的同时保持高科学标准。我考察了特拉尼等人(《儿童心理学与精神病学杂志》,2026,67,1127)如何将现实世界的可行性作为干预研究的科学前提,而不是通过对严格的科学标准的妥协,而是通过故意应用核心方法标准来确保研究保持科学合理。
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引用次数: 0
Editorial Perspective: Evolutionary psychiatry as a scientific framework for neurodiversity: implications for ADHD and ASD in children and young people 编辑视角:进化精神病学作为神经多样性的科学框架:对儿童和青少年ADHD和ASD的影响
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-09 DOI: 10.1111/jcpp.70254
Annie Swanepoel
The neurodiversity movement has gained considerable momentum in recent years, asserting that conditions such as attention‐deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) represent natural variations in human neurodevelopment rather than pathological disorders (Baron‐Cohen, 2017). This perspective has found increasing resonance among people with lived experience, advocacy groups and a growing number of clinicians. Yet, it has also attracted criticism for lacking a rigorous scientific foundation, leaving it vulnerable to the charge that it is more ideological than evidence based (Sonuga‐Barke & Thapar, 2021). We argue that evolutionary psychiatry provides precisely the scientific framework that the neurodiversity movement needs. By asking why ADHD and ASD have persisted across human history, and answering through the mechanisms of natural selection, evolutionary theory transforms neurodiversity from an advocacy position into a scientifically grounded account of human variation.
近年来,神经多样性运动获得了相当大的发展势头,声称诸如注意力缺陷/多动障碍(ADHD)和自闭症谱系障碍(ASD)等疾病代表了人类神经发育的自然变化,而不是病理疾病(Baron‐Cohen, 2017)。这一观点在有生活经验的人、倡导团体和越来越多的临床医生中得到了越来越多的共鸣。然而,它也因缺乏严格的科学基础而受到批评,使其容易受到更多意识形态而不是基于证据的指控(Sonuga‐Barke & Thapar, 2021)。我们认为,进化精神病学恰恰提供了神经多样性运动所需要的科学框架。通过询问为什么ADHD和ASD在人类历史上一直存在,并通过自然选择的机制来回答,进化理论将神经多样性从倡导的立场转变为对人类变异的科学解释。
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引用次数: 0
Disentangling direct and indirect genetic pathways to neurodevelopmental risk: brain structure and behavior in a population-based parent–offspring trio study 解开神经发育风险的直接和间接遗传途径:基于人群的父母-后代三重奏研究中的大脑结构和行为。
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-08 Epub Date: 2026-06-10 DOI: 10.1111/jcpp.70184
Fin J. E. van Uum, Yllza Xerxa, Alexander Neumann, Jean-Baptiste Pingault, Charlotte A. M. Cecil, Mina Shahisavandi, Koen Bolhuis, Boglarka Kovacs, Henning Tiemeier, Ryan L. Muetzel, Neeltje E. M. van Haren

Background

Neurodevelopmental disorders (NDDs) are highly heritable, yet the pathways linking parental genetic liability to child outcomes remain poorly understood. Traditional designs cannot easily separate genes transmitted to the child from environmental influences shaped by parental genotypes.

Methods

In 3,270 families from the Generation R Study, we applied a mother–father–offspring trio design to disentangle direct genetic effects from indirect parental influences (‘genetic nurture’). Polygenic scores (PGSs) included a transdiagnostic neurodevelopmental score (NDV) and disorder-specific scores for ADHD, ASD, and major depressive disorder (MDD). Offspring brain structure (cortical surface area, subcortical gray matter, cerebellar volume) at age 9 and behavioral problems at age 14 were assessed. Structural equation modeling was used to test direct, indirect, and brain-mediated genetic pathways.

Results

Transdiagnostic NDD genetic liability predicted multiple behavioral domains, primarily via direct genetic effects, with similar influence on internalizing and externalizing problems. ADHD PGS effects closely paralleled those of the NDV PGS, whereas ASD and MDD PGSs showed more domain-specific associations. Notably, maternal, but not paternal, MDD genetic liability was indirectly related to behavioral problems across domains, independent of the child's own genetic risk. This maternal pathway was partly reporter-specific but robust for attention problems across both parent and child reports. Global brain measures did not mediate any of the identified genetic pathways.

Conclusions

Intergenerational NDD risk is predominantly driven by direct genetic transmission. However, maternal depression liability exerts additional influence through environmentally mediated pathways. The absence of brain-mediated effects suggests that the gross neural phenotypes examined here do not capture the mechanisms underlying these pathways. Our findings highlight the importance of maternal influences on child NDD outcomes and underscore the need for longitudinal, multimodal research designs that integrate genetic, caregiving, and fine-grained neural phenotyping data to inform targeted prevention and early intervention strategies for at-risk families.

背景:神经发育障碍(ndd)具有高度遗传性,然而父母遗传倾向与儿童结局之间的联系途径仍然知之甚少。传统的设计不能轻易地将遗传给孩子的基因与由父母基因型形成的环境影响分离开来。方法:在来自R世代研究的3270个家庭中,我们采用了母亲-父亲-子女三人组设计来区分直接遗传效应和间接父母影响(“遗传养育”)。多基因评分(pgs)包括跨诊断神经发育评分(NDV)和ADHD、ASD和重度抑郁症(MDD)的疾病特异性评分。对后代9岁时的大脑结构(皮质表面积、皮质下灰质、小脑体积)和14岁时的行为问题进行评估。结构方程模型用于测试直接、间接和脑介导的遗传途径。结果:跨诊断性NDD遗传倾向主要通过直接遗传效应预测多个行为领域,对内化和外化问题具有相似的影响。ADHD PGS效应与NDV PGS密切相关,而ASD和MDD PGS表现出更多的域特异性关联。值得注意的是,母亲(而不是父亲)的重度抑郁症遗传倾向与跨领域的行为问题间接相关,与儿童自身的遗传风险无关。这种母亲途径部分是报告者特有的,但在父母和孩子的报告中都有很强的注意力问题。全球大脑测量没有调节任何已确定的遗传途径。结论:NDD代际风险主要由直接遗传遗传驱动。然而,母亲抑郁倾向通过环境介导的途径施加额外的影响。脑介导效应的缺失表明,这里检查的总的神经表型并没有捕捉到这些途径背后的机制。我们的研究结果强调了母亲对儿童NDD结果影响的重要性,并强调了纵向、多模式研究设计的必要性,这些研究设计整合了遗传、护理和细粒度神经表型数据,为高危家庭提供有针对性的预防和早期干预策略。
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引用次数: 0
Does later chronotype cause poorer adolescent mental health? An adolescent brain cognitive development study 时间类型变晚会导致青少年心理健康状况变差吗?青少年大脑认知发展研究
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-08 DOI: 10.1111/jcpp.70248
Rachel Visontay, Hollie R. Byrne, Emma K. Devine, Mirim Shin, Emiliana Tonini, Gabrielle Hindmarsh, Joanne S. Carpenter, Ty Brumback, Lindsay M. Squeglia, Louise Mewton, Ian B. Hickie, Jacob J. Crouse
Background This study investigated whether chronotype (biobehavioral preference for sleep and wake timing) across early adolescence impacts mental health symptoms at age 13–14. This is a relationship with growing correlational evidence but limited causal exploration. Methods Participants were 7,489 adolescents (aged 9–10 at baseline; 13–14 at the fifth assessment wave) from the Adolescent Brain Cognitive Development Study (ABCD). Marginal structural models with machine learning‐based weight estimation were used to assess the causal impact of chronotype at ages 11–12 and 12–13, as measured by the youth‐reported Munich Chronotype Questionnaire, on several dimensions of mental health symptoms at age 13–14 (parent‐reported Child Behavioral Checklist internalizing and externalizing values, n = 2,668; child‐reported Prodromal Psychosis Scale, n = 2,698). Results There was no effect of chronotype at age 11–12 on any outcome. However, later chronotype at age 12–13 was associated with slightly more severe externalizing symptoms ( b = .29, p = .04) and more psychotic‐like experiences at age 13–14 ( b = .05, p = .02), but not with more severe internalizing symptoms. Post hoc analyses indicated the lack of relationship with internalizing held for both anxiety and depression symptoms and in both sexes. Conclusions There are likely causal effects of adolescent chronotype on mental health symptoms, but these are dependent on the dimension of mental health and period of adolescence. The typically reported association between later chronotype and more severe internalizing symptoms may not manifest until later adolescence (such as with the common postpubertal shift in chronotype).
背景本研究调查了青春期早期的时间类型(睡眠和觉醒时间的生物行为偏好)是否会影响13-14岁青少年的心理健康症状。这种关系有越来越多的相关证据,但因果关系的探索有限。方法研究对象为来自青少年大脑认知发展研究(ABCD)的7,489名青少年(基线时为9-10岁;第五次评估时为13-14岁)。使用基于机器学习的权重估计的边际结构模型来评估11-12岁和12-13岁时型对13-14岁心理健康症状的几个维度的因果影响,如青少年报告的慕尼黑时型问卷(父母报告的儿童行为检查表内化和外化值,n = 2668;儿童报告的前驱精神病量表,n = 2698)。结果11-12岁时的睡眠类型对任何结果都没有影响。然而,12-13岁时较晚的睡眠类型与更严重的外化症状(b = 0.29, p = 0.04)和13-14岁时更类似精神病的经历(b = 0.05, p = 0.02)相关,但与更严重的内化症状无关。事后分析表明,在焦虑和抑郁症状中,以及在两性中,缺乏与内化的关系。结论青少年时型与心理健康症状之间可能存在因果关系,但这取决于心理健康维度和青少年时期。通常报道的较晚的睡眠类型与更严重的内化症状之间的关联可能直到青春期后期才显现出来(例如常见的青春期后睡眠类型的转变)。
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引用次数: 0
Childhood internalising symptoms at ages 3 and 6: a meta-analysis of epigenome-wide associations from cord and peripheral blood 3岁和6岁的儿童内化症状:来自脐带血和外周血的全表观基因组关联的荟萃分析
IF 6.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-10-08 Epub Date: 2026-06-16 DOI: 10.1111/jcpp.70186
Laura Schellhas, Mannan Luo, Janine F. Felix, Christian M. Page, Mona Bekkhus, Marcus R. Munafò, Luisa Zuccolo, Alexandra Havdahl, Charlotte A.M. Cecil, Gemma C. Sharp

Background

Pre- and postpartum environments and genetic effects influence childhood internalising problems, which increase depression risk. DNA methylation (DNAm) may capture some of these effects. We therefore investigated associations between child blood DNAm and internalising problems.

Methods

We meta-analysed probe and region-level epigenome-wide association studies using data from 3 European birth cohorts (ALSPAC, MoBa, Generation R; analytic N = 1,121–3,011) from the Pregnancy And Childhood Epigenetics (PACE) Consortium. DNAm was assessed at birth (cord blood) and age 6 years (peripheral blood). Internalising problems (ages 3 and 6) were reported by mothers using the Child Behaviour Checklist or Strengths and Difficulties Questionnaire. Models were adjusted for age at DNAm assessment, 20 surrogate variables, estimated cell proportions, maternal education, age, smoking and, in secondary analysis, maternal anxiety and depression. Public databases were searched for mental health associations with top CpG sites and regions.

Results

No significant probe-level associations were found between cord- or peripheral-blood DNAm and internalising problems. In region-level analyses, two differentially methylated regions (DMRs) in cord blood were associated with internalising problems at age 3 (annotated to STK32C, MIR886) and one at age 6 (PFKFB2). At age 6, peripheral-blood analyses identified two DMRs (C10orf26 (WBP1L), FAM125A). Several genes showed prior associations with psychiatric phenotypes, including depression.

Conclusions

The higher-powered regional-level analyses revealed more associations than probe-level. Among others, we identified a region annotated to STK32C that has previously been linked to adolescent depression. Larger samples and refined phenotyping are needed to clarify the role of DNAm in internalising problems.

背景:产前和产后环境和遗传效应影响儿童内化问题,从而增加抑郁风险。DNA甲基化(DNAm)可能捕捉到其中的一些影响。因此,我们调查了儿童血液dna与内化问题之间的关系。方法:我们使用来自妊娠与儿童表观遗传学(PACE)联盟的3个欧洲出生队列(ALSPAC, MoBa, Generation R;分析N = 1,121-3,011)的数据,对探针和区域水平的表观基因组关联研究进行meta分析。在出生时(脐带血)和6岁时(外周血)评估dna。内化问题(3岁和6岁)由母亲使用儿童行为检查表或优势和困难问卷报告。模型根据DNAm评估时的年龄、20个替代变量、估计的细胞比例、母亲受教育程度、年龄、吸烟以及在二次分析中母亲的焦虑和抑郁进行了调整。在公共数据库中搜索与顶级CpG站点和地区的心理健康关联。结果:脐带血或外周血dna与内化问题之间没有明显的探针水平关联。在区域水平分析中,脐带血中的两个差异甲基化区域(DMRs)与3岁时的内化问题(注释为STK32C, MIR886)和一个6岁时的内化问题(PFKFB2)相关。6岁时,外周血分析发现两种DMRs (C10orf26 (WBP1L), FAM125A)。一些基因显示出与精神疾病表型(包括抑郁症)的先验关联。结论:与探针水平相比,高强度的区域水平分析揭示了更多的关联。其中,我们确定了一个注释为STK32C的区域,该区域先前与青少年抑郁症有关。需要更大的样本和更精确的表型来阐明DNAm在内化问题中的作用。
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引用次数: 0
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Journal of Child Psychology and Psychiatry
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