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Association of Attention-Deficit/Hyperactivity Disorder and Depression Polygenic Scores with Lithium Response: A Consortium for Lithium Genetics Study
- Source :
- Complex psychiatry, vol 7, iss 3-4
- Publication Year :
- 2021
- Publisher :
- eScholarship, University of California, 2021.
-
Abstract
- Response to lithium varies widely between individuals with bipolar disorder (BD). Polygenic risk scores (PRSs) can uncover pharmacogenomics effects and may help predict drug response. Patients (N = 2,510) with BD were assessed for long-term lithium response in the Consortium on Lithium Genetics using the Retrospective Criteria of Long-Term Treatment Response in Research Subjects with Bipolar Disorder score. PRSs for attention-deficit/hyperactivity disorder (ADHD), major depressive disorder (MDD), and schizophrenia (SCZ) were computed using lassosum and in a model including all three PRSs and other covariates, and the PRS of ADHD (β = -0.14; 95% confidence interval [CI]: -0.24 to -0.03; p value = 0.010) and MDD (β = -0.16; 95% CI: -0.27 to -0.04; p value = 0.005) predicted worse quantitative lithium response. A higher SCZ PRS was associated with higher rates of medication nonadherence (OR = 1.61; 95% CI: 1.34-1.93; p value = 2e-7). This study indicates that genetic risk for ADHD and depression may influence lithium treatment response. Interestingly, a higher SCZ PRS was associated with poor adherence, which can negatively impact treatment response. Incorporating genetic risk of ADHD, depression, and SCZ in combination with clinical risk may lead to better clinical care for patients with BD.
- Subjects :
- Bipolar Disorder
Bipolar disorder
Depression
Prevention
Serious Mental Illness
Attention Deficit Hyperactivity Disorder (ADHD)
Brain Disorders
Polygenic risk scores
Attention-deficit/hyperactivity disorder
Mental Health
Good Health and Well Being
Lithium response
Adherence
Clinical Research
Behavioral and Social Science
Schizophrenia
2.1 Biological and endogenous factors
Mental health
Aetiology
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Complex psychiatry, vol 7, iss 3-4
- Accession number :
- edsair.od.......325..a87a277b4107a63d6547f04b1824229e