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Psychiatric comorbidities in epilepsy:population co-occurrence,genetic correlations and causal effects

General Psychiatry 2024年第1期37卷 103-111页

作者： Viktor H Ahlqvist christina Dardani Paul Madley-Dowd Harriet Forbes Jessica Rast Caichen Zhong Renee M Gardner christina dalman Kristen Lyal cRAIG Newschaffer Torbjorn Tomson Michael Lundberg Daniel Berglind Neil M Davies Brian K Lee Cecilia Magnusson Dheeraj Rai Department of Global Public Health Karolinska InstitutetStockholmSweden Medical Research Council Integrative Epidemiology Unit Bristol Medical SchoolUniversity of BristolBristolUK Centre for Academic Mental Health Population Health SciencesBristol Medical SchoolUniversity of BristolBristolUK Faculty of Epidemiology and Population Health London School of Hygiene and Tropical MedicineLondonUK A.J.Drexel Autism Institute Drexel UniversityPhiladelphiaPAUSA Department of Epidemiology and Biostatistics School of Public HealthDrexel UniversityPhiladelphiaPAUSA College of Health and Human Development Pennsylvania State UniversityState CollegePAUSA Department of Clinical Neuroscience Karolinska InstitutetStockholmSweden Centre for Epidemiology and Community Medicine Region StockholmStockholmSweden K.G Jebsen Center for Genetic Epidemiology Department of Public Health and NursingNorwegian University of Science and TechnologyTrondheimNorway Division of Psychiatry University Collge LondonLondonUK Department of Statistical Sciences University Cllge LondonLondonK NIHR Biomedical Research Centre University of BristoBristolUK Avon and Wiltshire Partnership NHS Mental Health TrustBristolUK

Background Psychiatric comorbidities are common in patients with *** for the co-occurrence of psychiatric conditions and epilepsy remain poorly *** We aimed to triangulate the relationship between epilepsy and psychiatric conditions to determine the extent and possible origins of these *** Using nationwide Swedish health registries,we quantified the lifetime prevalence of psychiatric disorders in patients with *** then used summarydata from genome-wide association studies to investigate whether the identified observational associations could be attributed to a shared underlying genetic aetiology using cross-trait linkage disequilibrium score ***,we assessed the potential bidirectional relationships using two-sample Mendelian *** In a cohort of 7628495 individuals,we found that almost half of the 94435 individuals diagnosed with epilepsy were also diagnosed with a psychiatric condition in their lifetime(adjusted lifetime prevalence,44.09%;95%confidence interval(Cl)43.78%to 44.39%).We found evidence for a genetic correlation between epilepsy and some neurodevelopmental and psychiatric *** example,we observed a genetic correlation between epilepsy and attention-deficit/hyperactivity disorder(r,=0.18,95%Cl 0.09 to 0.27,p<0.001)—a correlation that was more pronounced in focal epilepsy(r=0.23,95%CI 0.09 to 0.36,p<0.001).Findings from Mendelian randomisation using common genetic variants did not support bidirectional effects between epilepsy and neurodevelopmental or psychiatric *** Psychiatric comorbidities are common in patients with *** correlations may partially explain some comorbidities;however,there is little evidence of a bidirectional relationship between the genetic liability of epilepsy and psychiatric *** findings highlight the need to understand the role of environmental factors or rare genetic variations in the origins of psy

关键词： epilepsy Psychiat lifetime

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母亲和父亲患精神疾病与儿童和青少年受伤风险之间的关系:基于瑞典全国登记的队列研究

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英国医学杂志中文版 2022年第7期25卷 377-377页

作者： Alicia Nevriana Matthias Pierce christina dalman Susanne Wicks Marie Hasselberg Holly Hope Kathryn M Abel Kyriaki Kosidou 彭靖(译) 戴继灿(校) Department of Global Public Health Karolinska Institutet17177 StockholmSweden Centre for Women's Mental Health Division of Psychology and Mental HealthFaculty of BiologyMedicine and Health SciencesUniversity of ManchesterManchesterUK Center for Epidemiology and Community Medicine Stockholm RegionStockholmSweden Greater Manchester Mental Health NHS Foundation Trust ManchesterUK 北京大学第一医院男科中心上海交通大学医学院附属仁济医院

目的确定父母精神疾病与子女受伤风险之间的关系。设计回顾性队列研究。研究地点基于瑞典登记在册的人口。参与者1996-2011年出生的1542000名儿童和与之关联的89334名母亲和873935名父亲。暴露母亲或父亲的精神疾病(非情感性精神疾病、... 详细信息

目的确定父母精神疾病与子女受伤风险之间的关系。设计回顾性队列研究。研究地点基于瑞典登记在册的人口。参与者1996-2011年出生的1542000名儿童和与之关联的89334名母亲和873935名父亲。暴露母亲或父亲的精神疾病(非情感性精神疾病、情感性精神疾病、酒精或药物滥用、情绪障碍、焦虑和压力相关障碍、饮食障碍、人格障碍)通过住院或门诊医疗保健记录确认。

关键词：精神疾病饮食障碍药物滥用回顾性队列研究情绪障碍医疗保健儿童和青少年之间的关系

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