Conduct disorder - a comprehensive exploration of comorbidity patterns, genetic and environmental risk factors
Open accessAbstract
Conduct disorder (CD), a common mental disorder in children and adolescents, is characterized by antisocial behavior. Despite similarities with antisocial personality disorder (ASPD) and possible diagnostic continuity, CD has been shown to precede a range of adult-onset mental disorders. Additionally, little is known about the putative shared genetic liability between CD and adult-onset mental disorders and the underlying gene-environment interplay. Here, we interrogated comorbidity between CD and other mental disorders from the Norwegian Mother, Father and Child Cohort Study (n = 114 500) and investigated how polygenic risk scores (PRS) for mental health traits were associated with CD/CD traits in childhood and adolescence. Gene-environment interplay patterns for CD was explored with data on bullying and parental education. We found CD to be comorbid with several child and adult-onset mental disorders. This phenotypic overlap corresponded with associations between PRS for mental disorders and CD. Additionally, our findings support an additive gene-environment model. Previously conceptualized as a precursor of ASPD, we found that CD was associated with polygenic risk for several child- and adult-onset mental disorders. High comorbidity of CD with other psychiatric disorders reflected on the genetic level should inform research studies, diagnostic assessments and clinical follow-up of this heterogenous group.
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Analyzed genetic variants have a small effect (0.1-4.0%) as polygenic scores on predicting ASB, even at a genome-wide level.
“The data obtained support previous findings on the small effect (0.1–4.0 %) of analyzed genetic variants (even at a genome-wide level) as polygenic scores on predicting ASB (Tielbeek et al., 2017, 2022; Tesli et al., 2024).”
From Using polygenic scores to assess liability to antisocial behavior (2025) · cites this paper as Tesli et al., 2024
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- Authors
- Tesli, N., Jaholkowski, P., Haukvik, U. K., Jangmo, A., Haram, M., Rokicki, J., Friestad, C., Tielbeek, J. J., Næss, Ø., Skardhamar, T., Gustavson, K., Ask, H., Fazel, S., Tesli, M., & Andreassen, O. A.
- Affiliations
- Oslo University Hospital (NO)
- Norwegian Institute of Public Health (NO)
- Vrije Universiteit Amsterdam (NL)
- Warneford Hospital (GB)
- Corresponding author
- Tesli, Natalia
- ORCID
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2024-01
- Volume
- 331
- Pages
- 115628
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W4388997185
- Cited by
- 14
- References
- 70
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
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- Locations
- Psychiatry Research (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- VU Research Portal (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH123724)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- conduct disorder, comorbidities, antisocial personality disorder, polygenic risk score, gene-environment interaction, bullying, parental education, child and adolescent mental disorders, antisocial behavior, Norwegian Mother and Child Cohort Study
- MeSH terms
- Adolescent, Adult, Antisocial Personality Disorder, Female, Humans, Risk Factors, Spiperone, Cohort Studies, Comorbidity, Conduct Disorder
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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