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Monozygotic twins discordant for major depression: a preliminary exploration of the role of environmental experiences in the aetiology and course of illness
Abstract
Background. Genetic effects upon behaviour are pervasive. To what extent are the many correlates of major depression (MD) due to individual-specific environmental experiences versus genetic factors correlated with risk for MD? Methods. From a population-based twin registry, we identified 72 female monozygotic pairs discordant for a lifetime history of MD and compared the affected and unaffected members on a wide range of putative correlates of MD. Results. The affected twin differed from her unaffected co-twin on many variables, eight of which were maximally discriminating: (i) maternal protectiveness; (ii) conflictual parent–child relationship; (iii) low optimism; (iv) current stressful life events; (v) financial difficulties and a history of (vi) phobia, (vii) nicotine dependence; and (viii) divorce. A cluster analysis suggested three ‘environmental pathways' to MD characterized by: (i) childhood vulnerability and anxiety; (ii) acting-out and demoralization; and (iii) interpersonal difficulties. Conclusion. Important precursors and sequelae of MD originate in environmental experiences unique to the individual and are not mediated through genetic factors or family-of-origin effects. Such environmental factors cause pervasive differences in monozygotic twins discordant for MD, especially in the areas of interpersonal difficulties, psychopathology, social problems and self-concept. These findings should be interpreted in the context of possible retrospective recall bias and the difficulty of distinguishing risk factors from sequelae in co-twin–control studies.
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“All of these SLEs have been implicated as risk factors for depression in genetically informative studies (Kendler et al., 1995, 2000; Kendler & Aggen, 2014; Kendler & Gardner, 2001; Kendler, Karkowski, & Prescott, 1999a).”
From Stressful life events increase the risk of major depressive episodes: A population-based twin study (2023) · cites this paper as Kendler & Gardner, 2001
In the citing paper
“Using a similar design as in the current study, Kendler and Gardner (2001) found that MZ twins with a history of depression reported higher rates of job loss compared with non-depressed co-twins.”
From Stressful life events increase the risk of major depressive episodes: A population-based twin study (2023) · cites this paper as Kendler & Gardner, 2001
In the citing paper
“Causal influence on the risk of depression has been suggested for a number of specific SLEs included in the current study, such as assault (Kendler et al., 1999a, 2010), sexual abuse (Kendler et al., 2000; Kendler & Aggen, 2014; Nelson et al., 2002), and romantic problems and job loss (Kendler & Gardner, 2001).”
From Stressful life events increase the risk of major depressive episodes: A population-based twin study (2023) · cites this paper as Kendler & Gardner, 2001
In the citing paper
“Although the inflated within-pair estimates in our study are difficult to interpret, findings from some previous genetically informative studies indicate that this association may be at least in part causal.”
From Stressful life events increase the risk of major depressive episodes: A population-based twin study (2023) · cites this paper as Kendler & Gardner, 2001
In the citing paper
“These important findings were replicated in individuals in the Virginia Adult Twin Study of Psychiatric and Substance Use Disorders, a cohort of 9000 adult Caucasian twins.”
From Epigenetic mechanisms of major depression: Targeting neuronal plasticity (2018) · cites this paper as [97]
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Metadata
- Authors
- KENDLER, K. S., & GARDNER, C. O.
- Affiliations
- Virginia Commonwealth University (US)
- ORCID
- KENDLER, KENNETH S.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2001-04
- Volume
- 31
- Issue
- 3
- Pages
- 411-423
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2132589140
- Cited by
- 102
- References
- 32
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 3 · 2018: 1 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 4
- FWCI
- 9.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k05mh001277-05)
- National Institute on Alcohol Abuse and Alcoholism (R01AA009095, AA-09095)
- National Institute of Mental Health (MH-01277, R01MH040828, MH 40828)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- major depressive disorder, monozygotic twins, discordant twins, environmental risk factors, parent-child conflict, optimism, life events, financial hardship, phobia, nicotine dependence, divorce, childhood anxiety, interpersonal problems, etiology of depression, genetic versus environmental factors, co-twin control
- MeSH terms
- Adult, Alcohol Drinking, Major Depressive Disorder, Environment, Female, Health Status, Humans, Parent-Child Relations, Personality, Psychiatric Status Rating Scales, Risk Factors, Self Concept, Severity of Illness Index, Twins, Monozygotic, Cluster Analysis, Marital Status, Substance-Related Disorders
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