Emotion Regulation Moderates the Risk Associated with the 5-HTT Gene and Stress in Children
Open accessAbstract
Carrying a short allele in the serotonin transporter polymorphism (5-HTTLPR) while experiencing stressful environments is linked to elevated risk for depression. What might offset this risky combination of genes and environment? We hypothesized that individual-level factors may play a protective role. Specifically, we examined whether individuals' ability to decrease their stress responses via effective emotion regulation may be an important moderating factor and addressed this hypothesis in a socioeconomically diverse sample of 205 children aged 9-15 years. At-risk children (short-allele carriers in high-stress contexts) exhibited more depressive symptoms than other groups. Importantly, at-risk children who used effective emotion regulation did not exhibit increased depressive symptoms. These results have important implications for the basic science of understanding risk and resilience: in addition to genes and environment, individuals' agentic ability to self-regulate may need to be considered as a critical third factor. Given that emotion regulation is learnable, these results also have strong public-health implications.
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Written from the paper’s full text.
TL;DR
In a socioeconomically diverse sample of 205 children aged 9–15, the risk of depressive symptoms among highly stressed 5-HTTLPR short-allele carriers was buffered by greater use of cognitive reappraisal. The findings suggest that individual-level emotion regulation can moderate gene-by-environment risk.
Key findings
- At-risk children (short-allele carriers in high-stress contexts) exhibited more depressive symptoms than other groups, but at-risk children who used effective emotion regulation did not show increased depressive symptoms.
- There was a significant three-way interaction between genotype, stress, and reappraisal predicting depressive symptoms, β = −.20, t(197) = 3.68, p < .001; highly stressed short-allele carriers reported fewer depressive symptoms when high versus low on reappraisal, β = −.39, t(132) = 3.94, p < .001.
- High-reappraisal short-allele carriers reported depressive symptoms comparable to non-carriers under high stress, β = .07, t(197) < 1, p = .52, and under low stress, β = .05, t(197) < 1, p = .61.
- Supplementary analyses controlling for child age, sex, race, parent socioeconomic status, parent reappraisal, parent stress, and parent depressive symptoms retained the three-way interaction, β = −.24, t(88) = 2.86, p = .005; with rs25531 functional variants, the three-way interaction was marginal, β = −.16, t(193) = 1.74, p = .084.
Methods
- Participants were 205 children aged 9–15 (M = 12.09; 62% female) from the Denver, CO area, recruited through school districts and assessed at an 18-month follow-up; the sample was socioeconomically heterogeneous and largely Caucasian (74%).
- Children provided saliva DNA for 5-HTTLPR genotyping and were grouped as short-allele carriers (SS/SL) versus non-carriers (LL); measures included an adapted Emotion Regulation Questionnaire for cognitive reappraisal (α = .82), the Adolescent Life Events Questionnaire for stress over the past 3 months, and the Children’s Depression Inventory for depressive symptoms (α = .82).
- Main analysis used regression predicting depressive symptoms from genotype, stress, reappraisal, all main effects and two-way interactions, and the three-way interaction; continuous variables were mean-centered, genotype was effect coded, and simple slopes were examined at +/− 1 SD from the mean.
Limitations
- The paper states that the data are cross-sectional and do not directly speak to a causal model; future longitudinal assessments and experimental manipulations or training programs are needed to test whether reappraisal causally protects against depression.
- The paper states that replication in larger samples is important, despite adequate power in the present data (.73 two-tailed, .82 one-tailed), and that additional measures of stress, reappraisal ability, and clinical or parent-reported depression are needed.
- The paper states that it assessed the frequency of reappraisal use, not ability, so it is unclear whether individuals who improve reappraisal through training would reap the same benefits as natural reappraisers; the text also reports non-random attrition, with completers more likely to be Caucasian and having fewer depressive symptoms, which may yield a more conservative test.
Model-written summary. Check it against the paper before relying on it.
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Cites
Statistics
Claims the paper makes
0 of 64 cited sources checked · 0 supported · 0 flagged
- Findingown data
At-risk children (short-allele carriers in high-stress contexts) exhibited more depressive symptoms than other groups.
“At-risk children (short-allele carriers in high-stress contexts) exhibited more depressive symptoms than other groups.”
- Also stated in: § Results · plain
“we replicated the two-way interaction between genotype and stress often hypothesized in gene-by-environment interactions, β = .21, t(197) = 3.44, p = .001, such that greater stress was associated with more depressive symptoms in short-allele carriers”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
At-risk children who used effective emotion regulation did not exhibit increased depressive symptoms.
“Importantly, at-risk children who used effective emotion regulation did not exhibit increased depressive symptoms.”
- Also stated in: § Results · plain
“highly stressed short-allele carriers reported significantly fewer depressive symptoms when they were high on reappraisal, compared to when they were low on reappraisal, β = −.39, t(132) = 3.94, p < .001”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
There was a significant main effect of reappraisal, such that participants higher in reappraisal reported fewer depressive symptoms.
“and a significant main effect of reappraisal, β = −.27, t(197) = 4.77, p < .001, such that participants higher (vs. lower) in reappraisal reported fewer depressive symptoms.”
Quote in the paperNot a substantial claim - Findingown data
There was a significant three-way interaction between genotype, stress, and reappraisal in predicting depressive symptoms.
“Finally, there was a significant three-way interaction between genotype, stress, and reappraisal, β = −.20, t(197) = 3.68, p < .001.”
Quote in the paperSubstantial claim - Findingown data
Highly stressed short-allele carriers reported significantly fewer depressive symptoms when they were high on reappraisal compared to when they were low on reappraisal.
“highly stressed short-allele carriers reported significantly fewer depressive symptoms when they were high on reappraisal, compared to when they were low on reappraisal, β = −.39, t(132) = 3.94, p < .001”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Aiken & West, 1991
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- Findingown data
In the same regression analysis controlling for covariates, the two-way interaction between genotype and stress was no longer significant.
“While in the same direction, the two-way interaction between genotype and stress is no longer significant, β = .13, t(88) = 1.42, p = .16.”
Quote in the paperNot a substantial claim - Findingown data
Short-allele carriers high on reappraisal reported the same number of depressive symptoms as non-carriers, whether experiencing high or low levels of stress.
“short-allele carriers high on reappraisal reported the same number of depressive symptoms as non-carriers, whether the high-reappraisal short-allele carriers were experiencing high levels of stress, β = .07, t(197) < 1, p = .52, or low levels of stress, β = .05, t(197) < 1, p = .61”
Quote in the paperSubstantial claim - Findingown data
There was a significant main effect of stress, such that participants with higher stress reported more depressive symptoms.
“There was a significant main effect of stress, β = .38, t(197) = 6.22, p < .001, such that participants with higher (vs. lower) stress reported more depressive symptoms”
Quote in the paperNot a substantial claim - Findingown data
The benefit of using reappraisal appears to be asymmetrical for short-allele carriers versus non-carriers.
“the benefit of using reappraisal appears to be asymmetrical for short-allele carriers versus non-carriers”
Quote in the paperSubstantial claim - Findingown data
Children who use reappraisal more frequently are less likely to experience increased depression in contexts of gene-by-environment risk.
“children who use reappraisal more frequently are less likely to experience increased depression in contexts of gene-by-environment risk”
Quote in the paperSubstantial claim - Findingown data
There is no link between the gene x environment interaction and reappraisal, controlling for depressive symptoms (p = .20) or not (p = .23).
“there is no link between the gene x environment interaction on reappraisal whether we control for depressive symptoms (p = .20) or not (p = .23)”
Quote in the paperSubstantial claim - Findingown data
Reappraisal is, on average, associated with fewer depressive symptoms across both genotype and stress level.
“reappraisal is, on average, associated with fewer depressive symptoms across both genotype and stress level”
Quote in the paperSubstantial claim - Findingown data
Non-carriers report fewer depressive symptoms when they use reappraisal more (vs. less) frequently, but only in low-stress environments.
“non-carriers report fewer depressive symptoms when they use reappraisal more (vs. less) frequently, but only in low-stress environments”
Quote in the paperSubstantial claim - Findingown data
For individuals with low reappraisal use, non-carriers do not appear to be susceptible to the quality of their environment.
“non-carriers, who do not appear to be susceptible to the quality of their environment”
Quote in the paperSubstantial claim - Findingown data
Short-allele carriers report fewer depressive symptoms when they use reappraisal more (vs. less) frequently, but only in high-stress environments.
“short-allele carriers report fewer depressive symptoms when they use reappraisal more (vs. less) frequently, but only in high-stress environments”
Quote in the paperSubstantial claim - Findingown data
In alternative models with reappraisal as the outcome, none of the interactions among depressive symptoms, stress, or genes predict cognitive reappraisal.
“we find that none of these interactions predict cognitive reappraisal”
Quote in the paperSubstantial claim - Premisecitation
Cognitive reappraisal is a strategy shown to be particularly effective for reducing negative emotions.
“One strategy shown to be particularly effective for reducing negative emotions is cognitive reappraisal”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Gross & John, 2003
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- cites McRae et al., 2012
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- cites Ochsner et al., 2002
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- Premisecitation
The effectiveness of cognitive reappraisal for reducing negative emotion has been demonstrated across self-reported negative emotion, central nervous system responses, and peripheral nervous system responses.
“The effectiveness of cognitive reappraisal for reducing negative emotion has been demonstrated across several indicators of negative emotion: self-reported negative emotion”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Gross & John, 2003
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- cites Ochsner et al., 2002
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- cites McRae et al., 2012
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- Premisecitation
The hypothesized interaction between 5-HTTLPR and stress has not been consistently demonstrated, with some but not all meta-analyses confirming the pattern.
“Interestingly, this pattern has not been consistently demonstrated, with some (Karg, Burmeister, Shedden, & Sen, 2011) but not all (Risch et al., 2009) meta-analyses confirming the hypothesized pattern.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Karg et al., 2011
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- cites Risch et al., 2009
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- Interpretationown data
In addition to genes and environment, individuals' agentic ability to self-regulate may need to be considered as a critical third factor in understanding risk and resilience.
“These results have important implications for the basic science of understanding risk and resilience: in addition to genes and environment, individuals’ agentic ability to self-regulate may need to be considered as a critical third factor.”
Quote in the paperNot a substantial claim - Premisecitation
Carrying a short allele in the serotonin transporter polymorphism (5-HTTLPR) while experiencing stressful environments is linked to elevated risk for depression.
“Carrying a short allele in the serotonin transporter polymorphism (5-HTTLPR) while experiencing stressful environments is linked to elevated risk for depression.”
- Also stated in: § Abstract · hedged
“The link between high stress and depression appears to be further exacerbated in people who carry a short allele in the serotonin transporter polymorphism (5-HTTLPR, linked to serotonin function)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Caspi et al., 2010
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- cites Caspi et al., 2003
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- cites Uher & McGuffin, 2010
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- Also stated in: § Abstract · hedged
- Interpretationreasoning
Individuals' ability to reduce their own negative emotional reactivity (emotion regulation) may offset the risk imposed by a short allele in stressful environments.
“It follows, then, that individuals’ ability to reduce their own negative emotional reactivity, or emotion regulation (Gross, 1998), may offset the risk imposed by a short allele in stressful environments.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gross, 1998
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- Premisecitation
Short-allele carriers compared to non-short-allele carriers demonstrate increased negative emotional reactivity to stressors.
“short-allele carriers compared to non-short-allele carriers demonstrate increased negative emotional reactivity to stressors”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Gunthert et al., 2007
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- cites Hariri et al., 2002
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- cites Miller et al., 2013
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- Premisecitation
Short-allele carriers compared to non-short-allele carriers are particularly sensitive to the quality of their environment, such that experiencing negative environments is associated with significantly worse psychological health.
“These individuals – compared to those without a short allele – appear to be particularly sensitive to the quality of their environment, such that experiencing negative environments is associated with significantly worse psychological health”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Belsky & Pluess, 2009
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- cites Hankin et al., 2011
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- cites Taylor et al., 2006
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- Premisecitation
Cognitive reappraisal predicts decreased depressive symptoms, particularly in stressful environments.
“Cognitive reappraisal has also been found to predict decreased depressive symptoms, particularly in stressful environments (Troy et al., 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Troy et al., 2010
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- Premisecitation
Negative emotional reactivity to stress is linked with depression.
“Negative emotional reactivity to stress, in turn, has been linked with depression”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Cohen et al., 2005
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- cites Folkman & Lazarus, 1986
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- cites Nolen-Hoeksema & Morrow, 1991
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- Interpretationown data
The present investigation supports the notion that the mental-health risk associated with being a highly stressed short-allele carrier is attenuated for individuals who use adaptive emotion regulation, namely cognitive reappraisal.
“As predicted, the present investigation supports the notion that the mental-health risk associated with being a highly stressed short-allele carrier is attenuated for individuals who use adaptive emotion regulation, namely cognitive reappraisal.”
Quote in the paperSubstantial claim - Interpretationreasoning
The data yields a more conservative test of the hypothesis given that the range of depression scores would be reduced.
“This indicates that our data yields a more conservative test of our hypothesis given that the range of depression scores would be reduced.”
Quote in the paperNot a substantial claim - Study design and conductcitation
The measure of stress assesses the experience of objectively-defined stressful events.
“This measure of stress assesses the experience of objectively-defined stressful events”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Uher & McGuffin, 2010
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- Premisecitation
Recent research confirms that young children can reliably self-report the frequency with which they use emotion regulation strategies like reappraisal.
“recent research confirms that young children can reliably self-report the frequency with which they use emotion regulation strategies like reappraisal (Gullone & Taffe, 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gullone & Taffe, 2012
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- Premisecitation
Depression first develops during the age range of 9-15.
“We examined this question in a sample of socioeconomically-diverse children aged 9–15, an age range when depression first develops, and thus an age range in which assessing risk for depression is particularly relevant (Costello, Mustillo, Erkanli, Keeler, & Angold, 2003).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Costello et al., 2003
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- Premisecitation
Children who use reappraisal more frequently have fewer depressive symptoms.
“children who use reappraisal more (vs. less) frequently have fewer depressive symptoms (Gullone & Taffe, 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gullone & Taffe, 2012
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- Interpretationreasoning
There may be additional moderators of the effects of genes and environment on depression.
“These inconsistent findings suggest that there may be additional moderators of the effects of genes and environment on depression”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Karg et al., 2011
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- cites Risch et al., 2009
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- Premisecitation
Depression experienced in adolescence substantially increases risk for depression in adulthood.
“depression experienced in adolescence substantially increases risk for depression in adulthood.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al., 2006
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- Interpretationown data
The present results provide evidence that individuals are not necessarily at increased risk for experiencing depression in the context of a stressful environment and a 5-HTTLPR short allele.
“The present results provide evidence that individuals are not necessarily at increased risk for experiencing depression in the context of a stressful environment and a 5-HTTLPR short allele.”
Quote in the paperSubstantial claim - Interpretationown data
Participants with more depressive symptoms may have self-selected out of the study.
“It also appears that participants with more depressive symptoms may have self-selected out of the study.”
Quote in the paperSubstantial claim - Study design and conductown data
There exists some non-random drop-out from the initial time point to the 18-month follow-up assessment that consists largely of demographic differences.
“Thus, there exists some non-random drop-out from the initial time point to the 18-month follow-up assessment that consists largely of demographic differences.”
Quote in the paperNot a substantial claim - Interpretationown data
Using reappraisal completely buffered the risk associated with carrying a short allele in the context of elevated stress.
“Thus, using reappraisal completely buffered the risk associated with carrying a short allele in the context of elevated stress.”
Quote in the paperSubstantial claim - Study design and conductown data
The three predictors (genotype, stress, and reappraisal) were statistically independent of each other, as evidenced by non-significant zero-order correlations.
“We first verified that the three predictors (genotype, stress, and reappraisal) were statistically independent of each other, as evidenced by non-significant zero-order correlations”
Quote in the paperSubstantial claim - Premisecitation
Studies that employ more objective assessments of stress are more likely to demonstrate the hypothesized gene-by-environment interaction than those that employ more subjective assessments.
“studies that employ more objective assessments of stress are more likely to demonstrate the hypothesized gene-by-environment interaction, compared to those that employ more subjective assessments of stress (Uher & McGuffin, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Uher & McGuffin, 2010
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- Interpretationreasoning
Individuals' agentic, self-regulatory behavior can profoundly alter the effects of gene-by-environment interactions on health.
“individuals’ agentic, self-regulatory behavior can profoundly alter the effects of gene-by-environment interactions on health.”
Quote in the paperSubstantial claim - Interpretationown data
The risk conveyed by gene-by-environment interactions can be offset by a factor that is under the control of the individual.
“we observe that the risk conveyed by gene-by-environment interactions can be offset by a factor that is under the control of the individual.”
Quote in the paperSubstantial claim - Study design and conductown data
These findings were able to rule out several alternative hypotheses by accounting for important potential confounds (e.g., age, sex, and socioeconomic status).
“These findings were also able to rule out several alternative hypotheses by accounting for important potential confounds (e.g., age, sex, and socioeconomic status).”
Quote in the paperSubstantial claim - Interpretationown data
Gene-by-environment interactions can be modulated by specific individual-level factors.
“the present findings suggest that gene-by-environment interactions can be modulated by specific individual-level factors”
Quote in the paperSubstantial claim - Premisecitation
Young children's sense of agency can be increased with interventions.
“Prior research confirms that young children’s sense of agency can be increased with interventions”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blackwell, Trzesniewski, & Dweck, 2007
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- Study design and conductown data
A power analysis on the present data reveals adequate power to detect the three-way interaction (.73 two-tailed, .82 one-tailed).
“a power analysis on the present data reveals that we had adequate power to detect the three-way interaction (.73 two-tailed, .82 one-tailed)”
Quote in the paperSubstantial claim - Interpretationcitation
Emotion regulation can have an important protective role in avoiding serious psychopathology.
“the present results highlight the important protective role that emotion regulation can have in avoiding serious psychopathology”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kovacs, Joormann, & Gotlib, 2008
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- Premisecitation
Children who are better at regulating themselves are more likely to become more socially, emotionally, and scholastically successful as they grow older from adolescence through adulthood.
“children who are better at regulating themselves are more likely to become more socially, emotionally, and scholastically successful as they grow older from adolescence through adulthood”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Ayduk et al., 2000
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- cites Mischel, Shoda, & Peake, 1988
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- cites Mischel, Shoda, & Rodriguez, 1989
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- Interpretationreasoning
Both short-allele carriers and non-carriers can benefit from using reappraisal more frequently.
“both short-allele carriers and non-carriers can benefit from using reappraisal more frequently”
Quote in the paperSubstantial claim - Interpretationown data
Reappraisal is not likely to be a mediator in the link between the gene x environment interaction and depressive symptoms.
“reappraisal is not likely to be a mediator in the link between the gene x environment interaction and depressive symptoms”
Quote in the paperSubstantial claim - Premisecitation
Cognitive reappraisal is not conceptualized as a characteristic that results from an individual's present symptoms or stress levels.
“it is not conceptualized as a characteristic that results from an individual’s present symptoms or stress levels”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gross & John, 2003
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- Study design and conductown data
The present results are reliable within the relatively smaller sample size obtained.
“we believe the present results are reliable within the relatively smaller sample size we obtained”
Quote in the paperSubstantial claim - Premisecitation
Most individuals with depression experience their first depressive episode in adolescence.
“most individuals with depression experience their first depressive episode in adolescence”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Costello et al., 2003
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- Interpretationreasoning
The relative benefit of using reappraisal may vary by both genotype and stress.
“These findings suggest that the relative benefit of using reappraisal may vary by both genotype and stress.”
Quote in the paperSubstantial claim - Interpretationcitation
Avoiding the first episode of depression could have considerable cumulative benefits.
“avoiding the first episode of depression could have considerable cumulative benefits”
Quote in the paperNot a substantial claim - Premisecitation
Adolescent-onset depression substantially increases risk for depression in adulthood.
“adolescent-onset depression substantially increases risk for depression in adulthood”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al., 2006
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- Interpretationown data
Reappraisal is not simply a side effect of depressive symptoms, stress, genes, or their interactions with one another.
“reappraisal is not simply a side effect of these other constructs or their interactions with one another”
Quote in the paperSubstantial claim - Premisecitation
Cognitive reappraisal is a learnable skill.
“Cognitive reappraisal, specifically, is a learnable skill, as evidenced by experimental interventions among adults (Gross & John, 2003) and children as young as 10 years (McRae, Gross, et al., 2012).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Gross & John, 2003
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- cites McRae, Gross, et al., 2012
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- Interpretationreasoning
Differential susceptibility may account for interactions between genotype and stress for individuals who do not use reappraisal frequently.
“differential susceptibility may account for interactions between genotype and stress for individuals who do not use reappraisal frequently”
Quote in the paperSubstantial claim - Interpretationcitation
Individuals' agentic self-regulatory behavior is likely to be more amenable to deliberate change than genes or a stressful environment.
“individuals’ agentic self-regulatory behavior is likely to be more amenable to deliberate change than genes or a stressful environment”
Quote in the paperNot a substantial claim
- Classified as probably not a substantial claim. 20
- May combine two claims. 21
- The quote only partly states this claim. 1
- Not yet classified. 1
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataIn an analysis comparing short-allele carriers plus LG carriers with LA carriers, the three-way interaction was in the same direction but statistically marginal (β = −.16, p = .084).
“the three-way genotype by stress by reappraisal interaction, β = −.16, t(193) = 1.74, p = .084.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAll simple effects that were significant when examining the 5-HTTLPR genotype remained significant when taking into account the functional variants of the long allele, and all simple effects that were not significant remained not significant.
“all simple effects that were significant when examining the 5-HTTLPR genotype remain significant when taking into account the functional variants of the long allele (all ps < .043), and all simple effects that were not significant when examining the 5-HTTLPR genotype remain not significant when taking into account the functional variants (all ps > .11).”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningFor individuals who use reappraisal more frequently, both short-allele carriers and non-carriers report moderately low levels of depression in low stress environments and somewhat higher levels of depression in higher stress environments.
“both short-allele carriers and non-carriers alike report moderately low levels of depression in low stress environments, and somewhat higher levels of depression in higher stress environments”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFor individuals with low reappraisal use, short-allele carriers experience worse health in high stress environments and better health in low stress environments compared to non-carriers.
“for individuals who use reappraisal less frequently, short-allele carriers experience worse health in negative environments (i.e., high stress), but experience better health in positive environments (i.e., low stress), compared to non-carriers”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationResearch supports a robust link between stress and depression.
“Research supports a robust link between stress and depression (Hammen, 2005).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hammen, 2005
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InterpretationreasoningFor people whose genes and environment put them at risk, using cognitive reappraisal may be a useful strategy to offset this risk.
“Thus, for people whose genes and environment put them at risk (i.e., stressed individuals who carry a short allele in the 5-HTTLPR genotype), using cognitive reappraisal may be a useful strategy to offset this risk.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationSeveral models suggest that negative emotional reactivity is a mechanism linking gene-by-environment risk and depression.
“several models suggest that negative emotional reactivity is a mechanism linking gene-by-environment risk and depression”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Caspi et al., 2010
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Interpretationown dataThe present results provide support for models of gene-by-environment interactions that emphasize the risk but also the potential rewards associated with the short allele.
“The present results also provide support for models of gene-by-environment interactions that emphasize the risk but also the potential rewards associated with the short allele”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Belsky & Pluess, 2009
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- cites Boyce & Ellis, 2005
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- cites Hankin et al., 2011
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PremisecitationSome studies have found the expected interaction between genotype and stressful environment on emotional outcomes like depression in children, and others have not.
“some studies have found the expected interaction between genotype and stressful environment on emotional outcomes like depression (Cicchetti, Rogosch, & Sturge-Apple, 2007; Nobile et al., 2009; Petersen et al., 2012), and others have not (Araya et al., 2009; Chipman et al., 2007).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Cicchetti et al., 2007
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- cites Nobile et al., 2009
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- cites Petersen et al., 2012
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationChildren demonstrate lower reappraisal ability than adults.
“demonstrate lower reappraisal ability than adults (McRae, Gross, et al., 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites McRae et al., 2012
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May combine two claims.
PremisecitationPrior research confirms that young children understand the contingencies of their emotions and understand that it is possible to change how you feel by changing how you think.
“Prior research confirms that young children understand the contingencies of their emotions and understand that it is possible to change how you feel by changing how you think”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Bamford & Lagattuta, 2012
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- cites Lagattuta & Wellman, 2001
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Study design and conductown dataThe depressive symptoms scale had an internal consistency of α = .82.
“Responses were summed to create a composite score, α = .82.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductcitationWe used well-validated, standardized, and widely-used self-report measures to assess current severity of depressive symptoms and the severity of stress experienced over the last 3 months.
“We used well-validated, standardized, and widely-used self-report measures to assess current severity of depressive symptoms (Kovacs, 1981) and the severity of stress experienced over the last 3 months (Hankin & Abramson, 2002).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Kovacs, 1981
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- cites Hankin & Abramson, 2002
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Study design and conductnone givenThe 5-HTTLPR genotypes were distributed according to Hardy-Weinberg equilibrium.
“These genotypes were distributed according to Hardy-Weinberg equilibrium.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationThe differential susceptibility model proposes that certain individuals (e.g., those with a short allele) are more sensitive to their environment 'for better or worse', such that they experience worse psychological health outcomes in negative environments, yet better psychological health outcomes in positive environments, compared to their less sensitive counterparts (e.g., those without a short).
“The differential susceptibility model proposes that certain individuals (e.g., those with a short allele) are more sensitive to their environment ‘for better or worse’, such that they experience worse psychological health outcomes in negative environments, yet better psychological health outcomes in positive environments, compared to their less sensitive counterparts (e.g., those without a short”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Belsky, Bakermans-Kranenburg, & van Ijzendoorn, 2007
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductcitationWe assessed cognitive reappraisal using an adaptation of a widely-used measure.
“we assessed cognitive reappraisal using an adaptation of a widely-used measure (Gross & John, 2003).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gross & John, 2003
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenThe socioeconomically diverse sample enhances the generalizability of the findings.
“Finally, the socioeconomically diverse sample enhances the generalizability of the findings.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataThe children who completed the 18-month follow-up did not significantly differ from those who did not in age, levels of stress, or genotype.
“These two samples of children did not significantly differ in age (p = .90), levels of stress (p = .59), or genotype (p = .78).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThis grouping (short-allele carriers vs non-carriers) is consistent with prior research and with theoretical support for the dominant genetic effect of the short allele on outcomes.
“This grouping is consistent with prior research (Lenze et al., 2005; Otte, McCaffery, Ali, & Whooley, 2007; Ramasubbu, Tobia, Buchan, & Bech-Hansen, 2006) and with theoretical support for the dominant genetic effect of the short allele on outcomes (Greenberg et al., 1999; Lesch et al., 1996)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Lenze et al., 2005
Not checked in the free run.
- cites Otte et al., 2007
Not checked in the free run.
- cites Greenberg et al., 1999
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationChildren are less likely to use reappraisal than adults.
“Children are less likely to use reappraisal than adults (Garnefski, Legerstee, Kraaij, Van Den Kommer, & Teerds, 2002)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Garnefski et al., 2002
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe cognitive reappraisal scale had an internal consistency of α = .82.
“This scale includes 6 items rated on a scale of 1 (strongly disagree) to 7 (strongly agree) measuring the extent to which the participant engages in cognitive reappraisal (e.g., I control my feelings by changing the way I think about the situation I’m in), α = .82.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationThe primary analyses examined 5-HTTLPR genotype and not the functional variants of the long allele, rs25531, because the majority of studies focus on 5-HTTLPR.
“While we conducted our primary analyses examining the 5-HTTPLR genotype and not the functional variants of the long allele, rs25531 (i.e., LA and LG), because the majority of studies focus on 5-HTTLPR (Caspi et al., 2010)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Caspi et al., 2010
Not checked in the free run.
May combine two claims.
Study design and conductown dataCompared to the sample that did not complete the 18-month follow-up, the sample that completed was marginally more likely to be female, marginally more likely to have higher family income, significantly more likely to be Caucasian, and had significantly fewer depressive symptoms.
“Compared to the sample that did not complete the 18-month follow-up, the sample that completed the 18-month follow-up were marginally more likely to be female (p = .10), marginally more likely to have a higher family income (p = .11), significantly more likely to be Caucasian (p = .03), and had significantly fewer depressive symptoms (p = .03).”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataThe three-way interaction remained significant when controlling for the child's age, sex, and race, and when controlling for the child's parents' socioeconomic status, use of cognitive reappraisal, stress level, and depressive symptoms.
“the three-way interaction (between genotype, stress, and reappraisal) remained significant when controlling for the child’s age, sex, and race (Caucasian vs. other), and when controlling for the child’s parents’ socioeconomic status, use of cognitive reappraisal, stress level, and depressive symptoms”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataOf the 350 children who began the study, 241 completed the 18-month follow-up (31% attrition).
“Of the 350 children who began the study, 241 completed the 18-month follow-up (31% attrition).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningGiven the compelling empirical evidence that the 5-HTTLPR-by-stress interaction promotes heightened negative emotional reactivity to high stress environments, individuals who can counteract that reactivity may experience better psychological health outcomes.
“we propose that individuals who can counteract that reactivity may experience better psychological health outcomes.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe effect of 5-HTTLPR and stress on depression is moderated by individual differences such that children low in reappraisal exhibit this risk, but children high in reappraisal do not exhibit this risk.
“our findings suggest that this effect is moderated by individual differences such that children low in reappraisal exhibit this risk, but children high in reappraisal do not exhibit this risk.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningReappraisal may buffer individuals from gene-by-environment risk while still enabling individuals to be sensitive to, and benefit from, their positive environments.
“reappraisal may provide the best of both worlds as it buffers individuals from gene-by-environment risk while still enabling individuals to be sensitive to, and benefit from, their positive environments.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataIt is unlikely that depressive symptoms, stress, or genes influence cognitive reappraisal rather than the other way around.
“We believe this hypothesis is unlikely for both theoretical and empirical reasons.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningUsing reappraisal relatively frequently appears to promote an individual's ability to reap the benefits of positive environments, yet not suffer much from negative environments - regardless of their genetic composition.
“Using reappraisal relatively frequently, therefore, appears to promote an individual’s ability to reap the benefits of positive environments, yet not suffer much from negative environments – regardless of their genetic composition.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims. The quote only partly states this claim.
InterpretationreasoningFor children, changing reappraisal may be easier than changing the stressful environment because children have less control over their stressful environments than adults.
“This may be particularly true for children, who are even less likely to have control over their stressful environments than adults.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningChanging how one thinks about a stressful environment (i.e., using cognitive reappraisal) may be easier than changing the stressful environment itself.
“changing how one thinks about a stressful environment (i.e., using cognitive reappraisal) may be easier than changing the stressful environment itself”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningAssessing individual differences like emotion regulation will play an important role in untangling the psychological health correlates of gene-by-environment interactions.
“assessing individual differences like emotion regulation will play an important role in untangling the psychological health correlates of gene-by-environment interactions”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationTraining reappraisal improves emotional outcomes in the short run and in the long run.
“training reappraisal improves emotional outcomes both in the short run (e.g., in laboratory experiments; Gross & John, 2003; McRae, Gross, et al., 2012) and in the long run (e.g., clinical interventions that train emotion regulation; Mennin, 2004)”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Gross & John, 2003
Not checked in the free run.
- cites McRae, Gross, et al., 2012
Not checked in the free run.
- cites Mennin, 2004
Not checked in the free run.
Not yet classified.
InterpretationReappraisal may be better conceptualized as a trait-level individual difference that can alter the links between children's gene x environment experiences and depressive symptoms.
“reappraisal may be better conceptualized as a trait-level individual difference that can alter the links between children’s gene x environment experiences and depressive symptoms”
Quote in the paperNot yet classified
The paper relies on this without support.
Gene-by-environment interactions have been examined within child samples and yielded results similar to those from adult samples.
“It is worth noting that gene-by-environment interactions have been examined within child samples and yielded results similar to those from adult samples.”
The paper relies on this without support.
Genes and stressful environments are not always modifiable.
“Given that genes and stressful environments are not always modifiable, how can people with this risky combination avoid depression?”
The paper relies on this without support.
Emotion regulation is learnable.
“Given that emotion regulation is learnable, these results also have strong public-health implications.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Carrying the short allele of the 5-HTTLPR in high-stress environments increases depression risk.
“For example, carrying the short allele of the 5-HTTLPR in high-stress environments increases depression risk.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
Polymorphisms in genes such as EPHX2, OXTR, and NRG1 are associated with depression symptoms.
“Polymorphisms in genes such as EPHX2, OXTR, and NRG1 are associated with depression symptoms, further underscoring the complex interplay between genetics and environment.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
Altered expression of the PPM1F gene in the amygdala and medial prefrontal cortex is linked to PTSD and depression.
“An altered expression of the PPM1F gene in the amygdala and medial prefrontal cortex (mPFC) is linked to PTSD and depression.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
Polymorphisms in the 5-HTTLPR gene correlate with cognitive dysfunction in PTSD-affected individuals.
“Similarly, polymorphisms in the 5-HTTLPR gene correlate with cognitive dysfunction in PTSD-affected individuals [33,45,48,49,50].”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
The capacity to regulate emotions effectively can mitigate the risk of depression associated with genetic predisposition to stress.
“However, the capacity to regulate emotions effectively can mitigate this risk.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
In a study of 205 children aged 9-15, those who were genetically predisposed to higher stress levels exhibited more depressive symptoms.
“In a study of 205 children aged 9–15, those who were genetically predisposed to higher stress levels exhibited more depressive symptoms.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
Genetic predispositions, such as carrying a short allele in the 5-HTTLPR, are linked to an increased risk of depression in stressful environments.
“For example, genetic predispositions, such as carrying a short allele in the 5-HTTLPR, are linked to an increased risk of depression in stressful environments.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
A study involving 265 parents of children with hematological cancer or solid tumors revealed that parents' perceptions of their child's pain and their own stress levels were influenced by their attitudes towards analgesics.
“For instance, a study involving 265 parents of children with hematological cancer or solid tumors revealed that parents’ perceptions of their child’s pain and their own stress levels were influenced by their attitudes towards analgesics.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
At-risk children who practiced effective emotion regulation did not show heightened depressive symptoms.
“Crucially, at-risk children who practiced effective emotion regulation did not show heightened depressive symptoms, demonstrating that emotion regulation is a powerful tool for resilience.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
Parents with a lower educational attainment reported higher stress and more negative views on pain management, due to misconceptions about analgesic use.
“Parents with a lower educational attainment reported higher stress and more negative views on pain management, due to misconceptions about analgesic use.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [48]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Not confirmedt(197) < 1reported p = .52 · recomputed p = .319
“t(197) < 1, p = .52”
- Not confirmedt(197) < 1reported p = .61 · recomputed p = .319
“t(197) < 1, p = .61”
- Consistentt(197) = 6.22reported p < .001 · recomputed p < .001
“t(197) = 6.22, p < .001”
- Consistentt(197) = 4.77reported p < .001 · recomputed p < .001
“t(197) = 4.77, p < .001”
- Consistentt(197) = 3.44reported p = .001 · recomputed p < .001
“t(197) = 3.44, p = .001”
- Consistentt(149) = 10.09reported p < .001 · recomputed p < .001
“t(149) = 10.09, p < .001”
- Consistentt(77) = 2.24reported p = .028 · recomputed p = .028
“t(77) = 2.24, p = .028”
- Consistentt(197) = 3.68reported p < .001 · recomputed p < .001
“t(197) = 3.68, p < .001”
- Consistentt(132) = 3.94reported p < .001 · recomputed p < .001
“t(132) = 3.94, p < .001”
- Consistentt(88) = 2.86reported p = .005 · recomputed p = .005
“t(88) = 2.86, p = .005”
- Consistentt(88) = 4.92reported p < .001 · recomputed p < .001
“t(88) = 4.92, p < .001”
- Consistentt(88) = 3.5reported p = .001 · recomputed p < .001
“t(88) = 3.50, p = .001”
- Consistentt(88) = 1.42reported p = .16 · recomputed p = .159
“t(88) = 1.42, p = .16”
- Consistentt(193) = 4.05reported p < .001 · recomputed p < .001
“t(193) = 4.05, p < .001”
- Consistentt(193) = 3.25reported p = .001 · recomputed p = .001
“t(193) = 3.25, p = .001”
- Consistentt(193) = 2.67reported p = .008 · recomputed p = .008
“t(193) = 2.67, p = .008”
- Consistentt(193) = 1.74reported p = .084 · recomputed p = .083
“t(193) = 1.74, p = .084”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Genotype-specific t-test degrees of freedom exceed group sizes
MinorThe reported tests have 149 degrees of freedom for short-allele carriers and 77 for non-carriers, although the genotype counts give only 137 carriers (38 + 99) and 68 non-carriers. Those degrees of freedom exceed the sizes of the respective groups.
“greater stress was associated with more depressive symptoms in short-allele carriers, β = .64, t(149) = 10.09, p < .001, compared to non-carriers, β = .25, t(77) = 2.24, p = .028.”
“Trichotomous groups of SS (n = 38), SL (n = 99), and LL (n = 68) genotypes were formed.”
The citation lists haven’t been fetched yet
References 64 · Cited by 56
- Authors
- Ford, B. Q., Mauss, I. B., Troy, A. S., Smolen, A., & Hankin, B.
- Affiliations
- University of California, Berkeley (US)
- Franklin & Marshall College (US)
- University of Colorado Boulder (US)
- University of Denver (US)
- Venue
- Emotion
- Published
- 2014
- Volume
- 14
- Issue
- 5
- Pages
- 930-939
- ISSN
- 1528-3542 (ISSN-L)
- 1931-1516
- PMC
- PMC4172506
- OpenAlex
- W2070389023
- Semantic Scholar
- 45995a13b4ecf64bb98c408950797e42c01378db
- Cited by
- 56
- References
- 64
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 13 · 2016: 6 · 2015: 10 · 2014: 1
- FWCI
- 11.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Emotion (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - DU (University of Denver) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (5R01 MH077195)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- emotion regulation, 5-HTTLPR, serotonin transporter polymorphism, gene-environment interaction, childhood depression, depressive symptoms, stress, resilience, children, moderators
- MeSH terms
- Adolescent, Alleles, Child, Depression, Emotions, Female, Humans, Male, Risk Factors, Sampling Studies, Stress, Psychological, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Serotonin Plasma Membrane Transport Proteins, Gene-Environment Interaction
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.
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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.
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