Cited by 178Genetic Associations and EpidemiologySchizophrenia research and treatmentBipolar Disorder and Treatment

What psychiatric genetics has taught us about the nature of psychiatric illness and what is left to learn

Kendler, Kenneth S·2013·Molecular Psychiatry

Abstract

Psychiatric genetics has taught us a great deal about the nature of psychiatric disorders. Traditional family, twin and adoption studies have demonstrated the substantial role of genetic factors in their etiology, clarified the role of genetic factors in comorbidity, elucidated development pathways, and documented the importance of gene-environment correlation and interaction. We have also received some hard lessons when we were unable to detect replicable genes of large effect size and found that our much-valued candidate genes did not live up to their expected promise. With more mature molecular and statistical methods, we are entering now a different era. Statistical analyses of aggregate molecular signals are validating earlier heritability estimates. Replicated findings from genome-wide association studies are beginning to emerge, as are discoveries of large-effect size rare genomic variants. The number of such findings is likely to soon grow dramatically. The most pressing question facing the field is what biological picture these results will reveal. I articulate four possible scenarios that reflect (i) no, (ii) minimal, (iii) moderate and (iv) high biological coherence in the replicated molecular variant findings, which are soon likely to emerge. I discuss the factors that will likely influence these patterns, including the problems of etiological heterogeneity and multiple realizability. These findings could provide critical insights into the underlying biology of ou…

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Crossref · 10.1038/mp.2013.50

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Authors
Kendler, K. S.
Affiliations
Virginia Commonwealth University (US)
Corresponding author
Kendler, Kenneth S
Venue
Molecular Psychiatry
Published
2013-04-30
Volume
18
Issue
10
Pages
1058-1066
ISSN
  • 1359-4184 (ISSN-L)
  • 1476-5578
OpenAlex
W2018332195
Cited by
178
References
8
Citations by year
2026: 2 · 2025: 4 · 2024: 5 · 2023: 7 · 2022: 13 · 2021: 13 · 2020: 6 · 2019: 12 · 2018: 11 · 2017: 49 · 2016: 13 · 2015: 22 · 2014: 14 · 2013: 4 · 2012: 2
FWCI
2.14
Type
journal article
Language
en
Open access
closed
Locations
  • Molecular Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
psychiatric genetics, heritability, genetic comorbidity, gene-environment interaction, candidate genes, genome-wide association study, etiologic heterogeneity, multiple realizability, biological coherence, mind-brain relationship, mental illness
MeSH terms
Adoption, Mental Disorders, Genetics, Behavioral, Humans, Models, Genetic, Models, Neurological, Models, Psychological, Research Design, Risk, Schizophrenia, Causality, Case-Control Studies, Twin Studies as Topic, Genetic Heterogeneity, Quantitative Trait, Heritable, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Genome-Wide Association Study, Genetic Association Studies, Gene-Environment Interaction

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