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Chunk #7 — Risk indicator or mediating variable

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Endophenotype: a conceptual analysis.
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In one study using longitudinal twin data, we have explicitly tested the mediational versus liability-index model for the relationship between the personality trait of neuroticism as EP and major depression as PD.10 Surprisingly, we could reject the mediational model in favor of the liability-index model. Although neuroticism substantially reflected the genetic risk to major depression, we could reject the model in which the pathway from genes to major depression passed exclusively through neuroticism.