The NESDA and NTR studies were approved by the Central Ethics Committee on Research Involving Human Subjects of the VU University Medical Center, Amsterdam, an Institutional Review Board certified by the US Office of Human Research Protections (IRB number IRB-2991 under Federal wide Assurance-3703; IRB/institute codes, NESDA 03-183; NTR 03-180). All subjects provided written informed consent. As part of the GAIN application process, consent forms were specifically re-reviewed for suitability for the deposit of de-identified phenotype and genotype data into the controlled-access dbGaP repository (20). NESDA and NTR subjects were informed of participation in GAIN via newsletters. Only 22 NESDA respondents refused informed consent for genetic research (1.7% of all respondents approached).