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Chunk #35 — Discussion — Limitations

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Associations between Polygenic Risk for Psychiatric Disorders and Substance Involvement.
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Second, SAGE was ascertained for liability to substance dependence, specifically to alcohol, nicotine, and cocaine; the generalizability of these findings to the general population is thus unclear. Additionally, the factor structure of GENSUB might be somewhat sample-specific, and residual associations with involvement with specific substances (i.e., non-problem cannabis use) may have been artifacts of sample ascertainment. However, this ascertainment strategy allowed us to study the full range of substance involvement—from never-use to severe dependence—across both licit (i.e., alcohol, nicotine) and illicit (i.e., cannabis, cocaine, opioids) drugs, which would not have been possible in a population-based sample of comparable size. Nonetheless, it is important to replicate these findings in other samples.