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Chunk #27 — COMMENT — LIMITATIONS

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Common heritable contributions to low-risk trauma, high-risk trauma, posttraumatic stress disorder, and major depression.
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have contributed to the magnitude of the overall association observed between high-risk trauma and PTSD. Second, the design included oversampling of families in which twins reported childhood maltreatment. Thus, to the extent that the relationship between trauma and MDD in this high-risk group differs from that in the general population, generalizability of these findings may be limited. However, results of the analyses we conducted with the community-based full cohort II sample suggest that any ascertainment bias likely had a very limited impact. Third, the ordering of variables had some effect on the heritability estimates obtained from the final reduced model. Estimates of heritability robust to the order of the first 3 variables, derived from the saturated AE model (shown in eFigure 1), are 36% for MDD, 46% for low-risk trauma, and 58% for high-risk trauma. Thus, the heritability for MDD calculated from the reduced model may have been slightly reduced. Fourth, given the aim of characterizing heritability and overlapping genetic influences on trauma exposure, MDD, and PTSD, twins make up a large proportion of the sample. Although they compose a small minority of the general population and they differ from singletons with respect to certain health outcomes in childhood, these