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Chunk #41 — Discussion

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Genetic association study of childhood aggression across raters, instruments, and age.
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GWASs are increasingly successful in identifying genomic loci for complex human traits [48] and also in psychiatry, genetic biomarkers are increasingly thought of as promising for both research and treatment. Genetic risk prediction holds promise for adult psychiatric disorders [30] and it seems reasonable to expect the same for childhood disorders. Here we found that PGSs explain up to 0.44% of the phenotypic variance in AGG in 7-year olds and 0.2% of the variance in retrospectively reported adolescent CD. Note that differences in ages, instrument and local best-practices have led to differences in explained variance. Future studies may explore the utility of these PGSs in illuminating pleiotropy between AGGoverall and other traits. A limiting factor in this regard is the relatively low SNP-heritability, which puts an upper bound on the predictive accuracy of PGSs. Since measurement error suppresses SNP-heritability, better measurement may offer an avenue to higher powered GWAS, and subsequently to better PGS. Furthermore, sample sizes for developmental phenotypes, including AGG, may need to increase by one to two orders of magnitude before PGS become useful for individual patients.