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Chunk #17 — Discussion

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Early trauma and increased risk for physical aggression during adulthood: the moderating role of MAOA genotype.
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This study has several limitations, the first of which is the small sample size. Studies relating genetic polymorphisms to behavioral or self-report assessments typically use much larger samples. Thus, the present results should be interpreted with caution until these findings have been replicated in larger samples. However, the within-study replication in psychiatric patients and healthy volunteers justifies a fairly high level of confidence. Second, we used a retrospective measure to assess the occurrence of traumatic events during childhood. When the type of events assessed is not limited to objective trauma (e.g., death of mother) but also includes perceived situations (e.g., parental marital problems), retrospective data may be subject to faulty recall or systematic distortions, even though the construct validity of our measure of early trauma was supported by its strong association with later-life aggression, in accordance with most other studies related to this topic. Although prospective studies are clearly desirable in delineating the role of early environment in the development of later-life aggressive behavior, such investigations face daunting methodological difficulties. Until such methodological problems can be overcome, reliance will have