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Chunk #19 — COMMENT

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Common heritable contributions to low-risk trauma, high-risk trauma, posttraumatic stress disorder, and major depression.
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The present study furthers our understanding of the links among trauma, MDD, and PTSD. These findings provide additional evidence of the substantial contribution of genetic factors to liability for MDD and PTSD and the overlap in heritable influences on the 2 disorders; in this study, all the genetic influences on PTSD are attributable to heritable factors shared with MDD. We extended this line of investigation by incorporating trauma phenotypes into genetic models of PTSD and MDD and differentiating low- from high-risk trauma, which allowed us to uncover distinctions by trauma severity in genetic overlap with PTSD and MDD. The heritability estimate for high-risk trauma is only slightly higher than that for low-risk trauma; however, these results indicate that inherited vulnerabilities to MDD and PTSD are shared to a much greater extent with heritable influences on high-than low-risk trauma exposures.