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Chunk #18 — 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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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 to be placed on a variety of sources of information, including retrospective data, to study G×E. Third, we used a self-report measure of aggression, and the social desirability bias of some subjects might have affected their self-reporting of aggression. Subjects motivated by need for social approval may not report as much aggression as those to whom social approval is less important. Such a bias, however, probably reduced our ability to detect interaction effects and thus implies that the findings are conservative estimates of G×E. Fourth, we included women in our sample to assess the impact of gender on the MAOA-early trauma interaction. Few studies investigating MAOA-related aggression have included female subjects [25], [26]. Inclusion of women in such studies is complicated by the fact that somatic MAOA allele mosaicism, due to X-chromosome inactivation, makes classification of heterozygous females problematic. Previous research has shown that female heterozygotes show patterns of neural activity intermediate between MAOA-L and MAOA-H male hemizygotes and that