Interaction between SLC6A4 promoter variants and childhood trauma on the age at onset of bipolar disorders.
- Authors
- Etain, B; Lajnef, M; Henrion, A; DargΓ©l, A A; Stertz, L; Kapczinski, F; Mathieu, F; Henry, C; Gard, S; Kahn, J P; Leboyer, M; Jamain, S; Bellivier, F
- Year
- 2015
- Journal
- Scientific reports
- PMID
- 26542422
- DOI
- 10.1038/srep16301
- PMCID
- PMC4635347
Age at onset (AAO) of bipolar disorders (BD) could be influenced both by a repeat length polymorphism (5HTTLPR) in the promoter region of the serotonin transporter gene (SLC6A4) and exposure to childhood trauma. We assessed 308 euthymic patients with BD for the AAO of their first mood episode and childhood trauma. Patients were genotyped for the 5HTTLPR (long/short variant) and the rs25531. Genotypes were classified on functional significance (LL, LS, SS). A sample of 126 Brazilian euthymic patients with BD was used for replication. In the French sample, the correlation between AAO and trauma score was observed only among 'SS' homozygotes (p = 0.002) but not among 'L' allele carriers. A history of at least one trauma decreased the AAO only in 'SS' homozygotes (p = 0.001). These results remained significant after correction using FDR. Regression models suggested an interaction between emotional neglect and 'SS' genotype on the AAO (p = 0.009) and no further interaction with other trauma subtypes. Partial replication was obtained in the Brazilian sample, showing an interaction between emotional abuse and 'LS' genotype on the AAO (p = 0.02). In conclusion, an effect of childhood trauma on AAO of BD was observed only in patients who carry a specific stress responsiveness-related SLC6A4 promoter genotype.
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| Citation | PMID | DOI | Status |
|---|---|---|---|
| AasM. et al. Additive effects of childhood abuse and cannabis abuse on clinical expressions of bipolar disorders. Psychol Med, 1β10, 10.1017/S0033291713002316 (2013).24028906 | β | β | β |
| American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, French Edition: by Masson, Paris. (1994). | β | β | β |
| BalestriM., CalatiR., SerrettiA. & De RonchiD. Genetic modulation of personality traits: a systematic review of the literature. International clinical psychopharmacology 29, 1β15, 10.1097/YIC.0b013e328364590b (2014).24100617 | β | β | β |
| BauerM. et al. Impact of sunlight on the age of onset of bipolar disorder. Bipolar Disord 14, 654β663, 10.1111/j.1399-5618.2012.01025.x (2012).22612720PMC3525652 | β | β | β |
| BauerM. et al. Influence of light exposure during early life on the age of onset of bipolar disorder. J Psychiatr Res 64, 1β8, 10.1016/j.jpsychires.2015.03.013 (2015).25862378 | β | β | β |
| BauerM. et al. Relationship between sunlight and the age of onset of bipolar disorder: an international multisite study. J Affect Disord 167, 104β111, 10.1016/j.jad.2014.05.032 (2014).24953482 | β | β | β |
| BechP., RafaelsenO. J., KrampP. & BolwigT. G. The mania rating scale: scale construction and inter-observer agreement. Neuropharmacology 17, 430β431 (1978).67316110.1016/0028-3908(78)90022-9 | β | β | β |
| BellivierF. et al. Age at onset in bipolar I affective disorder in the USA and Europe. The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry 15, 369β376, 10.3109/15622975.2011.639801 (2014).22188366 | β | β | β |
| BellivierF. et al. Age at onset in bipolar I affective disorder: further evidence for three subgroups. Am J Psychiatry 160, 999β1001 (2003).1272770810.1176/appi.ajp.160.5.999 | β | β | β |
| BellivierF. et al. Apolipoprotein E gene polymorphism in early and late onset bipolar patients. Neurosci Lett. 233, 45β48. (1997).932423610.1016/s0304-3940(97)00624-1 | β | β | β |
| BellivierF. et al. Serotonin transporter gene polymorphism influences age at onset in patients with bipolar affective disorder. Neurosci Lett 334, 17β20 (2002).1243176510.1016/s0304-3940(02)01029-7 | β | β | β |
| BellivierF., GolmardJ. L., HenryC., LeboyerM. & SchurhoffF. Admixture analysis of age at onset in bipolar I affective disorder. Arch Gen Psychiatry 58, 510β512 (2001).1134353310.1001/archpsyc.58.5.510 | β | β | β |
| BenedettiF. et al. A glycogen synthase kinase 3-beta promoter gene single nucleotide polymorphism is associated with age at onset and response to total sleep deprivation in bipolar depression. Neurosci Lett 368, 123β126 (2004).1535143210.1016/j.neulet.2004.06.050 | β | β | β |
| BenedettiF. et al. A length polymorphism in the circadian clock gene Per3 influences age at onset of bipolar disorder. Neurosci Lett 445, 184β187, 10.1016/j.neulet.2008.09.002 (2008).18789374 | β | β | β |
| BenedettiF. et al. The serotonin transporter genotype modulates the relationship between early stress and adult suicidality in bipolar disorder. Bipolar Disord 16, 857β866, 10.1111/bdi.12250 (2014).25219494 | β | β | β |
| BernsteinD. P. & FinkL. Childhood Trauma Questionnaire: a retrospective self-report - Manual. (The psychological CorporationβHarcourt Brace and Company. 1998). | β | β | β |
| BernsteinD. P. et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 151, 1132β1136 (1994).803724610.1176/ajp.151.8.1132 | β | β | β |
| BraehlerC. et al. Diurnal cortisol in schizophrenia patients with childhood trauma. Schizophr Res 79, 353β354 (2005).1605530710.1016/j.schres.2004.07.007 | β | β | β |
| BremnerJ. D. Neuroimaging of childhood trauma. Semin Clin Neuropsychiatry 7, 104β112 (2002).1195393410.1053/scnp.2002.31787 | β | β | β |
| CaspiA. et al. Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 301, 386β389 (2003).1286976610.1126/science.1083968 | β | β | β |
| CaspiA., HaririA. R., HolmesA., UherR. & MoffittT. E. Genetic sensitivity to the environment: the case of the serotonin transporter gene and its implications for studying complex diseases and traits. Am J Psychiatry 167, 509β527, 10.1176/appi.ajp.2010.09101452 (2010).20231323PMC2943341 | β | β | β |
| ChiaroniP. et al. Possible involvement of the dopamine D3 receptor locus in subtypes of bipolar affective disorder. Psychiatr Genet 10, 43β49 (2000).1090912810.1097/00041444-200010010-00008 | β | β | β |
| Daruy-FilhoL., BrietzkeE., LaferB. & Grassi-OliveiraR. Childhood maltreatment and clinical outcomes of bipolar disorder. Acta Psychiatr Scand 124, 427β434, 10.1111/j.1600-0447.2011.01756.x (2011).21848703 | β | β | β |
| De PradierM., GorwoodP., BeaufilsB., AdesJ. & DubertretC. Influence of the serotonin transporter gene polymorphism, cannabis and childhood sexual abuse on phenotype of bipolar disorder: a preliminary study. European psychiatry: the journal of the Association of European Psychiatrists 25, 323β327, 10.1016/j.eurpsy.2009.10.002 (2010).20434316 | β | β | β |
| DelBelloM. P. et al. Prior stimulant treatment in adolescents with bipolar disorder: association with age at onset. Bipolar Disord 3, 53β57 (2001).1133306210.1034/j.1399-5618.2001.030201.x | β | β | β |
| DiLilloD. et al. Retrospective assessment of childhood sexual and physical abuse: a comparison of scaled and behaviorally specific approaches. Assessment. 13, 297β312 (2006).1688028110.1177/1073191106288391 | β | β | β |
| DizierM. H. et al. Genetic heterogeneity according to age at onset in bipolar disorder: a combined positional cloning and candidate gene approach. American journal of medical genetics. Part B, Neuropsychiatric genetics: the official publication of the International Society of Psychiatric Genetics 159B, 653β659, 10.1002/ajmg.b.32069 (2012).22628130 | β | β | β |
| Dmitrzak-WeglarzM. et al. Dopamine receptor D1 gene -48A/G polymorphism is associated with bipolar illness but not with schizophrenia in a Polish population. Neuropsychobiology 53, 46β50 (2006).1639740410.1159/000090703 | β | β | β |
| DrabantE. M. et al. Neural mechanisms underlying 5-HTTLPR-related sensitivity to acute stress. Am J Psychiatry 169, 397β405, 10.1176/appi.ajp.2011.10111699 (2012).22362395PMC3761065 | β | β | β |
| DuncanL. E. & KellerM. C. A critical review of the first 10 years of candidate gene-by-environment interaction research in psychiatry. Am J Psychiatry 168, 1041β1049, 10.1176/appi.ajp.2011.11020191 (2011).21890791PMC3222234 | β | β | β |
| EtainB. et al. A SNAP25 promoter variant is associated with early-onset bipolar disorder and a high expression level in brain. Mol Psychiatry 15, 748β755, 10.1038/mp.2008.148 (2010).19125158PMC2937032 | β | β | β |
| EtainB. et al. Childhood Trauma Is Associated With Severe Clinical Characteristics of Bipolar Disorders. Journal of Clinical Psychiatry 74, 991β998 (2013).2422975010.4088/JCP.13m08353 | β | β | β |
| EtainB. et al. Clinical expression of bipolar disorder type I as a function of age and polarity at onset: convergent findings in samples from France and the United States. J Clin Psychiatry 73, e561β566, 10.4088/JCP.10m06504 (2012).22579163 | β | β | β |
| Evans-LackoS. E., ZeberJ. E., GonzalezJ. M. & OlveraR. L. Medical comorbidity among youth diagnosed with bipolar disorder in the United States. J Clin Psychiatry 70, 1461β1466, 10.4088/JCP.08m04871 (2009).19744408 | β | β | β |
| FicksC. A. & WaldmanI. D. Candidate Genes for Aggression and Antisocial Behavior: A Meta-analysis of Association Studies of the 5HTTLPR and MAOA-uVNTR. Behavior genetics, 10.1007/s10519-014-9661-y (2014).24902785 | β | β | β |
| FirstM., SptzerR., GibbonM. & WilliamJ. Structured Clinical Interview for DSM-IV Axis I DisordersβPatient Edition (SCID-I/P). (New York State Psychiatric Institute., 1995). | β | β | β |
| FisherH. & HosangG. Childhood Maltreatment and Bipolar Disorder: A Critical Review of the Evidence. Mind & Brain, the Journal of Psychiatry, 1β11 (2010). | β | β | β |
| GeoffroyP. A. et al. Reconsideration of bipolar disorder as a developmental disorder: Importance of the time of onset. Journal of physiology, Paris 107, 278β285, 10.1016/j.jphysparis.2013.03.006 (2013).23542544 | β | β | β |
| GizerI. R., FicksC. & WaldmanI. D. Candidate gene studies of ADHD: a meta-analytic review. Human genetics 126, 51β90, 10.1007/s00439-009-0694-x (2009).19506906 | β | β | β |
| GoodmanM., NewA. & SieverL. Trauma, genes, and the neurobiology of personality disorders. Ann N Y Acad Sci 1032, 104β116 (2004).1567739810.1196/annals.1314.008 | β | β | β |
| Grassi-OliveiraR., SteinL. M. & PezziJ. C. [Translation and content validation of the Childhood Trauma Questionnaire into Portuguese language]. Revista de saude publica 40, 249β255, /S0034-89102006000200010 (2006).1658303510.1590/s0034-89102006000200010 | β | β | β |
| HardtJ. & RutterM. Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. J Child Psychol Psychiatry. 45, 260β273. (2004).1498224010.1111/j.1469-7610.2004.00218.x | β | β | β |
| HaririA. R. & HolmesA. Genetics of emotional regulation: the role of the serotonin transporter in neural function. Trends Cogn Sci. 10, 182β191. Epub 2006 Mar 2010. (2006).1653046310.1016/j.tics.2006.02.011 | β | β | β |
| HeffnerJ. L., DelBelloM. P., FleckD. E., AnthenelliR. M. & StrakowskiS. M. Cigarette smoking in the early course of bipolar disorder: association with ages-at-onset of alcohol and marijuana use. Bipolar Disord 10, 838β845, 10.1111/j.1399-5618.2008.00630.x (2008).19032716 | β | β | β |
| HeimC. & NemeroffC. B. The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies. Biol Psychiatry 49, 1023β1039 (2001).1143084410.1016/s0006-3223(01)01157-x | β | β | β |
| HeimC. et al. The role of early adverse experience and adulthood stress in the prediction of neuroendocrine stress reactivity in women: a multiple regression analysis. Depress Anxiety 15, 117β125 (2002).1200118010.1002/da.10015 | β | β | β |
| JamainS. et al. Common and rare variant analysis in early-onset bipolar disorder vulnerability. PloS one 9, e104326, 10.1371/journal.pone.0104326 (2014).25111785PMC4128749 | β | β | β |
| KargK., BurmeisterM., SheddenK. & SenS. The serotonin transporter promoter variant (5-HTTLPR), stress, and depression meta-analysis revisited: evidence of genetic moderation. Arch Gen Psychiatry 68, 444β454, 10.1001/archgenpsychiatry.2010.189 (2011).21199959PMC3740203 | β | β | β |
| LagerbergT. V. et al. Excessive cannabis use is associated with earlier age at onset in bipolar disorder. European archives of psychiatry and clinical neuroscience 261, 397β405, 10.1007/s00406-011-0188-4 (2011).21267743PMC3159738 | β | β | β |
| LagerbergT. V. et al. Indications of a dose-response relationship between cannabis use and age at onset in bipolar disorder. Psychiatry Res 215, 101β104, 10.1016/j.psychres.2013.10.029 (2014).24262665 | β | β | β |
| LeboyerM., HenryC., Paillere-MartinotM. L. & BellivierF. Age at onset in bipolar affective disorders: a review. Bipolar Disord 7, 111β118 (2005).1576285110.1111/j.1399-5618.2005.00181.x | β | β | β |
| LeeY. J. & KimY. K. The impact of glycogen synthase kinase 3beta gene on psychotic mania in bipolar disorder patients. Progress in neuro-psychopharmacology & biological psychiatry 35, 1303β1308, 10.1016/j.pnpbp.2011.04.006 (2011).21549170 | β | β | β |
| Lev-RanS., Le FollB., McKenzieK., GeorgeT. P. & RehmJ. Bipolar disorder and co-occurring cannabis use disorders: Characteristics, co-morbidities and clinical correlates. Psychiatry Res, 10.1016/j.psychres.2012.12.014 (2013).23312479 | β | β | β |
| LinP. I. et al. Clinical correlates and familial aggregation of age at onset in bipolar disorder. Am J Psychiatry 163, 240β246 (2006).1644947710.1176/appi.ajp.163.2.240 | β | β | β |
| LinY. F., HuangM. C. & LiuH. C. Glycogen synthase kinase 3beta gene polymorphisms may be associated with bipolar I disorder and the therapeutic response to lithium. J Affect Disord 147, 401β406, 10.1016/j.jad.2012.08.025 (2013).23021822 | β | β | β |
| ManchiaM. et al. Mixture regression analysis on age at onset in bipolar disorder patients: investigation of the role of serotonergic genes. European neuropsychopharmacology: the journal of the European College of Neuropsychopharmacology 20, 663β670, 10.1016/j.euroneuro.2010.04.001 (2010).20452754 | β | β | β |
| ManiglioR. The impact of child sexual abuse on the course of bipolar disorder: a systematic review. Bipolar Disord 15, 341β358, 10.1111/bdi.12050 (2013).23346867 | β | β | β |
| MassatI. et al. COMT and age at onset in mood disorders: a replication and extension study. Neurosci Lett 498, 218β221, 10.1016/j.neulet.2011.05.012 (2011).21600957 | β | β | β |
| MillerS. et al. Brain-derived neurotrophic factor val66met genotype and early life stress effects upon bipolar course. J Psychiatr Res 47, 252β258, 10.1016/j.jpsychires.2012.10.015 (2013).23182421PMC3529984 | β | β | β |
| MinH. J. et al. Association of the Brain-derived Neurotrophic Factor Gene and Clinical Features of Bipolar Disorder in Korea. Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology 10, 163β167, 10.9758/cpn.2012.10.3.163 (2012).23430274PMC3569161 | β | β | β |
| MontgomeryS. A. & AsbergM. A new depression scale designed to be sensitive to change. Br J Psychiatry 134, 382β389 (1979).44478810.1192/bjp.134.4.382 | β | β | β |
| MunafoM. R., BrownS. M. & HaririA. R. Serotonin transporter (5-HTTLPR) genotype and amygdala activation: a meta-analysis. Biol Psychiatry 63, 852β857, 10.1016/j.biopsych.2007.08.016 (2008).17949693PMC2755289 | β | β | β |
| MunafoM. R., DurrantC., LewisG. & FlintJ. Gene X environment interactions at the serotonin transporter locus. Biol Psychiatry 65, 211β219, 10.1016/j.biopsych.2008.06.009 (2009).18691701 | β | β | β |
| NurnbergerJ. I.Jr. et al. Diagnostic interview for genetic studies. Rationale, unique features, and training. NIMH Genetics Initiative. Arch Gen Psychiatry 51, 849β859; discussion 863β844 (1994).794487410.1001/archpsyc.1994.03950110009002 | β | β | β |
| OliveiraJ. et al. Combined effect of TLR2 gene polymorphism and early life stress on the age at onset of bipolar disorders. PloS one 10, e0119702, 10.1371/journal.pone.0119702 (2015).25790282PMC4366110 | β | β | β |
| Ospina-DuqueJ. et al. An association study of bipolar mood disorder (type I) with the 5-HTTLPR serotonin transporter polymorphism in a human population isolate from Colombia. Neurosci Lett 292, 199β202 (2000).1101831110.1016/s0304-3940(00)01464-6 | β | β | β |
| OβMahonyE. et al. Sibling pairs with affective disorders: resemblance of demographic and clinical features. Psychol Med 32, 55β61 (2002).1188373010.1017/s0033291701004986 | β | β | β |
| PaquetteD., LaporteL., BigrasM. & ZoccolilloM. Validation de la version franΓ§aise du CTQ et prΓ©valence de lβhistoire de maltraitance SantΓ© Mentale au QuΓ©bec 29, 201β220 (2004).1547057310.7202/008831ar | β | β | β |
| Pergamin-HightL., Bakermans-KranenburgM. J., van IjzendoornM. H. & Bar-HaimY. Variations in the promoter region of the serotonin transporter gene and biased attention for emotional information: a meta-analysis. Biol Psychiatry 71, 373β379, 10.1016/j.biopsych.2011.10.030 (2012).22138391 | β | β | β |
| PriebeL. et al. Genome-wide survey implicates the influence of copy number variants (CNVs) in the development of early-onset bipolar disorder. Mol Psychiatry 17, 421β432, 10.1038/mp.2011.8 (2012).21358712 | β | β | β |
| ReichartC. G. & NolenW. A. Earlier onset of bipolar disorder in children by antidepressants or stimulants? An hypothesis. J Affect Disord 78, 81β84 (2004).1467280110.1016/s0165-0327(02)00180-5 | β | β | β |
| RischN. et al. Interaction between the serotonin transporter gene (5-HTTLPR), stressful life events, and risk of depression: a meta-analysis. JAMA 301, 2462β2471, 10.1001/jama.2009.878 (2009).19531786PMC2938776 | β | β | β |
| RoyA. Self-rated childhood emotional neglect and CSF monoamine indices in abstinent cocaine-abusing adults: possible implications for suicidal behavior. Psychiatry Res 112, 69β75 (2002).1237945210.1016/s0165-1781(02)00176-2 | β | β | β |
| RoyA. Urinary free cortisol and childhood trauma in cocaine dependent adults. J Psychiatr Res 36, 173β177 (2002).1188669510.1016/s0022-3956(02)00002-x | β | β | β |
| RoyC. A. & PerryJ. C. Instruments for the assessment of childhood trauma in adults. J Nerv Ment Dis. 192, 343β351. (2004).1512688810.1097/01.nmd.0000126701.23121.fa | β | β | β |
| SchulzeT. G., HedekerD., ZandiP., RietschelM. & McMahonF. J. What is familial about familial bipolar disorder? Resemblance among relatives across a broad spectrum of phenotypic characteristics. Arch Gen Psychiatry 63, 1368β1376 (2006).1714601110.1001/archpsyc.63.12.1368 | β | β | β |
| SpijkerA. T. et al. Glucocorticoid and mineralocorticoid receptor polymorphisms and clinical characteristics in bipolar disorder patients. Psychoneuroendocrinology 36, 1460β1469, 10.1016/j.psyneuen.2011.03.020 (2011).21531081 | β | β | β |
| SquassinaA. et al. Age at onset in bipolar disorder: Investigation of the role of TaqIA polymorphism of DRD2 gene in a Sardinian sample. European psychiatry: the journal of the Association of European Psychiatrists 26, 141β143, 10.1016/j.eurpsy.2010.09.013 (2011).21292452 | β | β | β |
| StataCorp. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP (2011). | β | β | β |
| StroberM. et al. A family study of bipolar I disorder in adolescence. Early onset of symptoms linked to increased familial loading and lithium resistance. J Affect Disord. 15, 255β268. (1988).297529810.1016/0165-0327(88)90023-7 | β | β | β |
| UherR. Gene-environment interactions in severe mental illness. Frontiers in psychiatry 5, 48, 10.3389/fpsyt.2014.00048 (2014).24860514PMC4030208 | β | β | β |
| WendlandJ. R., MartinB. J., KruseM. R., LeschK. P. & MurphyD. L. Simultaneous genotyping of four functional loci of human SLC6A4, with a reappraisal of 5-HTTLPR and rs25531. Mol Psychiatry 11, 224β226, 10.1038/sj.mp.4001789 (2006).16402131 | β | β | β |
| ZhangD. et al. Singleton deletions throughout the genome increase risk of bipolar disorder. Mol Psychiatry 14, 376β380, 10.1038/mp.2008.144 (2009).19114987PMC2735188 | β | β | β |
| ZhangX. et al. Association of genetic variation in CACNA1C with bipolar disorder in Han Chinese. J Affect Disord, 10.1016/j.jad.2013.04.004 (2013).23680436 | β | β | β |
In this knowledge base
| Title | Year | PMID |
|---|---|---|
| Collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression. | 2018 | 28373689 |
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Genetic Predisposition and Genetic Resilience Factors in Stress-Related Disorders During the Developmental Age: A Narrative Review. | Raffagnato A et al. | β | 2025 | β |
| The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders. | Lippard ETC et al. | β | 2023 | β |
| Biomarker potential of hsa-miR-145-5p in peripheral whole blood of manic bipolar I patients. | Tekin SS et al. | β | 2022 | β |
| Going beyond risk factor: Childhood maltreatment and associated modifiable targets to improve life-long outcomes in mood disorders. | Lippard ETC et al. | β | 2022 | β |
| Bipolar disorder: Trimodal age-at-onset distribution. | Bolton S et al. | β | 2021 | β |
| Childhood Maltreatment in Bipolar Disorders. | Etain B et al. | β | 2021 | β |
| Childhood maltreatment, prefrontal-paralimbic gray matter volume, and substance use in young adults and interactions with risk for bipolar disorder. | Kirsch DE et al. | β | 2021 | β |
| Interaction between adverse childhood experiences and polygenic risk in patients with bipolar disorder. | Park YM et al. | β | 2020 | β |
| Proof-of-concept study of a multi-gene risk score in adolescent bipolar disorder. | Dimick MK et al. | β | 2020 | β |
| The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders. | Lippard ETC et al. | β | 2020 | β |
| Collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression. | Culverhouse RC et al. | β | 2018 | β |
| Childhood trauma is associated with increased brain responses to emotionally negative as compared with positive faces in patients with psychotic disorders. | Aas M et al. | β | 2017 | β |
| Environmental factors, life events, and trauma in the course of bipolar disorder. | Aldinger F et al. | β | 2017 | β |
| The role of childhood trauma in bipolar disorders. | Aas M et al. | β | 2016 | β |