Genetic risk for schizophrenia and autism, social impairment and developmental pathways to psychosis

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Icahn School of Medicine at Mount Sinai
  • New York University
  • Vanderbilt University
  • Heidelberg University 
  • Trinity College Dublin
  • University of Hamburg
  • King's College London (KCL)
  • University of Mannheim
  • French Alternative Energies and Atomic Energy Commission (CEA)
  • University of Vermont
  • University of Nottingham
  • Charité – Universitätsmedizin Berlin
  • Physikalisch-Technische Bundesanstalt
  • INSERM - Institut national de la santé et de la recherche médicale
  • Service Hospitalier Frederic Joliot
  • Université Paris-Saclay
  • Université Paris Cité
  • Hospital Group Nord-Essonne
  • University of Toronto
  • University of Göttingen
  • Medical University of Vienna
  • The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH)
  • Aarhus University
  • MHC Sct. Hans
  • University of Copenhagen
  • Statens Serum Institut
  • Massachusetts General Hospital
  • Broad Institute of Harvard University and MIT
  • Harvard University

Abstract

While psychotic experiences (PEs) are assumed to represent psychosis liability, general population studies have not been able to establish significant associations between polygenic risk scores (PRS) and PEs. Previous work suggests that PEs may only represent significant risk when accompanied by social impairment. Leveraging data from the large longitudinal IMAGEN cohort, including 2096 14-year old adolescents that were followed-up to age 18, we tested whether the association between polygenic risk and PEs is mediated by (increasing) impairments in social functioning and social cognitive processes. Using structural equation modeling (SEM) for the subset of participants (n = 643) with complete baseline and follow-up data, we examined pathways to PEs. We found that high polygenic risk for schizophrenia (p = 0.014), reduced brain activity to emotional stimuli (p = 0.009) and social impairments in late adolescence (p < 0.001; controlling for functioning in early adolescence) each independently contributed to the severity of PEs at age 18. The pathway between polygenic risk for autism spectrum disorder and PEs was mediated by social impairments in late adolescence (indirect pathway; p = 0.025). These findings point to multiple direct and indirect pathways to PEs, suggesting that different processes are in play, depending on genetic loading, and environment. Our results suggest that treatments targeting prevention of social impairment may be particularly promising for individuals at genetic risk for autism in order to minimize risk for psychosis.

Details

Original languageEnglish
Article number204
JournalTranslational psychiatry
Volume8
Issue number1
Publication statusPublished - 1 Dec 2018
Peer-reviewedYes

External IDs

PubMed 30258131
ORCID /0000-0001-5398-5569/work/161890740
ORCID /0000-0002-8493-6396/work/161891654