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Published Online: 16 August 2023

Networks of Neurodevelopmental Traits, Socioenvironmental Factors, Emotional Dysregulation in Childhood, and Depressive Symptoms Across Development in Two U.K. Cohorts

Publication: American Journal of Psychiatry

Abstract

Objective:

Previous population-based studies have identified associations between childhood neurodevelopmental traits and depression in childhood, adolescence, and young adulthood. However, neurodevelopmental traits are highly correlated with each other, which could confound associations when traits are examined in isolation. The authors sought to identify unique associations between multiple neurodevelopmental traits in childhood and depressive symptoms across development, while taking into account co-occurring difficulties, in multivariate analyses.

Methods:

Data from two U.K. population-based cohorts, the Twins Early Development Study (TEDS) (N=4,407 independent twins) and the Avon Longitudinal Study of Parents and Children (ALSPAC) (N=10,351), were independently analyzed. Bayesian Gaussian graphical models were estimated to investigate pairwise conditional associations between neurodevelopmental traits (autism and ADHD symptoms and general cognitive, learning, and communication abilities), socioenvironmental stressors (academic performance and peer relations), and emotional dysregulation in childhood (ages 7–11) and depressive symptoms across development (ages 12, 16, and 21).

Results:

In both cohorts, bivariate correlations indicated several associations between neurodevelopmental traits and depressive symptoms across development. However, based on replicated findings across cohorts, these pairs of variables were mostly conditionally independent, and none were conditionally associated, after accounting for socioenvironmental stressors and emotional dysregulation. In turn, socioenvironmental stressors and emotional dysregulation were conditionally associated with both neurodevelopmental traits and depressive symptoms. Based on replicated findings across cohorts, neurodevelopmental traits in childhood could be associated only indirectly with depressive symptoms across development.

Conclusions:

This study indicates that associations between childhood neurodevelopmental traits and depressive symptoms across development could be explained by socioenvironmental stressors and emotional dysregulation. The present findings could inform future research aimed at the prevention of depression in youths with neurodevelopmental disorders.

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Supplementary Material

File (appi.ajp.20220868.ds001.pdf)

Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 755 - 765
PubMed: 37583326

History

Received: 17 October 2022
Revision received: 24 January 2023
Revision received: 21 March 2023
Revision received: 10 May 2023
Revision received: 26 May 2023
Accepted: 31 May 2023
Published online: 16 August 2023
Published in print: October 1, 2023

Keywords

  1. Autism Spectrum Disorder (ASD)
  2. Attention Deficit Hyperactivity Disorder (ADHD)
  3. Child/Adolescent Psychiatry
  4. Depressive Disorders
  5. Network Analysis
  6. Neurodevelopmental Traits

Authors

Affiliations

Luis C. Farhat, M.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
Rachel Blakey, Ph.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
George Davey Smith, F.R.S.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
André Fujita, Ph.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
Elizabeth Shephard, Ph.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
Evie Stergiakouli, Ph.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
Thalia C. Eley, Ph.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
Anita Thapar, M.D., Ph.D.
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).
Guilherme V. Polanczyk, M.D., Ph.D. [email protected]
Department of Psychiatry, Faculdade de Medicina FMUSP (Farhat, Shephard, Polanczyk), and Department of Computer Science, Instituto de Matemática e Estatística (Fujita), Universidade de São Paulo, São Paulo, Brazil; MRC Integrative Epidemiology Unit and Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, U.K. (Blakey, Davey Smith, Stergiakouli); Department of Child and Adolescent Psychiatry (Shephard) and Social, Genetic, and Developmental Psychiatry Centre (Eley), Institute of Psychiatry, Psychology, and Neuroscience, King’s College London; Wolfson Centre for Young People’s Mental Health and Child and Adolescent Psychiatry Section, Division of Psychological Medicine, Cardiff University School of Medicine, Cardiff, U.K. (Thapar).

Notes

Send correspondence to Prof. Polanczyk ([email protected]).

Author Contributions

Drs. Farhat and Blakey contributed equally to this work.

Funding Information

Dr. Farhat was supported by São Paulo Research Foundation grant 2021/08540-0, which was supported by São Paulo Research Foundation grant 2016/22455-8 awarded to Prof. Polanczyk. Dr. Blakey was supported by Wellcome Trust grant 204895/Z/16/Z, which was awarded to Dr. Stergiakouli and Profs. Thapar and Davey Smith. Dr. Blakey, Dr. Stergiakouli, and Prof. Davey Smith work in a unit that receives funding from the University of Bristol and the U.K. Medical Research Council (grant MC_UU_00011/1). Dr. Shephard was supported by a Young Investigator award from the São Paulo Research Foundation (grant 2020/05964-1).Prof. Davey Smith is a scientific advisory board member for Insitro and Relation Therapeutics. Prof. Polanczyk has served as a consultant, an advisory board member, and/or a speaker for Abbott, Aché, Apsen, Medice, Novo Nordisk, and Takeda and has received royalties from Editora Manole. The other authors report no financial relationships with commercial interests.

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