Evidence map›Paper›PMID 22393221›Full record

ArticleArchives of general psychiatry2012

Common heritable contributions to low-risk trauma, high-risk trauma, posttraumatic stress disorder, and major depression.

Carolyn E Sartor, Julia D Grant, Michael T Lynskey, Vivia V McCutcheon, Mary Waldron, Dixie J Statham, Kathleen K Bucholz, Pamela A F Madden, Andrew C Heath, Nicholas G Martin and 1 more

Open access · greenAbstract readTwin Study
In one paragraph

Article in Archives of general psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 5 pooled it
17.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 5 syntheses or guidelines pooled it, 212 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Treatment of posttraumatic stress disorder (PTSD).Dialogues in clinical neuroscience · 2026
    Review
  8. Article
  9. Post-traumatic stress disorder.Nature reviews. Disease primers · 2026
    Review
  10. Genetic heritage of war: exploring transgenerational inheritance of PTSD and its molecular background.Mammalian genome : official journal of the International Mammalian Genome Society · 2026
    Review
  11. Article
  12. Childhood trauma and subclinical cin early adulthood: A genetically informative study.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  13. Article
  14. Article
  15. Polygenic andmedRxiv : the preprint server for health sciences · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Carolyn E SartorDepartment of Psychiatry, Yale School of Medicine, VA Connecticut Healthcare System, USA. carolyn.sartor@yale.edu
Julia D Grant
Michael T Lynskey
Vivia V McCutcheon
Mary Waldron
Dixie J Statham
Kathleen K Bucholz
Pamela A F Madden
Andrew C Heath
Nicholas G Martin
Elliot C Nelson
VA Connecticut Healthcare System · US

Funding

PILOT--GENETIC EPIDEMIOLOGY OF ALCOHOL AND TOBACCO CONSUMPTION IN CHINESE SAMPLEP50AA011998 · NIAAA · WASHINGTON UNIVERSITY · PI HEATH, ANDREW C. · 1999 to 2008
$12.6M
THE GENETICS OF VULNERABILITY TO NICOTINE ADDICTIONSR01DA012854 · NIDA · WASHINGTON UNIVERSITY · PI MADDEN, PAMELA ANN · 2000 to 2013
$10.4M
Resource CoreP60AA011998 · NIAAA · WASHINGTON UNIVERSITY · PI HEATH, ANDREW C. · 2009 to 2013
$8.8M
Alcoholism: Epidemiologic High Risk Family Study - MOFAMR01AA012640 · NIAAA · WASHINGTON UNIVERSITY · PI BUCHOLZ, KATHLEEN KEENAN · 2001 to 2011
$6.3M
Gene Environment in Outcomes of Offspring of Twins with Substance Use DisordersR01DA014363 · NIDA · WASHINGTON UNIVERSITY · PI BUCHOLZ, KATHLEEN KEENAN · 2001 to 2011
$5.7M
Childhood Trauma, Parental Alcoholism,and ComorbidityR01AA013446 · NIAAA · WASHINGTON UNIVERSITY · PI NELSON, ELLIOT C · 2002 to 2006
$2.2M
GENE-ENVIRONMENT INTERPLAY IN ALCOHOLISMK05AA017688 · NIAAA · WASHINGTON UNIVERSITY · PI HEATH, ANDREW C. · 2008 to 2017
$1.9M
Substance Use in Early Adolescence: Risks From Parental SUDS, Parental SeparatioK01DA023696 · NIDA · WASHINGTON UNIVERSITY · PI WALDRON, MARY C · 2008 to 2012
$727k
GENETIC AND ENVIRONMENTAL CONTRIBUTIONS TO THE COURSE OF ALCOHOL USE IN WOMENK08AA017921 · NIAAA · YALE UNIVERSITY · PI SARTOR, CAROLYN E · 2010 to 2014
$709k
Predictors of Alcohol Recovery and Relapse Among Female Drunk DriversK01AA018146 · NIAAA · WASHINGTON UNIVERSITY · PI MCCUTCHEON, VIVIA V · 2009 to 2013
$594k
The Genetics of Vulnerability to Nicotine AddictionsR56DA012854 · NIDA · WASHINGTON UNIVERSITY · PI MADDEN, PAMELA ANN · 2007 to 2007
$436k
PERSISTENCE AND CHANGE IN DRINKING HABITS--PROJECT TWOR01AA010249 · NIAAA · WASHINGTON UNIVERSITY · PI HEATH, ANDREW C. · 1995 to 1998
–
NIAAA NIH HHS AA011998NIAAA NIH HHS AA011998_5978NIAAA NIH HHS AA013446NIAAA NIH HHS AA017921NIAAA NIH HHS AA018146NIAAA NIH HHS AA12640NIAAA NIH HHS K01 AA018146NIAAA NIH HHS K05 AA017688NIAAA NIH HHS K08 AA017921NIAAA NIH HHS P50 AA011998NIAAA NIH HHS P60 AA011998NIAAA NIH HHS R01 AA010249NIAAA NIH HHS R01 AA012640NIAAA NIH HHS R01 AA013446NIDA NIH HHS DA012854NIDA NIH HHS DA023696NIDA NIH HHS DA14363NIDA NIH HHS K01 DA023696NIDA NIH HHS R01 DA012854NIDA NIH HHS R01 DA014363NIDA NIH HHS R56 DA012854
6 · The paper itself

Abstract

contextUnderstanding the relative contributions of genetic and environmental factors to trauma exposure, posttraumatic stress disorder (PTSD), and major depressive disorder (MDD) is critical to developing etiologic models of these conditions and their co-occurrence.

objectivesTo quantify heritable influences on low-risk trauma, high-risk trauma, PTSD, and MDD and to estimate the degree of overlap between genetic and environmental sources of variance in these 4 phenotypes.

designAdult twins and their siblings were ascertained from a large population-based sample of female and male twin pairs on the basis of screening items for childhood sexual abuse and physical abuse obtained in a previous assessment of this cohort.

settingStructured psychiatric telephone interviews.

participantsTotal sample size of 2591: 996 female and 536 male twins; 625 female and 434 male nontwin siblings.

main outcome measureLifetime low- and high-risk trauma exposure, PTSD, and MDD.

resultsIn the best-fitting genetic model, 47% of the variance in low-risk trauma exposure and 60% of the variance in high-risk trauma exposure was attributable to additive genetic factors. Heritable influences accounted for 46% of the variance in PTSD and 27% of the variance in MDD. An extremely high degree of genetic overlap was observed between high-risk trauma exposure and both PTSD (r = 0.89; 95% CI, 0.78-0.99) and MDD (r = 0.89; 95% CI, 0.77-0.98). Complete correlation of genetic factors contributing to PTSD and to MDD (r = 1.00) was observed.

conclusionsThe evidence suggests that almost all the heritable influences on high-risk trauma exposure, PTSD, and MDD, can be traced to the same sources; that is, genetic risk is not disorder specific. Individuals with a positive family history of either PTSD or MDD are at elevated risk for both disorders and should be closely monitored after a traumatic experience for symptoms of PTSD and MDD.

Indexed as

AdultAdult Survivors of Child AbuseChildChild AbuseChild Abuse, SexualComorbidityFemaleGenetic Predisposition to DiseaseHumansInterview, PsychologicalMajor Depressive DisorderMalePrevalenceSex FactorsStress Disorders, Post-TraumaticTwins

Identifiers

PMID22393221
PMCPMC3594801
OpenAlexW2110069004

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.