Evidence map›Paper›PMID 27043157›Full record

ArticlePsychotherapy and psychosomatics2016

A Genome-Wide Test of the Differential Susceptibility Hypothesis Reveals a Genetic Predictor of Differential Response to Psychological Treatments for Child Anxiety Disorders.

Robert Keers, Jonathan R I Coleman, Kathryn J Lester, Susanna Roberts, Gerome Breen, Mikael Thastum, Susan Bögels, Silvia Schneider, Einar Heiervang, Richard Meiser-Stedman and 8 more

Open access · hybridAbstract readTwin Study
In one paragraph

Article in Psychotherapy and psychosomatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
14.8field-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

57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 132 citations in OpenAlex.

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  14. Research Review: A review of the past decade of family and genomic studies on adolescent mental health.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Review
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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

18 authors at 10 institutions in 6 countries.

Robert KeersDepartment of Biological and Experimental Psychology, School of Biological and Chemical Sciences, Queen Mary University of London, London, UK.
Jonathan R I Coleman
Kathryn J Lester
Susanna Roberts
Gerome Breen
Mikael Thastum
Susan Bögels
Silvia Schneider
Einar Heiervang
Richard Meiser-Stedman
Maaike Nauta
Cathy Creswell
Kerstin Thirlwall
Ronald M Rapee
Jennifer L Hudson
Cathryn Lewis
Robert Plomin
Thalia C Eley
King's College London · GBMacquarie University · AUUniversity of Reading · GBAarhus University · DKQueen Mary University of London · GBRuhr University Bochum · DEUniversity Medical Center Groningen · NLUniversity of Amsterdam · NLUniversity of East Anglia · GBUniversity of Oslo · NO

Funding

Genetics, School environments and cognitive developmentR01HD044454 · NICHD · KING'S COLLEGE LONDON · PI PLOMIN, ROBERT · 2005 to 2014
$3.4M
Genetics of Mathematical Cognition and DisabilitiesR01HD059215 · NICHD · OHIO STATE UNIVERSITY · PI PETRILL, STEPHEN A. · 2009 to 2012
$2.4M
Department of Health PB-PG-0107-12042Department of Health PB-PG-0110-21190Department of Health RP_2014-04-018Medical Research Council G0500079Medical Research Council G0601020Medical Research Council G0601874Medical Research Council G0802326Medical Research Council G0901245Medical Research Council G0901874Medical Research Council G1002011Medical Research Council G19/2Medical Research Council MC_EX_G0802821Medical Research Council MR/J011762/1Medical Research Council MR/K021281/1Medical Research Council MR/K021281/2Medical Research Council MR/M021475/1NICHD NIH HHS R01 HD044454NICHD NIH HHS R01 HD059215
6 · The paper itself

Abstract

backgroundThe differential susceptibly hypothesis suggests that certain genetic variants moderate the effects of both negative and positive environments on mental health and may therefore be important predictors of response to psychological treatments. Nevertheless, the identification of such variants has so far been limited to preselected candidate genes. In this study we extended the differential susceptibility hypothesis from a candidate gene to a genome-wide approach to test whether a polygenic score of environmental sensitivity predicted response to cognitive behavioural therapy (CBT) in children with anxiety disorders.

methodsWe identified variants associated with environmental sensitivity using a novel method in which within-pair variability in emotional problems in 1,026 monozygotic twin pairs was examined as a function of the pairs' genotype. We created a polygenic score of environmental sensitivity based on the whole-genome findings and tested the score as a moderator of parenting on emotional problems in 1,406 children and response to individual, group and brief parent-led CBT in 973 children with anxiety disorders.

resultsThe polygenic score significantly moderated the effects of parenting on emotional problems and the effects of treatment. Individuals with a high score responded significantly better to individual CBT than group CBT or brief parent-led CBT (remission rates: 70.9, 55.5 and 41.6%, respectively).

conclusionsPending successful replication, our results should be considered exploratory. Nevertheless, if replicated, they suggest that individuals with the greatest environmental sensitivity may be more likely to develop emotional problems in adverse environments but also benefit more from the most intensive types of treatment.

Indexed as

Genome-Wide Association StudyMultifactorial InheritanceParentingAnxiety DisordersChildCognitive Behavioral TherapyFemaleGenetic Predisposition to DiseaseHumansLinear ModelsLogistic ModelsMaleMental Health

Identifiers

PMID27043157
PMCPMC5079103
OpenAlexW2260948140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.