Evidence map›Paper›PMID 28585928›Full record

ArticleTranslational psychiatry2017

Predicting attention-deficit/hyperactivity disorder severity from psychosocial stress and stress-response genes: a random forest regression approach.

D van der Meer, P J Hoekstra, M van Donkelaar, J Bralten, J Oosterlaan, D Heslenfeld, S V Faraone, B Franke, J K Buitelaar, C A Hartman

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 48 citations in OpenAlex.

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  9. Mapping relationships between ADHD genetic liability, stressful life events, and ADHD symptoms in healthy adults.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2021
    Article
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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

10 authors at 4 institutions in 3 countries.

D van der MeerDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-0466-386X
P J HoekstraDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
M van DonkelaarDepartment of Human Genetics and Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0002-9112-2307
J BraltenDepartment of Human Genetics and Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.
J OosterlaanDepartment of Clinical Neuropsychology, VU University Amsterdam, Amsterdam, The Netherlands.
D HeslenfeldDepartment of Clinical Neuropsychology, VU University Amsterdam, Amsterdam, The Netherlands.
S V FaraoneDepartment of Psychiatry, SUNY Upstate Medical University, Syracuse, NY, USA.ORCID 0000-0002-9217-3982
B FrankeDepartment of Human Genetics and Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0003-4375-6572
J K BuitelaarKarakter Child and Adolescent Psychiatry University Centre, Nijmegen, The Netherlands.
C A HartmanDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Radboud University Nijmegen · NLUniversity Medical Center Groningen · NLVrije Universiteit Amsterdam · NLSUNY Upstate Medical University · US

Funding

Training U54EB020403 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2014 to 2018
$10.1M
International Multi-Center ADHD Genetics ProjectR01MH062873 · NIMH · UPSTATE MEDICAL UNIVERSITY · PI FARAONE, STEPHEN V · 2002 to 2007
$7.2M
NIBIB NIH HHS U54 EB020403NIMH NIH HHS R01 MH062873
6 · The paper itself

Abstract

Identifying genetic variants contributing to attention-deficit/hyperactivity disorder (ADHD) is complicated by the involvement of numerous common genetic variants with small effects, interacting with each other as well as with environmental factors, such as stress exposure. Random forest regression is well suited to explore this complexity, as it allows for the analysis of many predictors simultaneously, taking into account any higher-order interactions among them. Using random forest regression, we predicted ADHD severity, measured by Conners' Parent Rating Scales, from 686 adolescents and young adults (of which 281 were diagnosed with ADHD). The analysis included 17 374 single-nucleotide polymorphisms (SNPs) across 29 genes previously linked to hypothalamic-pituitary-adrenal (HPA) axis activity, together with information on exposure to 24 individual long-term difficulties or stressful life events. The model explained 12.5% of variance in ADHD severity. The most important SNP, which also showed the strongest interaction with stress exposure, was located in a region regulating the expression of telomerase reverse transcriptase (TERT). Other high-ranking SNPs were found in or near NPSR1, ESR1, GABRA6, PER3, NR3C2 and DRD4. Chronic stressors were more influential than single, severe, life events. Top hits were partly shared with conduct problems. We conclude that random forest regression may be used to investigate how multiple genetic and environmental factors jointly contribute to ADHD. It is able to implicate novel SNPs of interest, interacting with stress exposure, and may explain inconsistent findings in ADHD genetics. This exploratory approach may be best combined with more hypothesis-driven research; top predictors and their interactions with one another should be replicated in independent samples.

Indexed as

AdolescentArabidopsis ProteinsAttention Deficit Disorder with HyperactivityFemaleHumansHypothalamo-Hypophyseal SystemIntramolecular LyasesMalePituitary-Adrenal SystemPolymorphism, Single NucleotideSeverity of Illness IndexStress, PsychologicalTelomeraseYoung AdultArabidopsis ProteinsCHIL protein, ArabidopsisIntramolecular LyasesTelomeraseTERT protein, human

Identifiers

PMID28585928
PMCPMC5537639
OpenAlexW2621668481

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.