Evidence map›Paper›PMID 31906708›Full record

ArticleThe American journal of psychiatry2020

Reproducible Genetic Risk Loci for Anxiety: Results From ∼200,000 Participants in the Million Veteran Program.

Daniel F Levey, Joel Gelernter, Renato Polimanti, Hang Zhou, Zhongshan Cheng, Mihaela Aslan, Rachel Quaden, John Concato, Krishnan Radhakrishnan, Julien Bryois and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The American journal of psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03170362 (PRIME Care), which is not on this map. Cited by 168 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 18 pooled it
36.4field-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.

NCT03170362 nacompletednot on this map

PRIME Care (PRecision Medicine In MEntal Health Care)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2022Enrolled1,944ConditionsMajor DepressionArmsPharmacogenetic Test
3 · Its place in the literature

Who cites it

168 citing papers in PubMed, 18 syntheses or guidelines pooled it, 312 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Daniel F LeveyDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Joel GelernterDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Renato PolimantiDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Hang ZhouDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Zhongshan ChengDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Mihaela AslanDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Rachel QuadenDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
John ConcatoDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Krishnan RadhakrishnanDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Julien BryoisDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Patrick F SullivanDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Million Veteran ProgramDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
Murray B SteinDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., and Department of Psychiatry, Veterans Affairs Connecticut Healthcare Center, West Haven, Conn. (Levey, Gelernter, Polimanti, Zhou, Cheng); VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Conn. (Aslan, Concato, Radhakrishnan); Department of Medicine, Yale University School of Medicine, New Haven, Conn. (Aslan, Concato); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston (Quaden); College of Medicine, University of Kentucky, Lexington (Radhakrishnan); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Bryois, Sullivan); Departments of Genetics and Psychiatry, University of North Carolina, Chapel Hill (Sullivan); Psychiatry Service, VA San Diego Healthcare System, San Diego, and Departments of Psychiatry and of Family Medicine and Public Health, University of California San Diego, La Jolla (Stein).
VA Connecticut Healthcare System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Genomics of PTSD and Related TraitsI01CX001849 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI GELERNTER, JOEL, STEIN, MURRAY B. · 2019 to 2022
–
BLRD VA I01 BX006482CSRD VA I01 CX001849NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveAnxiety disorders are common and often disabling. The goal of this study was to examine the genetic architecture of anxiety disorders and anxiety symptoms, which are also frequently comorbid with other mental disorders, such as major depressive disorder.

methodsUsing one of the world's largest biobanks including genetic, environmental, and medical information, the Million Veteran Program, the authors performed a genome-wide association study (GWAS) of a continuous trait for anxiety (based on score on the Generalized Anxiety Disorder 2-item scale [GAD-2], N=199,611) as the primary analysis and self-report of physician diagnosis of anxiety disorder (N=224,330) as a secondary analysis.

resultsThe authors identified five genome-wide significant signals for European Americans and one for African Americans on GAD-2 score. The strongest were on chromosome 3 (rs4603973) near

conclusionsThis is the largest GWAS of anxiety traits to date. The authors identified novel genome-wide significant associations near genes involved with global regulation of gene expression (

Indexed as

Genetic LociGenetic Predisposition to DiseasePhenotypePolymorphism, Single NucleotideAgedAnxietyAnxiety DisordersFemaleGenome-Wide Association StudyHumansMaleMiddle AgedVeteransAnxiety DisordersAnxiety SymptomsGenome-Wide Association StudyMillion Veteran ProgramPsychiatric ComorbidityVeterans

Identifiers

PMID31906708
PMCPMC7869502
OpenAlexW3000587707

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Registered trials

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.