Evidence map›Paper›PMID 39282852›Full record

ArticlePsychological medicine2024

Genetic architecture and socio-environmental risk factors for major depressive disorder in Nepal.

Karmel W Choi, Justin D Tubbs, Younga H Lee, Yixuan He, Kristin Tsuo, Mary T Yohannes, Lethukuthula L Nkambule, Emily Madsen, Dirgha J Ghimire, Sabrina Hermosilla and 4 more

Abstract read
In one paragraph

Article in Psychological medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Genetic Architecture of Alcohol Use Disorder in Nepal.medRxiv : the preprint server for health sciences · 2025
    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

14 authors.

Karmel W ChoiDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-3914-2431
Justin D TubbsDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Younga H LeeDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Yixuan HeStanley Center for Psychiatric Research, Broad Institute, Boston, MA, USA.
Kristin TsuoStanley Center for Psychiatric Research, Broad Institute, Boston, MA, USA.
Mary T YohannesStanley Center for Psychiatric Research, Broad Institute, Boston, MA, USA.
Lethukuthula L NkambuleStanley Center for Psychiatric Research, Broad Institute, Boston, MA, USA.
Emily MadsenPsychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Dirgha J GhimirePopulation Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Sabrina HermosillaPopulation Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Tian GeDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Alicia R MartinStanley Center for Psychiatric Research, Broad Institute, Boston, MA, USA.
William G AxinnPopulation Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-0496-0485
Jordan W SmollerDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Funding

Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Brady T West · 2017 to 2026
$6.5M
Understanding the Connections among Genes, Environment, Family Processes, and Mental HealthR01MH110872 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AXINN, WILLIAM G., SMOLLER, JORDAN W · 2017 to 2020
$3.5M
Partners Healthcare Training Program in Precision and Genomic MedicineT32HG010464 · NHGRI · MASSACHUSETTS GENERAL HOSPITAL · PI HEIDI L REHM, JORDAN W SMOLLER · 2019 to 2026
$3.1M
Intergenerational Influences on Marriage, Contraception and ChildbearingR01HD099135 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AXINN, WILLIAM G., SCOTT, KATE MARGARET · 2020 to 2024
$3.1M
Integrating Health Records, Genomic, and Social Data to Stratify Adolescent Depression RiskK08MH127413 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI CHOI, KARMEL · 2021 to 2025
$987k
Eunice Kennedy Shriver National Institute of Child Health and Human Development P2CHD041028NHGRI NIH HHS T32 HG010464NHGRI NIH HHS T32HG010464NICHD NIH HHS P2C HD041028NICHD NIH HHS R01 HD099135NIMH NIH HHS K08 MH127413NIMH NIH HHS K08MH127413NIMH NIH HHS R01 MH110872
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is the leading cause of disability globally, with moderate heritability and well-established socio-environmental risk factors. Genetic studies have been mostly restricted to European settings, with polygenic scores (PGS) demonstrating low portability across diverse global populations.

methodsThis study examines genetic architecture, polygenic prediction, and socio-environmental correlates of MDD in a family-based sample of 10 032 individuals from Nepal with array genotyping data. We used genome-based restricted maximum likelihood to estimate heritability, applied S-LDXR to estimate the cross-ancestry genetic correlation between Nepalese and European samples, and modeled PGS trained on a GWAS meta-analysis of European and East Asian ancestry samples.

resultsWe estimated the narrow-sense heritability of lifetime MDD in Nepal to be 0.26 (95% CI 0.18-0.34,

conclusionsEstimates of lifetime MDD heritability in this Nepalese sample were similar to previous European ancestry samples, but PGS trained on European data did not predict MDD in this sample. This may be due to differences in ancestry-linked causal variants, differences in depression phenotyping between the training and target data, or setting-specific environmental factors that modulate genetic effects. Additional research among under-represented global populations will ensure equitable translation of genomic findings.

Indexed as

Major Depressive DisorderMultifactorial InheritanceAdultAsian PeopleFemaleGene-Environment InteractionGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMaleMiddle AgedNepalRisk FactorsWhiteWhite PeopleYoung Adultdepressiongene-environmentgeneticsglobal mental healthheritabilityNepalpolygenic scorestrauma

Identifiers

PMID39282852
PMCPMC12050005

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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.