Evidence map›Paper›PMID 40913366›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2026

Subclinical hypomania, psychiatric and neurodevelopmental diagnoses: phenotypic and aetiological overlap.

Georgina M Hosang, Miriam I Martini, Angelica Ronald, Henrik Larsson, Sebastian Lundström, Paul Lichtenstein, Mark J Taylor

Abstract readTwin Study
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Childhood trauma and subclinical cin early adulthood: A genetically informative study.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
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

7 authors.

Georgina M HosangCentre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, London, UK.ORCID 0000-0002-4683-3636
Miriam I MartiniDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-3654-4088
Angelica RonaldSchool of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.ORCID 0000-0002-9576-2176
Henrik LarssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-6851-3297
Sebastian LundströmGillberg Neuropsychiatry Centre, University of Gothenburg, Gothenburg, Sweden.
Paul LichtensteinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Mark J TaylorDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-5161-4182

Funding

Swedish Foundation for International Cooperation in Research and Higher EducationSwedish Initiative for Research on Microdata in the Social and Medical SciencesVetenskapsrådet 2016-01989Vetenskapsrådet 2017-00641Vetenskapsrådet 2017-0252
6 · The paper itself

Abstract

backgroundSubclinical hypomanic symptoms are fairly common in the general population but are linked to psychiatric and neurodevelopmental conditions. However, the genetic and environmental origins of these associations are unclear. This twin study examined the phenotypic and aetiological associations between subclinical hypomania and psychiatric and neurodevelopmental diagnoses.

methodsParticipants were 4,932 twin pairs from the Child and Adolescent Twin Study in Sweden. Hypomanic symptoms were assessed using the parent-rated Mood Disorders Questionnaire when the twins were aged 18. Specialist diagnoses of 14 conditions and symptoms were ascertained from Swedish population registries. Phenotypic associations between hypomania and these conditions/symptoms were investigated, and their aetiological overlap was examined using the twin method.

resultsSubclinical hypomania was significantly associated with all 14 diagnoses. The highest odds were for psychotic disorders (odds ratio [OR] = 1.48, 95% confidence intervals [CI] = 1.33-1.64, p < .001). The genetic correlations between subclinical hypomania and these diagnoses ranged from 0.12 (95% CI: 0.04-0.33) for eating disorders (other than anorexia) to 0.58 (95% CI: 0.28-1.00) for drug misuse disorders. The nonshared environmental correlations were highest for psychotic disorders (0.52, 95% CI: -0.02 to 0.92) and lowest for body dissatisfaction (0.04, 95% CI: -0.01 to 0.08). For bipolar disorder, psychotic disorders, and attention deficit hyperactivity disorder, genetic, and nonshared environmental correlations with subclinical hypomania were of a similar magnitude.

conclusionsThe association between subclinical hypomania and the diagnosis of multiple psychiatric phenotypes highlights its important role in the developmental pathway to clinical disorders, its complex origins, and that it may represent a quantitative trait for various psychiatric phenotypes.

Indexed as

Diseases in TwinsManiaMental DisordersNeurodevelopmental DisordersPsychotic DisordersAdolescentChildFemaleHumansMalePhenotypeRegistriesSwedengeneticHypomanianeurodevelopmental conditionspsychiatric illnessestwin study

Identifiers

PMID40913366
PMCPMC13102046

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