Evidence map›Paper›PMID 40999803›Full record

ArticlePsychological medicine2025

Educational attainment and mental health outcomes: A within-sibship Mendelian randomization study.

María Fernanda Vinueza Veloz, Laxmi Bhatta, Paul R Jones, Martin Tesli, George Davey Smith, Neil M Davies, Ben M Brumpton, Øyvind E Næss

Abstract read
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

María Fernanda Vinueza VelozDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-2493-0769
Laxmi BhattaK.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Norwegian University of Science and Technology - NTNU, Trondheim, Norway.
Paul R JonesDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Martin TesliDepartment of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway.
George Davey SmithMRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Neil M DaviesK.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Norwegian University of Science and Technology - NTNU, Trondheim, Norway.
Ben M BrumptonK.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Norwegian University of Science and Technology - NTNU, Trondheim, Norway.
Øyvind E NæssDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.

Funding

Causes and consequences of mental disorders: The environmental and genetic influences of parents on offspring.R01MH130448 · NIMH · UNIVERSITY OF COLORADO · PI Matthew Charles Keller · 2022 to 2026
$3.7M
Medical Research Council MC_UU_00011/1NIMH NIH HHS MH130448NIMH NIH HHS R01 MH130448
6 · The paper itself

Abstract

backgroundObservational studies indicate that higher educational attainment (EA) is associated with a lower risk of many mental health conditions (MHC). We assessed to what extent this association is influenced by genetic nurture and demographic factors (i.e., assortative mating and population structure).

methodsWe conducted a within-sibship Mendelian randomization (MR) study. The sample consisted of 61 880 siblings (27 507 sibships) from the Trøndelag Health Study-HUNT (Norway) and UK Biobank (United Kingdom). MHC outcomes included symptom scores for anxiety, depression, and neuroticism, measured using the Hospital Anxiety and Depression Scale, the 7-item Generalized Anxiety Disorder Scale, the 9-item Patient Health Questionnaire, and the Eysenck Personality Questionnaire, along with self-reported psychotropic medication use.

resultsOne standard deviation (SD) increase in liability to EA was associated with lower anxiety (-0.20 SD [95% CI: -0.26, -0.14]), depression (-0.11 SD [-0.43, -0.22]), and neuroticism scores (-0.30 SD [-0.53, -0.06]), as well as lower odds of psychotropic medication use (OR: 0.60 [0.52, 0.69]). Within-sibship MR estimates remained consistent with population-based estimates: anxiety (-0.17 SD [-0.33, -0.00]); depression (-0.18 SD [-1.26, 0.89]); neuroticism (-0.29 SD [-0.43, -0.15]); psychotropic medication use (OR, 0.52 [0.34, 0.82]).

conclusionsHigher EA or genetic liability to education reduces symptoms of anxiety, neuroticism, and psychotropic medication use. These mental health benefits do not seem to be explained by EA-linked genetic nurture or demographic factors. Regarding depression, results were less conclusive due to imprecise estimates, though beneficial effects of genetic liability to higher EA are possible and warrant further investigation.

Indexed as

AnxietyAnxiety DisordersDepressionEducational StatusMental DisordersSiblingsAdultAgedFemaleHumansMaleMendelian Randomization AnalysisMiddle AgedNeuroticismNorwayUnited Kingdomanxietydepressioneducational attainmentMendelian randomizationneuroticismpsychotropic medication

Identifiers

PMID40999803
PMCPMC12527539

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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.