ArticleBiological psychiatry2026
Comorbidity Alters the Genetic Relationship Between Anxiety Disorders and Major Depression.
Article in Biological psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe extensive genetic overlap between anxiety disorders (ANX) and major depression (MD) may partly reflect the inclusion of comorbid cases in genome-wide association studies (GWASs). We investigated this genetic relationship between ANX and MD, with and without mutual comorbidity.
methodsUsing the UK Biobank, we performed disorder-specific GWASs for ANX-only (cases/controls = 9980/179,442) and MD-only (cases/controls = 15,301/179,038) and derived polygenic risk scores (PRSs). In the Norwegian Mother, Father, and Child Cohort Study (MoBa), we tested associations between PRS and MD-only (n = 7486), ANX-only (n = 1992), and comorbid ANX and MD (ANX-MD) (n = 3468) cases and controls (n = 85,851). PRS associations with anxiety and depression symptoms were tested in MoBa (n = 54,862). GWASs including comorbid cases (MD-comorbid [MD with comorbid ANX] or ANX-comorbid [ANX with comorbid MD]) were used for comparison. Genetic correlations were compared by comorbidity status, and Mendelian randomization was employed to assess causal relationships.
resultsMD-comorbid and ANX-comorbid PRSs showed a stronger association with ANX-MD cases than with their primary disorders, MD-only (z = -2.82, p
conclusionsThe genetic distinction between ANX and MD becomes more pronounced when comorbid cases are excluded. The findings underscore the importance of disorder-specific genetic studies for advancing precision medicine.
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