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Extending the vulnerability-stress model of mental disorders: three-dimensional NPSR1 × environment × coping interaction study in anxiety.


ABSTRACT: BACKGROUND:The general understanding of the 'vulnerability-stress model' of mental disorders neglects the modifying impact of resilience-increasing factors such as coping ability. AIMS:Probing a conceptual framework integrating both adverse events and coping factors in an extended 'vulnerability-stress-coping model' of mental disorders, the effects of functional neuropeptide S receptor gene (NPSR1) variation (G), early adversity (E) and coping factors (C) on anxiety were addressed in a three-dimensional G × E × C model. METHOD:In two independent samples of healthy probands (discovery: n = 1403; replication: n = 630), the interaction of NPSR1 rs324981, childhood trauma (Childhood Trauma Questionnaire, CTQ) and general self-efficacy as a measure of coping ability (General Self-Efficacy Scale, GSE) on trait anxiety (State-Trait Anxiety Inventory) was investigated via hierarchical multiple regression analyses. RESULTS:In both samples, trait anxiety differed as a function of NPSR1 genotype, CTQ and GSE score (discovery: ? = 0.129, P = 3.938 × 10-8; replication: ? = 0.102, P = 0.020). In A allele carriers, the relationship between childhood trauma and anxiety was moderated by general self-efficacy: higher self-efficacy and childhood trauma resulted in low anxiety scores, and lower self-efficacy and childhood trauma in higher anxiety levels. In turn, TT homozygotes displayed increased anxiety as a function of childhood adversity unaffected by general self-efficacy. CONCLUSIONS:Functional NPSR1 variation and childhood trauma are suggested as prime moderators in the vulnerability-stress model of anxiety, further modified by the protective effect of self-efficacy. This G × E × C approach - introducing coping as an additional dimension further shaping a G × E risk constellation, thus suggesting a three-dimensional 'vulnerability-stress-coping model' of mental disorders - might inform targeted preventive or therapeutic interventions strengthening coping ability to promote resilient functioning.

SUBMITTER: Schiele MA 

PROVIDER: S-EPMC7589989 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Extending the vulnerability-stress model of mental disorders: three-dimensional <i>NPSR1</i> × environment × coping interaction study in anxiety.

Schiele Miriam A MA   Herzog Katharina K   Kollert Leonie L   Schartner Christoph C   Leehr Elisabeth J EJ   Böhnlein Joscha J   Repple Jonathan J   Rosenkranz Karoline K   Lonsdorf Tina B TB   Dannlowski Udo U   Zwanzger Peter P   Reif Andreas A   Pauli Paul P   Deckert Jürgen J   Domschke Katharina K  

The British journal of psychiatry : the journal of mental science 20201101 5


<h4>Background</h4>The general understanding of the 'vulnerability-stress model' of mental disorders neglects the modifying impact of resilience-increasing factors such as coping ability.<h4>Aims</h4>Probing a conceptual framework integrating both adverse events and coping factors in an extended 'vulnerability-stress-coping model' of mental disorders, the effects of functional neuropeptide S receptor gene (NPSR1) variation (G), early adversity (E) and coping factors (C) on anxiety were addressed  ...[more]

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