TY - JOUR PY - 2022// TI - Perinatal depression is associated with a higher polygenic risk for major depressive disorder than non-perinatal depression JO - Depression and anxiety A1 - Kiewa, Jacqueline A1 - Meltzer-Brody, Samantha A1 - Milgrom, Jeanette A1 - Guintivano, Jerry A1 - Hickie, Ian B. A1 - Whiteman, David C. A1 - Olsen, Catherine M. A1 - Colodro-Conde, Lucia A1 - Medland, Sarah E. A1 - Martin, Nicholas G. A1 - Wray, Naomi R. A1 - Byrne, Enda M. SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Distinctions between major depressive disorder (MDD) and perinatal depression (PND) reflect varying views of PND, from a unique etiological subtype of MDD to an MDD episode that happens to coincide with childbirth. This case-control study investigated genetic differences between PND and MDD outside the perinatal period (non-perinatal depression or NPD).

METHODS: We conducted a genome-wide association study using PND cases (Edinburgh Postnatal Depression Scale score ≥ 13) from the Australian Genetics of Depression Study 2018 data (n = 3804) and screened controls (n = 6134).

RESULTS of gene-set enrichment analysis were compared with those of women with non-PND. For six psychiatric disorders/traits, genetic correlations with PND were evaluated, and logistic regression analysis reported polygenic score (PGS) association with both PND and NPD.

RESULTS: Genes differentially expressed in ovarian tissue were significantly enriched (stdBeta = 0.07, p = 3.3e-04), but were not found to be associated with NPD. The genetic correlation between PND and MDD was 0.93 (SE = 0.07; p = 3.5e-38). Compared with controls, PGS for MDD are higher for PND cases (odds ratio [OR] = 1.8, confidence interval [CI] = [1.7-1.8], p = 9.5e-140) than for NPD cases (OR = 1.6, CI = [1.5-1.7], p = 1.2e-49). Highest risk is for those reporting both antenatal and postnatal depression, irrespective of prior MDD history.

CONCLUSIONS: PND has a high genetic overlap with MDD, but points of distinction focus on differential expression in ovarian tissue and higher MDD PGS, particularly for women experiencing both antenatal and postpartum PND.

Language: en

LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.23232 ID - ref1 ER -