Publication

Evidence for increased genetic risk load for major depression in patients assigned to electroconvulsive therapy

Major Depressive Disorder Worki, Jan-2019, In : American Journal of Medical Genetics. Part B: Neuropsychiatric Genetics. 180, 1, p. 35-45 11 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • Major Depressive Disorder Worki

Electroconvulsive therapy (ECT) is the treatment of choice for severe and treatment-resistant depression; disorder severity and unfavorable treatment outcomes are shown to be influenced by an increased genetic burden for major depression (MD). Here, we tested whether ECT assignment and response/nonresponse are associated with an increased genetic burden for major depression (MD) using polygenic risk score (PRS), which summarize the contribution of disease-related common risk variants. Fifty-one psychiatric inpatients suffering from a major depressive episode underwent ECT. MD-PRS were calculated for these inpatients and a separate population-based sample (n = 3,547 healthy; n = 426 self-reported depression) based on summary statistics from the Psychiatric Genomics Consortium MDD-working group (Cases: n = 59,851; Controls: n = 113,154). MD-PRS explained a significant proportion of disease status between ECT patients and healthy controls (p = .022, R-2 = 1.173%); patients showed higher MD-PRS. MD-PRS in population-based depression self-reporters were intermediate between ECT patients and controls (n.s.). Significant associations between MD-PRS and ECT response (50% reduction in Hamilton depression rating scale scores) were not observed. Our findings indicate that ECT cohorts show an increased genetic burden for MD and are consistent with the hypothesis that treatment-resistant MD patients represent a subgroup with an increased genetic risk for MD. Larger samples are needed to better substantiate these findings.

Original languageEnglish
Pages (from-to)35-45
Number of pages11
JournalAmerican Journal of Medical Genetics. Part B: Neuropsychiatric Genetics
Volume180
Issue number1
Publication statusPublished - Jan-2019

    Keywords

  • depression, electroconvulsive therapy, major depression, polygenic risk scores, treatment-resistance, DISORDER, ECT

View graph of relations

Download statistics

No data available

ID: 85678932