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The higher the household income, the lower the possibility of depression and anxiety disorder: evidence from a bidirectional Mendelian randomization study

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机构: [1]Department of Geriatrics, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China. [2]Department of Traditional Chinese Medicine, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China. [3]Department of Cardiology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
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关键词: household income status causal relationship Mendelian randomization study depression anxiety disorder

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Observational studies have demonstrated that household income is associated with morbidity of mental disorders. However, a causal relationship between the two factors remains unclear. Therefore, we investigated the causal relationship between household income status and genetic liability of mental disorders using a bidirectional Mendelian randomization (MR) study.This MR study included a large cohort of the European population from publicly available genome-wide association study datasets. A random-effects inverse-variance weighting model was used as the main standard, with MR-Egger regression, weighted median, and maximum likelihood estimations performed concurrently as supplements. Sensitivity analysis, consisting of heterogeneity and horizontal pleiotropy tests, was performed using Cochran's Q test, MR-Egger intercept, and MR-PRESSO tests to ensure the reliability of the conclusions.A higher household income tended to be associated with a lower risk of genetic liability for depression (odds ratio [OR]: 0.655, 95% confidence interval [CI] = 0.522-0.822, p < 0.001) and anxiety disorder (OR: 0.666, 95% CI = 0.526-0.843, p < 0.001). No associations were observed for schizophrenia (OR: 0.678, 95% CI = 0.460-1.000, p = 0.05), panic disorder (OR: 0.837, 95% CI = 0.445-1.577, p = 0.583), insomnia (OR: 1.051, 95% CI = 0.556-1.986, p = 0.877), obsessive-compulsive disorder (OR: 1.421, 95% CI = 0.778-2.596, p = 0.252), and bipolar disorder (OR: 1.126, 95% CI = 0.757-1.677, p = 0.556). A reverse MR study showed no reverse causal relationship between psychiatric disorders and household income. Sensitivity analysis verified the reliability of the results.Our results revealed that the population with a higher household income tended to have a minor risk of genetic liability in depression and anxiety disorders.Copyright © 2023 Liu, Liu, Zheng and Li.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 精神病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 精神病学
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第一作者机构: [1]Department of Geriatrics, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
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