Identifying novel subtypes of irritability using a developmental genetic approach

Riglin, L.; Eyre, O.; Thapar, A. K.; Stringaris, A.; Leibenluft, E.; Pine, D.; Tilling, K.; Davey Smith, G.; O'Donovan, M. C.; Thapar, A.

doi:10.1101/433342

bioRxiv · 10.1101/433342

Identifying novel subtypes of irritability using a developmental genetic approach

Riglin, L.·Eyre, O.·Thapar, A. K.·Stringaris, A.·Leibenluft, E.·Pine, D.·Tilling, K.·Davey Smith, G.·O'Donovan, M. C.·Thapar, A.

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Abstract

ObjectiveIrritability is a common reason for referral to services, strongly associated with impairment and negative outcomes, but is a nosological and treatment challenge. A major issue is how irritability should be conceptualized. This study used a developmental approach to test the hypothesis that there are several forms of irritability, including a neurodevelopmental/ADHD-like subtype with onset in childhood and a depression/mood subtype with onset in adolescence.\n\nMethodData were analyzed in the Avon Longitudinal Study of Parents and Children, a prospective UK population-based cohort. Irritability trajectory-classes were estimated for 7924 individuals with data at multiple time-points across childhood and adolescence (4 possible time-points from approximately ages 7 to 15 years). Psychiatric diagnoses were assessed at approximately ages 7 and 15 years. Psychiatric genetic risk was indexed by polygenic risk scores (PRS) for attention-deficit/hyperactivity disorder (ADHD) and major depressive disorder (MDD) derived using large genome-wide association study results.\n\nResultsFive irritability trajectory classes were identified: low (81.2%), decreasing (5.6%), increasing (5.5%), late-childhood limited (5.2%) and high-persistent (2.4%). The early-onset, high-persistent trajectory was associated with male preponderance, childhood ADHD (OR=108.64 (57.45-204.41), p<0.001) and ADHD PRS (OR=1.31 (1.09-1.58), p=0.005); the adolescent-onset, increasing trajectory was associated with female preponderance, adolescent MDD (OR=5.14 (2.47-10.73), p<0.001) and MDD PRS (OR=1.20, (1.05-1.38), p=0.009). Both trajectory classes were associated with MDD diagnosis and ADHD genetic risk.\n\nConclusionsThe developmental context of irritability may be important in its conceptualization: early-onset persistent irritability maybe more neurodevelopmental/ADHD-like and later-onset irritability more depression/mood-like. This has implications for treatment as well as nosology.

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Riglin, L., Eyre, O., Thapar, A. K., Stringaris, A., Leibenluft, E., Pine, D., Tilling, K., Davey Smith, G., O'Donovan, M. C., Thapar, A.. 2018-10-02. Identifying novel subtypes of irritability using a developmental genetic approach. https://doi.org/10.1101/433342

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