Fatigue symptoms in relation to neuroticism, anxiety-depression, and musculoskeletal pain. A longitudinal twin study

作者: Olav Vassend , Espen Røysamb , Christopher Sivert Nielsen , Nikolai Olavi Czajkowski

DOI: 10.1371/JOURNAL.PONE.0198594

关键词: ComorbidityGenetic epidemiologyDepression (differential diagnoses)Clinical psychologyTwin studyGenetic architectureCross-sectional studyNeuroticismRisk factorMedicine

摘要: Background The nature of the relationship between fatigue and its risk factors is poorly understood. In present study genetic environmental association anxiety-depression, musculoskeletal (MS) pain was examined, role neuroticism as a shared factor that may possibly explain co-occurrence these phenotypes investigated in combined cross-sectional longitudinal twin design. Methods sample consisted 746 monozygotic (MZ) 770 dizygotic (DZ) twins age group 50-65 (mean = 57.11 years, SD 4.5). Continuous measures symptoms other were employed. Using Cholesky modeling, influences on phenotypes, associations among them, determined. Analyses performed using obtained concurrently 13-19 years earlier. Results from multiple regression analyses showed neuroticism, anxiety-depression symptoms, MS all significantly associated with fatigue, controlling for sex, education, general health indices. best-fitting biometric models included additive individual-specific effects. Heritabilities 0.40-0.53 range demonstrated. Furthermore, while there considerable overlap four substantial proportion independent neuroticism. Conclusion Evidence common underlying susceptibility to report genetically linked pain, found. Both unique pleiotropic effects appear be involved architecture phenotypes.

参考文章(70)
Stefan Bergman, Lennart T. H. Jacobsson, Björn Svensson, Per Herrström, Kristina Högström, Ingemar F. Petersson, Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. The Journal of Rheumatology. ,vol. 28, pp. 1369- 1377 ,(2001)
J. W. Feightner, G. Worrall, Early detection of depression by primary care physicians Canadian Medical Association Journal. ,vol. 142, pp. 1215- 1220 ,(1990)
Robert-Paul Juster, Bruce S. McEwen, Sonia J. Lupien, Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience & Biobehavioral Reviews. ,vol. 35, pp. 2- 16 ,(2010) , 10.1016/J.NEUBIOREV.2009.10.002
Torbjo̵rn Moum, Self-assessed health among Norwegian adults. Social Science & Medicine. ,vol. 35, pp. 935- 947 ,(1992) , 10.1016/0277-9536(92)90108-3
Susan Turk Charles, Margaret Gatz, Kenji Kato, Nancy L. Pedersen, Physical health 25 years later: the predictive ability of neuroticism. Health Psychology. ,vol. 27, pp. 369- 378 ,(2008) , 10.1037/0278-6133.27.3.369
Kenji Kato, Patrick F. Sullivan, Birgitta Evengård, Nancy L. Pedersen, Chronic widespread pain and its comorbidities: a population-based study. JAMA Internal Medicine. ,vol. 166, pp. 1649- 1654 ,(2006) , 10.1001/ARCHINTE.166.15.1649
PATRICK F. SULLIVAN, BIRGITTA EVENGÅRD, ANDREAS JACKS, NANCY L. PEDERSEN, Twin analyses of chronic fatigue in a Swedish national sample. Psychological Medicine. ,vol. 35, pp. 1327- 1336 ,(2005) , 10.1017/S0033291705005222
John M. Hettema, Michael C. Neale, John M. Myers, Carol A. Prescott, Kenneth S. Kendler, A population-based twin study of the relationship between neuroticism and internalizing disorders. American Journal of Psychiatry. ,vol. 163, pp. 857- 864 ,(2006) , 10.1176/AJP.2006.163.5.857
Benjamin B. Lahey, Public health significance of neuroticism. American Psychologist. ,vol. 64, pp. 241- 256 ,(2009) , 10.1037/A0015309
Bruce S. McEwen, Stress and the Individual Archives of Internal Medicine. ,vol. 153, pp. 2093- 2101 ,(1993) , 10.1001/ARCHINTE.1993.00410180039004