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Association between bullying victimization and obsessive-compulsive disorder : a population-based, genetically informative study

Pol-Fuster, Josep ; Fernández de la Cruz, Lorena ; Isomura, Kayoko ; Sidorchuk, Anna ; Kuja-Halkola, Ralf ; Lichtenstein, Paul ; D’Onofrio, Brian M. ; Brikell, Isabell ; Larsson, Henrik and de Schipper, Elles , et al. (2024) In Molecular Psychiatry
Abstract

The extent to which bullying victimization is associated with an increased risk of obsessive-compulsive disorder (OCD) has received little empirical attention. This longitudinal, population-based, genetically informative study examined whether self-reported bullying victimization at age 15 was associated with a clinical diagnosis of OCD in the Swedish National Patient Register and with self-reported obsessive-compulsive symptoms (OCS) at ages 18 and 24 in 16,030 twins from the Child and Adolescent Twin Study in Sweden. Using a discordant twin design, including monozygotic (MZ) and dizygotic (DZ) twins, each twin was compared with their co-twin, allowing a strict control of genetic and environmental confounding. At the population level,... (More)

The extent to which bullying victimization is associated with an increased risk of obsessive-compulsive disorder (OCD) has received little empirical attention. This longitudinal, population-based, genetically informative study examined whether self-reported bullying victimization at age 15 was associated with a clinical diagnosis of OCD in the Swedish National Patient Register and with self-reported obsessive-compulsive symptoms (OCS) at ages 18 and 24 in 16,030 twins from the Child and Adolescent Twin Study in Sweden. Using a discordant twin design, including monozygotic (MZ) and dizygotic (DZ) twins, each twin was compared with their co-twin, allowing a strict control of genetic and environmental confounding. At the population level, adjusting for birth year and sex, each standard deviation (SD) increase in bullying victimization was associated with a 32% increase in the odds of an OCD diagnosis (OR, 1.32; 95% CI, 1.21–1.44), of 0.13 SD in OCS at age 18 (β, 0.13; 95% CI, 0.11–0.16), and of 0.11 SD in OCS at age 24 (β, 0.11; 95% CI, 0.07–0.16). While associations tended to persist in the within DZ-twin comparison models, the estimates attenuated and were no longer statistically significant in the within MZ-twin comparisons. These results suggest that the association between bullying victimization and OCD/OCS is likely due to genetic confounding and therefore incompatible with a strong causal effect. Other mechanisms, such as evocative gene-environment correlations, are more plausible explanations for the observed associations.

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publication status
in press
subject
in
Molecular Psychiatry
publisher
Nature Publishing Group
external identifiers
  • pmid:39580606
  • scopus:85210008800
ISSN
1359-4184
DOI
10.1038/s41380-024-02849-2
language
English
LU publication?
yes
id
5d7fb991-c9b8-4d96-afd5-6cee82478f1d
date added to LUP
2025-01-20 14:48:49
date last changed
2025-02-03 15:59:43
@article{5d7fb991-c9b8-4d96-afd5-6cee82478f1d,
  abstract     = {{<p>The extent to which bullying victimization is associated with an increased risk of obsessive-compulsive disorder (OCD) has received little empirical attention. This longitudinal, population-based, genetically informative study examined whether self-reported bullying victimization at age 15 was associated with a clinical diagnosis of OCD in the Swedish National Patient Register and with self-reported obsessive-compulsive symptoms (OCS) at ages 18 and 24 in 16,030 twins from the Child and Adolescent Twin Study in Sweden. Using a discordant twin design, including monozygotic (MZ) and dizygotic (DZ) twins, each twin was compared with their co-twin, allowing a strict control of genetic and environmental confounding. At the population level, adjusting for birth year and sex, each standard deviation (SD) increase in bullying victimization was associated with a 32% increase in the odds of an OCD diagnosis (OR, 1.32; 95% CI, 1.21–1.44), of 0.13 SD in OCS at age 18 (β, 0.13; 95% CI, 0.11–0.16), and of 0.11 SD in OCS at age 24 (β, 0.11; 95% CI, 0.07–0.16). While associations tended to persist in the within DZ-twin comparison models, the estimates attenuated and were no longer statistically significant in the within MZ-twin comparisons. These results suggest that the association between bullying victimization and OCD/OCS is likely due to genetic confounding and therefore incompatible with a strong causal effect. Other mechanisms, such as evocative gene-environment correlations, are more plausible explanations for the observed associations.</p>}},
  author       = {{Pol-Fuster, Josep and Fernández de la Cruz, Lorena and Isomura, Kayoko and Sidorchuk, Anna and Kuja-Halkola, Ralf and Lichtenstein, Paul and D’Onofrio, Brian M. and Brikell, Isabell and Larsson, Henrik and de Schipper, Elles and Beucke, Jan C. and Mataix-Cols, David}},
  issn         = {{1359-4184}},
  language     = {{eng}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Molecular Psychiatry}},
  title        = {{Association between bullying victimization and obsessive-compulsive disorder : a population-based, genetically informative study}},
  url          = {{http://dx.doi.org/10.1038/s41380-024-02849-2}},
  doi          = {{10.1038/s41380-024-02849-2}},
  year         = {{2024}},
}