Abstract
The differential susceptibility theory states that children differ in their susceptibility towards environmental experiences, partially due to plasticity genes. Individuals carrying specific variants in such genes will be more disadvantaged in negative but, conversely, more advantaged in positive environments. Understanding gene–environment interactions may help unravel the causal mechanisms involved in multifactorial psychiatric disorders such as Attention-Deficit/Hyperactivity Disorder (ADHD). The differential susceptibility theory was examined by investigating the presence of interaction effects between maternal expressed emotion (EE; warmth and criticism) and the solitary and combined effects of plasticity genes (DAT1, DRD4, 5-HTT) on prosocial and antisocial behaviour (measured with parent- and self-reports) in children with ADHD and their siblings (N = 366, M = 17.11 years, 74.9 % male). Maternal warmth was positively associated with prosocial behaviour and negatively with antisocial behaviour, while maternal criticism was positively associated with antisocial behaviour and negatively with prosocial behaviour. No evidence of differential susceptibility was found. The current study found no evidence for differential susceptibility based on the selected plasticity genes, in spite of strong EE–behaviour associations. It is likely that additional factors play a role in the complex relationship between genes, environment and behaviour.
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Acknowledgments
This work was supported by NIH Grant R01MH62873 (to Dr. Faraone, Department of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, New York, USA), NWO Large Investment Grant 1750102007010 (to Dr. Buitelaar) and grants from Radboud University Medical Center, University Medical Center Groningen and Accare, and VU University Amsterdam.
Ethical standard
Informed consent was signed by all participants (parents signed informed consent for participants under 12 years of age) and the study was approved by the ethics committee (Centrale Commissie Mensgebonden Onderzoek).
Conflict of interest
In the past 3 years, Dr. Buitelaar has been a consultant to/member of advisory board of/and/or speaker for Janssen Cilag BV, Eli Lilly, Bristol-Myer Squibb, Shering Plough, UCB, Shire, Novartis and Servier. He is not an employee of any of these companies, and not a stock shareholder of any of these companies. He has no other financial or material support, including expert testimony, patents, and royalties. In the past 3 years, Dr. Hoekstra has been a consultant to/member of advisory board of Shire. Dr. Oosterlaan has received an unrestricted investigator initiated research grant from Shire. Ms. Richards and Drs. Franke, Heslenfeld, Arias Vásquez and Hartman have no conflicts of interest do declare.
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Richards, J.S., Hartman, C.A., Franke, B. et al. Differential susceptibility to maternal expressed emotion in children with ADHD and their siblings? Investigating plasticity genes, prosocial and antisocial behaviour. Eur Child Adolesc Psychiatry 24, 209–217 (2015). https://doi.org/10.1007/s00787-014-0567-2
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DOI: https://doi.org/10.1007/s00787-014-0567-2