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Collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression

Identifieur interne : 002D00 ( Pmc/Curation ); précédent : 002C99; suivant : 002D01

Collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression

Auteurs : Robert C. Culverhouse [États-Unis] ; Nancy L. Saccone [États-Unis] ; Amy C. Horton [États-Unis] ; Yinjiao Ma [États-Unis] ; Kaarin J. Anstey [Australie] ; Tobias Banaschewski [Allemagne] ; Margit Burmeister [États-Unis] ; Sarah Cohen-Woods [Australie] ; Bruno Etain [France] ; Helen L. Fisher [Royaume-Uni] ; Noreen Goldman [États-Unis] ; Sébastien Guillaume [France] ; John Horwood [Nouvelle-Zélande] ; Gabriella Juhasz [Hongrie, Royaume-Uni] ; Kathryn J. Lester [Royaume-Uni] ; Laura Mandelli [Italie] ; Christel M. Middeldorp [Pays-Bas] ; Emilie Olié [France] ; Sandra Villafuerte [États-Unis] ; Tracy M. Air [Australie] ; Ricardo Araya [Royaume-Uni] ; Lucy Bowes [Royaume-Uni] ; Richard Burns [Australie] ; Enda M. Byrne [Australie] ; Carolyn Coffey [Australie] ; William L. Coventry [Australie] ; Katerina Gawronski [États-Unis] ; Dana Glei [États-Unis] ; Alex Hatzimanolis [Grèce] ; Jouke-Jan Hottenga [Pays-Bas] ; Isabelle Jaussent [France] ; Catharine Jawahar [Australie] ; Christine Jennen-Steinmetz [Allemagne] ; John R. Kramer [États-Unis] ; Mohamed Lajnef [France] ; Keriann Little [Australie] ; Henriette Meyer Zu Schwabedissen [Suisse] ; Matthias Nauck [Allemagne] ; Esther Nederhof [Pays-Bas] ; Peter Petschner [Hongrie] ; Wouter J. Peyrot [Pays-Bas] ; Christian Schwahn [Allemagne] ; Grant Sinnamon [Australie] ; David Stacey [Australie] ; Yan Tian [États-Unis] ; Catherine Toben [Australie] ; Sandra Van Der Auwera [Allemagne] ; Nick Wainwright [Royaume-Uni] ; Jen-Chyong Wang [États-Unis] ; Gonneke Willemsen [Pays-Bas] ; Ian M. Anderson [Royaume-Uni] ; Volker Arolt [Allemagne] ; Cecilia Slund [Suède] ; Gyorgy Bagdy [Hongrie] ; Bernhard T. Baune [Australie] ; Frank Bellivier [France] ; Dorret I. Boomsma [Pays-Bas] ; Philippe Courtet [France] ; Udo Dannlowski [Allemagne] ; Eco J. C. De Geus [Pays-Bas] ; John F. W. Deakin [Royaume-Uni] ; Simon Easteal [Australie] ; Thalia Eley [Royaume-Uni] ; David M. Fergusson [Nouvelle-Zélande] ; Alison M. Goate [États-Unis] ; Xenia Gonda [Hongrie] ; Hans J. Grabe [Allemagne] ; Claudia Holzman [États-Unis] ; Eric O. Johnson [États-Unis] ; Martin Kennedy [Nouvelle-Zélande] ; Manfred Laucht [Allemagne] ; Nicholas G. Martin [Australie] ; Marcus Munaf [Royaume-Uni] ; Kent W. Nilsson [Suède] ; Albertine J. Oldehinkel [Pays-Bas] ; Craig Olsson [Australie] ; Johan Ormel [Pays-Bas] ; Christian Otte [Allemagne] ; George C. Patton [Australie] ; Brenda W. J. H. Penninx [Pays-Bas] ; Karen Ritchie [France] ; Marco Sarchiapone [Italie] ; Jm Scheid [États-Unis] ; Alessandro Serretti [Italie] ; Johannes H. Smit [Pays-Bas] ; Nicholas C. Stefanis [Grèce] ; Paul G. Surtees [Royaume-Uni] ; Henry Völzke [Allemagne] ; Maxine Weinstein [États-Unis] ; Mary Whooley [États-Unis] ; John I. Nurnberger [États-Unis] ; Naomi Breslau [États-Unis] ; Laura J. Bierut [États-Unis]

Source :

RBID : PMC:5628077

Abstract

The hypothesis that the S allele of the 5-HTTLPR serotonin transporter promoter region is associated with increased risk of depression, but only in individuals exposed to stressful situations, has generated much interest, research, and controversy since first proposed in 2003. Multiple meta-analyses combining results from heterogeneous analyses have not settled the issue. To determine the magnitude of the interaction and the conditions under which it might be observed, we performed new analyses on 31 datasets containing 38 802 European-ancestry subjects genotyped for 5-HTTLPR and assessed for depression and childhood maltreatment or other stressful life events, and meta-analyzed the results. Analyses targeted two stressors (narrow, broad) and two depression outcomes (current, lifetime). All groups that published on this topic prior to the initiation of our study and met the assessment and sample size criteria were invited to participate. Additional groups, identified by consortium members or self-identified in response to our protocol (published prior to the start of analysis1) with qualifying unpublished data were also invited to participate. A uniform data analysis script implementing the protocol was executed by each of the consortium members. Our findings do not support the interaction hypothesis. We found no subgroups or variable definitions for which an interaction between stress and 5-HTTLPR genotype was statistically significant. In contrast, our findings for the main effects of life stressors (strong risk factor) and 5-HTTLPR genotype (no impact on risk) are strikingly consistent across our contributing studies, the original study reporting the interaction, and subsequent meta-analyses. Our conclusion is that if an interaction exists in which the S allele of 5-HTTLPR increases risk of depression only in stressed individuals, then it is not broadly generalizable, but must be of modest effect size and only observable in limited situations.


Url:
DOI: 10.1038/mp.2017.44
PubMed: 28373689
PubMed Central: 5628077

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PMC:5628077

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<name sortKey="Olie, Emilie" sort="Olie, Emilie" uniqKey="Olie E" first="Emilie" last="Olié">Emilie Olié</name>
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<name sortKey="Coffey, Carolyn" sort="Coffey, Carolyn" uniqKey="Coffey C" first="Carolyn" last="Coffey">Carolyn Coffey</name>
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<name sortKey="Coventry, William L" sort="Coventry, William L" uniqKey="Coventry W" first="William L." last="Coventry">William L. Coventry</name>
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<name sortKey="Gawronski, Katerina" sort="Gawronski, Katerina" uniqKey="Gawronski K" first="Katerina" last="Gawronski">Katerina Gawronski</name>
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<nlm:aff id="A31">Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff>
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<wicri:regionArea>Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</wicri:regionArea>
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<name sortKey="Glei, Dana" sort="Glei, Dana" uniqKey="Glei D" first="Dana" last="Glei">Dana Glei</name>
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<nlm:aff id="A32">Center for Population and Health, Georgetown University, Washington, DC, USA</nlm:aff>
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<name sortKey="Hatzimanolis, Alex" sort="Hatzimanolis, Alex" uniqKey="Hatzimanolis A" first="Alex" last="Hatzimanolis">Alex Hatzimanolis</name>
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<nlm:aff id="A33">University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens, Greece</nlm:aff>
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<name sortKey="Hottenga, Jouke Jan" sort="Hottenga, Jouke Jan" uniqKey="Hottenga J" first="Jouke-Jan" last="Hottenga">Jouke-Jan Hottenga</name>
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<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
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<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
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<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
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<name sortKey="Jaussent, Isabelle" sort="Jaussent, Isabelle" uniqKey="Jaussent I" first="Isabelle" last="Jaussent">Isabelle Jaussent</name>
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<author>
<name sortKey="Jawahar, Catharine" sort="Jawahar, Catharine" uniqKey="Jawahar C" first="Catharine" last="Jawahar">Catharine Jawahar</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jennen Steinmetz, Christine" sort="Jennen Steinmetz, Christine" uniqKey="Jennen Steinmetz C" first="Christine" last="Jennen-Steinmetz">Christine Jennen-Steinmetz</name>
<affiliation wicri:level="1">
<nlm:aff id="A35">Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kramer, John R" sort="Kramer, John R" uniqKey="Kramer J" first="John R." last="Kramer">John R. Kramer</name>
<affiliation wicri:level="1">
<nlm:aff id="A36">Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lajnef, Mohamed" sort="Lajnef, Mohamed" uniqKey="Lajnef M" first="Mohamed" last="Lajnef">Mohamed Lajnef</name>
<affiliation wicri:level="1">
<nlm:aff id="A37">INSERM U955, Creteil, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U955, Creteil</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Little, Keriann" sort="Little, Keriann" uniqKey="Little K" first="Keriann" last="Little">Keriann Little</name>
<affiliation wicri:level="1">
<nlm:aff id="A38">Murdoch Childrens Research Institute, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Childrens Research Institute, Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A39">Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meyer Zu Schwabedissen, Henriette" sort="Meyer Zu Schwabedissen, Henriette" uniqKey="Meyer Zu Schwabedissen H" first="Henriette" last="Meyer Zu Schwabedissen">Henriette Meyer Zu Schwabedissen</name>
<affiliation wicri:level="1">
<nlm:aff id="A40">Biopharmacy, Department Pharmaceutical Sciences, University of Basel, Basel, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Biopharmacy, Department Pharmaceutical Sciences, University of Basel, Basel</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nauck, Matthias" sort="Nauck, Matthias" uniqKey="Nauck M" first="Matthias" last="Nauck">Matthias Nauck</name>
<affiliation wicri:level="1">
<nlm:aff id="A41">Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nederhof, Esther" sort="Nederhof, Esther" uniqKey="Nederhof E" first="Esther" last="Nederhof">Esther Nederhof</name>
<affiliation wicri:level="1">
<nlm:aff id="A42">University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Petschner, Peter" sort="Petschner, Peter" uniqKey="Petschner P" first="Peter" last="Petschner">Peter Petschner</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A43">MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Peyrot, Wouter J" sort="Peyrot, Wouter J" uniqKey="Peyrot W" first="Wouter J." last="Peyrot">Wouter J. Peyrot</name>
<affiliation wicri:level="1">
<nlm:aff id="A44">Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Schwahn, Christian" sort="Schwahn, Christian" uniqKey="Schwahn C" first="Christian" last="Schwahn">Christian Schwahn</name>
<affiliation wicri:level="1">
<nlm:aff id="A45">Department of Prosthetic Dentistry, Gerostomatology and Dental Materials, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, Gerostomatology and Dental Materials, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Sinnamon, Grant" sort="Sinnamon, Grant" uniqKey="Sinnamon G" first="Grant" last="Sinnamon">Grant Sinnamon</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stacey, David" sort="Stacey, David" uniqKey="Stacey D" first="David" last="Stacey">David Stacey</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tian, Yan" sort="Tian, Yan" uniqKey="Tian Y" first="Yan" last="Tian">Yan Tian</name>
<affiliation wicri:level="1">
<nlm:aff id="A46">Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Toben, Catherine" sort="Toben, Catherine" uniqKey="Toben C" first="Catherine" last="Toben">Catherine Toben</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Van Der Auwera, Sandra" sort="Van Der Auwera, Sandra" uniqKey="Van Der Auwera S" first="Sandra" last="Van Der Auwera">Sandra Van Der Auwera</name>
<affiliation wicri:level="1">
<nlm:aff id="A47">Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wainwright, Nick" sort="Wainwright, Nick" uniqKey="Wainwright N" first="Nick" last="Wainwright">Nick Wainwright</name>
<affiliation wicri:level="1">
<nlm:aff id="A48">Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wang, Jen Chyong" sort="Wang, Jen Chyong" uniqKey="Wang J" first="Jen-Chyong" last="Wang">Jen-Chyong Wang</name>
<affiliation wicri:level="1">
<nlm:aff id="A49">Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Willemsen, Gonneke" sort="Willemsen, Gonneke" uniqKey="Willemsen G" first="Gonneke" last="Willemsen">Gonneke Willemsen</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Anderson, Ian M" sort="Anderson, Ian M" uniqKey="Anderson I" first="Ian M." last="Anderson">Ian M. Anderson</name>
<affiliation wicri:level="1">
<nlm:aff id="A20">Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A50">Manchester Academic Health Sciences Centre, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Manchester Academic Health Sciences Centre, Manchester</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Arolt, Volker" sort="Arolt, Volker" uniqKey="Arolt V" first="Volker" last="Arolt">Volker Arolt</name>
<affiliation wicri:level="1">
<nlm:aff id="A51">Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University of Münster, Münster</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey=" Slund, Cecilia" sort=" Slund, Cecilia" uniqKey=" Slund C" first="Cecilia" last=" Slund">Cecilia Slund</name>
<affiliation wicri:level="1">
<nlm:aff id="A52">Centre for Clinical Research, Uppsala University, Uppsala, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Clinical Research, Uppsala University, Uppsala</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A53">Västmanland County Hospital Västerås, Västerås, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Västmanland County Hospital Västerås, Västerås</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bagdy, Gyorgy" sort="Bagdy, Gyorgy" uniqKey="Bagdy G" first="Gyorgy" last="Bagdy">Gyorgy Bagdy</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A43">MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Baune, Bernhard T" sort="Baune, Bernhard T" uniqKey="Baune B" first="Bernhard T." last="Baune">Bernhard T. Baune</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bellivier, Frank" sort="Bellivier, Frank" uniqKey="Bellivier F" first="Frank" last="Bellivier">Frank Bellivier</name>
<affiliation wicri:level="1">
<nlm:aff id="A9">Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A10">AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A11">INSERM, U1144, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, U1144, Paris</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Boomsma, Dorret I" sort="Boomsma, Dorret I" uniqKey="Boomsma D" first="Dorret I." last="Boomsma">Dorret I. Boomsma</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A24">Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Courtet, Philippe" sort="Courtet, Philippe" uniqKey="Courtet P" first="Philippe" last="Courtet">Philippe Courtet</name>
<affiliation wicri:level="1">
<nlm:aff id="A14">Université Montpellier; Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Montpellier; Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A16">Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dannlowski, Udo" sort="Dannlowski, Udo" uniqKey="Dannlowski U" first="Udo" last="Dannlowski">Udo Dannlowski</name>
<affiliation wicri:level="1">
<nlm:aff id="A51">Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University of Münster, Münster</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A54">Department of Psychiatry, University of Marburg, Marburg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry, University of Marburg, Marburg</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Geus, Eco J C" sort="De Geus, Eco J C" uniqKey="De Geus E" first="Eco J. C." last="De Geus">Eco J. C. De Geus</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Deakin, John F W" sort="Deakin, John F W" uniqKey="Deakin J" first="John F. W." last="Deakin">John F. W. Deakin</name>
<affiliation wicri:level="1">
<nlm:aff id="A20">Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A50">Manchester Academic Health Sciences Centre, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Manchester Academic Health Sciences Centre, Manchester</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Easteal, Simon" sort="Easteal, Simon" uniqKey="Easteal S" first="Simon" last="Easteal">Simon Easteal</name>
<affiliation wicri:level="1">
<nlm:aff id="A55">John Curtin School of Medical Research, The Australian National University, Canberra, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>John Curtin School of Medical Research, The Australian National University, Canberra</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Eley, Thalia" sort="Eley, Thalia" uniqKey="Eley T" first="Thalia" last="Eley">Thalia Eley</name>
<affiliation wicri:level="1">
<nlm:aff id="A56">King’s College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>King’s College London, Institute of Psychiatry, Psychology & Neuroscience, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fergusson, David M" sort="Fergusson, David M" uniqKey="Fergusson D" first="David M." last="Fergusson">David M. Fergusson</name>
<affiliation wicri:level="1">
<nlm:aff id="A17">Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Department of Psychological Medicine, University of Otago Christchurch, Christchurch</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Goate, Alison M" sort="Goate, Alison M" uniqKey="Goate A" first="Alison M." last="Goate">Alison M. Goate</name>
<affiliation wicri:level="1">
<nlm:aff id="A49">Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gonda, Xenia" sort="Gonda, Xenia" uniqKey="Gonda X" first="Xenia" last="Gonda">Xenia Gonda</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A43">MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A57">Department of Psychiatry and Psychotherapy, Kutvolgyi Clinical Center, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, Kutvolgyi Clinical Center, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Grabe, Hans J" sort="Grabe, Hans J" uniqKey="Grabe H" first="Hans J." last="Grabe">Hans J. Grabe</name>
<affiliation wicri:level="1">
<nlm:aff id="A47">Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Holzman, Claudia" sort="Holzman, Claudia" uniqKey="Holzman C" first="Claudia" last="Holzman">Claudia Holzman</name>
<affiliation wicri:level="1">
<nlm:aff id="A46">Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Johnson, Eric O" sort="Johnson, Eric O" uniqKey="Johnson E" first="Eric O." last="Johnson">Eric O. Johnson</name>
<affiliation wicri:level="1">
<nlm:aff id="A58">Fellow Program and Behavioral Health and Criminal Justice Division, RTI International, Research Triangle Park, NC, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Fellow Program and Behavioral Health and Criminal Justice Division, RTI International, Research Triangle Park, NC</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kennedy, Martin" sort="Kennedy, Martin" uniqKey="Kennedy M" first="Martin" last="Kennedy">Martin Kennedy</name>
<affiliation wicri:level="1">
<nlm:aff id="A59">Department of Pathology, University of Otago Christchurch, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Department of Pathology, University of Otago Christchurch, Christchurch</wicri:regionArea>
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</author>
<author>
<name sortKey="Laucht, Manfred" sort="Laucht, Manfred" uniqKey="Laucht M" first="Manfred" last="Laucht">Manfred Laucht</name>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Martin, Nicholas G" sort="Martin, Nicholas G" uniqKey="Martin N" first="Nicholas G." last="Martin">Nicholas G. Martin</name>
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<nlm:aff id="A60">Genetic Epidemiology, QIMR Berghofer, Brisbane, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Genetic Epidemiology, QIMR Berghofer, Brisbane</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Munaf, Marcus" sort="Munaf, Marcus" uniqKey="Munaf M" first="Marcus" last="Munaf">Marcus Munaf</name>
<affiliation wicri:level="1">
<nlm:aff id="A61">MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>MRC Integrative Epidemiology Unit at the University of Bristol, Bristol</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A62">UK Centre for Tobacco and Alcohol Studies, School of Experimental Psychology, University of Bristol, Bristol, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>UK Centre for Tobacco and Alcohol Studies, School of Experimental Psychology, University of Bristol, Bristol</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nilsson, Kent W" sort="Nilsson, Kent W" uniqKey="Nilsson K" first="Kent W." last="Nilsson">Kent W. Nilsson</name>
<affiliation wicri:level="1">
<nlm:aff id="A52">Centre for Clinical Research, Uppsala University, Uppsala, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Clinical Research, Uppsala University, Uppsala</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A53">Västmanland County Hospital Västerås, Västerås, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Västmanland County Hospital Västerås, Västerås</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Oldehinkel, Albertine J" sort="Oldehinkel, Albertine J" uniqKey="Oldehinkel A" first="Albertine J." last="Oldehinkel">Albertine J. Oldehinkel</name>
<affiliation wicri:level="1">
<nlm:aff id="A42">University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Olsson, Craig" sort="Olsson, Craig" uniqKey="Olsson C" first="Craig" last="Olsson">Craig Olsson</name>
<affiliation wicri:level="1">
<nlm:aff id="A39">Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A63">Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A64">Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ormel, Johan" sort="Ormel, Johan" uniqKey="Ormel J" first="Johan" last="Ormel">Johan Ormel</name>
<affiliation wicri:level="1">
<nlm:aff id="A42">University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Otte, Christian" sort="Otte, Christian" uniqKey="Otte C" first="Christian" last="Otte">Christian Otte</name>
<affiliation wicri:level="1">
<nlm:aff id="A65">Charité Universitätsmedizin Berlin, Klinik für Psychiatrie und Psychotherapie Campus Benjamin Franklin, Berlin, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Charité Universitätsmedizin Berlin, Klinik für Psychiatrie und Psychotherapie Campus Benjamin Franklin, Berlin</wicri:regionArea>
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</author>
<author>
<name sortKey="Patton, George C" sort="Patton, George C" uniqKey="Patton G" first="George C." last="Patton">George C. Patton</name>
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<nlm:aff id="A66">Department of Paediatrics, Murdoch Childrens Research Institute, University of Melbourne, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Paediatrics, Murdoch Childrens Research Institute, University of Melbourne, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Penninx, Brenda W J H" sort="Penninx, Brenda W J H" uniqKey="Penninx B" first="Brenda W. J. H." last="Penninx">Brenda W. J. H. Penninx</name>
<affiliation wicri:level="1">
<nlm:aff id="A44">Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam</wicri:regionArea>
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</author>
<author>
<name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
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</author>
<author>
<name sortKey="Sarchiapone, Marco" sort="Sarchiapone, Marco" uniqKey="Sarchiapone M" first="Marco" last="Sarchiapone">Marco Sarchiapone</name>
<affiliation wicri:level="1">
<nlm:aff id="A67">Department of Health Sciences, University of Molise, Campobasso, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Health Sciences, University of Molise, Campobasso</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Scheid, Jm" sort="Scheid, Jm" uniqKey="Scheid J" first="Jm" last="Scheid">Jm Scheid</name>
<affiliation wicri:level="1">
<nlm:aff id="A68">Department of Psychiatry, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Serretti, Alessandro" sort="Serretti, Alessandro" uniqKey="Serretti A" first="Alessandro" last="Serretti">Alessandro Serretti</name>
<affiliation wicri:level="1">
<nlm:aff id="A22">Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Smit, Johannes H" sort="Smit, Johannes H" uniqKey="Smit J" first="Johannes H." last="Smit">Johannes H. Smit</name>
<affiliation wicri:level="1">
<nlm:aff id="A44">Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stefanis, Nicholas C" sort="Stefanis, Nicholas C" uniqKey="Stefanis N" first="Nicholas C." last="Stefanis">Nicholas C. Stefanis</name>
<affiliation wicri:level="1">
<nlm:aff id="A33">University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens, Greece</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Surtees, Paul G" sort="Surtees, Paul G" uniqKey="Surtees P" first="Paul G." last="Surtees">Paul G. Surtees</name>
<affiliation wicri:level="1">
<nlm:aff id="A48">Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Volzke, Henry" sort="Volzke, Henry" uniqKey="Volzke H" first="Henry" last="Völzke">Henry Völzke</name>
<affiliation wicri:level="1">
<nlm:aff id="A69">Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute for Community Medicine, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Weinstein, Maxine" sort="Weinstein, Maxine" uniqKey="Weinstein M" first="Maxine" last="Weinstein">Maxine Weinstein</name>
<affiliation wicri:level="1">
<nlm:aff id="A32">Center for Population and Health, Georgetown University, Washington, DC, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Population and Health, Georgetown University, Washington, DC</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Whooley, Mary" sort="Whooley, Mary" uniqKey="Whooley M" first="Mary" last="Whooley">Mary Whooley</name>
<affiliation wicri:level="1">
<nlm:aff id="A70">Veterans Affairs Health Care System and University of California, San Francisco, CA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Veterans Affairs Health Care System and University of California, San Francisco, CA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nurnberger, John I" sort="Nurnberger, John I" uniqKey="Nurnberger J" first="John I." last="Nurnberger">John I. Nurnberger</name>
<affiliation wicri:level="1">
<nlm:aff id="A71">Institute of Psychiatric Research, Departments of Psychiatry and Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Institute of Psychiatric Research, Departments of Psychiatry and Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Breslau, Naomi" sort="Breslau, Naomi" uniqKey="Breslau N" first="Naomi" last="Breslau">Naomi Breslau</name>
<affiliation wicri:level="1">
<nlm:aff id="A46">Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bierut, Laura J" sort="Bierut, Laura J" uniqKey="Bierut L" first="Laura J." last="Bierut">Laura J. Bierut</name>
<affiliation wicri:level="1">
<nlm:aff id="A3">Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO</wicri:regionArea>
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<title xml:lang="en" level="a" type="main">Collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression</title>
<author>
<name sortKey="Culverhouse, Robert C" sort="Culverhouse, Robert C" uniqKey="Culverhouse R" first="Robert C." last="Culverhouse">Robert C. Culverhouse</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Medicine and Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine and Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, MO</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Saccone, Nancy L" sort="Saccone, Nancy L" uniqKey="Saccone N" first="Nancy L." last="Saccone">Nancy L. Saccone</name>
<affiliation wicri:level="1">
<nlm:aff id="A2">Department of Genetics and Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Genetics and Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, MO</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Horton, Amy C" sort="Horton, Amy C" uniqKey="Horton A" first="Amy C." last="Horton">Amy C. Horton</name>
<affiliation wicri:level="1">
<nlm:aff id="A3">Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ma, Yinjiao" sort="Ma, Yinjiao" uniqKey="Ma Y" first="Yinjiao" last="Ma">Yinjiao Ma</name>
<affiliation wicri:level="1">
<nlm:aff id="A3">Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Anstey, Kaarin J" sort="Anstey, Kaarin J" uniqKey="Anstey K" first="Kaarin J." last="Anstey">Kaarin J. Anstey</name>
<affiliation wicri:level="1">
<nlm:aff id="A4">Centre for Research on Ageing, Health and Wellbeing, The Australian National University, Canberra, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Research on Ageing, Health and Wellbeing, The Australian National University, Canberra</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Banaschewski, Tobias" sort="Banaschewski, Tobias" uniqKey="Banaschewski T" first="Tobias" last="Banaschewski">Tobias Banaschewski</name>
<affiliation wicri:level="1">
<nlm:aff id="A5">Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Burmeister, Margit" sort="Burmeister, Margit" uniqKey="Burmeister M" first="Margit" last="Burmeister">Margit Burmeister</name>
<affiliation wicri:level="1">
<nlm:aff id="A6">Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, University of Michigan, Ann Arbor, MI</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A7">Department of Human Genetics, University of Michigan, Ann Arbor, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Human Genetics, University of Michigan, Ann Arbor, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cohen Woods, Sarah" sort="Cohen Woods, Sarah" uniqKey="Cohen Woods S" first="Sarah" last="Cohen-Woods">Sarah Cohen-Woods</name>
<affiliation wicri:level="1">
<nlm:aff id="A8">Discipline of Psychiatry, Flinders University, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, Flinders University, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Etain, Bruno" sort="Etain, Bruno" uniqKey="Etain B" first="Bruno" last="Etain">Bruno Etain</name>
<affiliation wicri:level="1">
<nlm:aff id="A9">Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A10">AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A11">INSERM, U1144, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, U1144, Paris</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fisher, Helen L" sort="Fisher, Helen L" uniqKey="Fisher H" first="Helen L." last="Fisher">Helen L. Fisher</name>
<affiliation wicri:level="1">
<nlm:aff id="A12">Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Goldman, Noreen" sort="Goldman, Noreen" uniqKey="Goldman N" first="Noreen" last="Goldman">Noreen Goldman</name>
<affiliation wicri:level="1">
<nlm:aff id="A13">Office of Population Research, Princeton University, Princeton, NJ, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Office of Population Research, Princeton University, Princeton, NJ</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Guillaume, Sebastien" sort="Guillaume, Sebastien" uniqKey="Guillaume S" first="Sébastien" last="Guillaume">Sébastien Guillaume</name>
<affiliation wicri:level="1">
<nlm:aff id="A14">Université Montpellier; Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Montpellier; Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A16">Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Horwood, John" sort="Horwood, John" uniqKey="Horwood J" first="John" last="Horwood">John Horwood</name>
<affiliation wicri:level="1">
<nlm:aff id="A17">Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Department of Psychological Medicine, University of Otago Christchurch, Christchurch</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Juhasz, Gabriella" sort="Juhasz, Gabriella" uniqKey="Juhasz G" first="Gabriella" last="Juhasz">Gabriella Juhasz</name>
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<nlm:aff id="A18">MTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A20">Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lester, Kathryn J" sort="Lester, Kathryn J" uniqKey="Lester K" first="Kathryn J." last="Lester">Kathryn J. Lester</name>
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<nlm:aff id="A21">School of Psychology, University of Sussex, Brighton, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>School of Psychology, University of Sussex, Brighton</wicri:regionArea>
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</author>
<author>
<name sortKey="Mandelli, Laura" sort="Mandelli, Laura" uniqKey="Mandelli L" first="Laura" last="Mandelli">Laura Mandelli</name>
<affiliation wicri:level="1">
<nlm:aff id="A22">Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Middeldorp, Christel M" sort="Middeldorp, Christel M" uniqKey="Middeldorp C" first="Christel M." last="Middeldorp">Christel M. Middeldorp</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A24">Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Olie, Emilie" sort="Olie, Emilie" uniqKey="Olie E" first="Emilie" last="Olié">Emilie Olié</name>
<affiliation wicri:level="1">
<nlm:aff id="A14">Université Montpellier; Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Montpellier; Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A16">Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Villafuerte, Sandra" sort="Villafuerte, Sandra" uniqKey="Villafuerte S" first="Sandra" last="Villafuerte">Sandra Villafuerte</name>
<affiliation wicri:level="1">
<nlm:aff id="A6">Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, University of Michigan, Ann Arbor, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Air, Tracy M" sort="Air, Tracy M" uniqKey="Air T" first="Tracy M." last="Air">Tracy M. Air</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Araya, Ricardo" sort="Araya, Ricardo" uniqKey="Araya R" first="Ricardo" last="Araya">Ricardo Araya</name>
<affiliation wicri:level="1">
<nlm:aff id="A26">Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bowes, Lucy" sort="Bowes, Lucy" uniqKey="Bowes L" first="Lucy" last="Bowes">Lucy Bowes</name>
<affiliation wicri:level="1">
<nlm:aff id="A27">Department of Experimental Psychology, University of Oxford, Oxford, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Experimental Psychology, University of Oxford, Oxford</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Burns, Richard" sort="Burns, Richard" uniqKey="Burns R" first="Richard" last="Burns">Richard Burns</name>
<affiliation wicri:level="1">
<nlm:aff id="A4">Centre for Research on Ageing, Health and Wellbeing, The Australian National University, Canberra, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Research on Ageing, Health and Wellbeing, The Australian National University, Canberra</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Byrne, Enda M" sort="Byrne, Enda M" uniqKey="Byrne E" first="Enda M." last="Byrne">Enda M. Byrne</name>
<affiliation wicri:level="1">
<nlm:aff id="A28">Queensland Brain Institute, University of Queensland, Brisbane, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Queensland Brain Institute, University of Queensland, Brisbane</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Coffey, Carolyn" sort="Coffey, Carolyn" uniqKey="Coffey C" first="Carolyn" last="Coffey">Carolyn Coffey</name>
<affiliation wicri:level="1">
<nlm:aff id="A29">Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Coventry, William L" sort="Coventry, William L" uniqKey="Coventry W" first="William L." last="Coventry">William L. Coventry</name>
<affiliation wicri:level="1">
<nlm:aff id="A30">Discipline of Psychology, University of New England, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychology, University of New England, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gawronski, Katerina" sort="Gawronski, Katerina" uniqKey="Gawronski K" first="Katerina" last="Gawronski">Katerina Gawronski</name>
<affiliation wicri:level="1">
<nlm:aff id="A31">Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Glei, Dana" sort="Glei, Dana" uniqKey="Glei D" first="Dana" last="Glei">Dana Glei</name>
<affiliation wicri:level="1">
<nlm:aff id="A32">Center for Population and Health, Georgetown University, Washington, DC, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Population and Health, Georgetown University, Washington, DC</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hatzimanolis, Alex" sort="Hatzimanolis, Alex" uniqKey="Hatzimanolis A" first="Alex" last="Hatzimanolis">Alex Hatzimanolis</name>
<affiliation wicri:level="1">
<nlm:aff id="A33">University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens, Greece</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hottenga, Jouke Jan" sort="Hottenga, Jouke Jan" uniqKey="Hottenga J" first="Jouke-Jan" last="Hottenga">Jouke-Jan Hottenga</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jaussent, Isabelle" sort="Jaussent, Isabelle" uniqKey="Jaussent I" first="Isabelle" last="Jaussent">Isabelle Jaussent</name>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jawahar, Catharine" sort="Jawahar, Catharine" uniqKey="Jawahar C" first="Catharine" last="Jawahar">Catharine Jawahar</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jennen Steinmetz, Christine" sort="Jennen Steinmetz, Christine" uniqKey="Jennen Steinmetz C" first="Christine" last="Jennen-Steinmetz">Christine Jennen-Steinmetz</name>
<affiliation wicri:level="1">
<nlm:aff id="A35">Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kramer, John R" sort="Kramer, John R" uniqKey="Kramer J" first="John R." last="Kramer">John R. Kramer</name>
<affiliation wicri:level="1">
<nlm:aff id="A36">Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lajnef, Mohamed" sort="Lajnef, Mohamed" uniqKey="Lajnef M" first="Mohamed" last="Lajnef">Mohamed Lajnef</name>
<affiliation wicri:level="1">
<nlm:aff id="A37">INSERM U955, Creteil, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U955, Creteil</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Little, Keriann" sort="Little, Keriann" uniqKey="Little K" first="Keriann" last="Little">Keriann Little</name>
<affiliation wicri:level="1">
<nlm:aff id="A38">Murdoch Childrens Research Institute, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Childrens Research Institute, Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A39">Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meyer Zu Schwabedissen, Henriette" sort="Meyer Zu Schwabedissen, Henriette" uniqKey="Meyer Zu Schwabedissen H" first="Henriette" last="Meyer Zu Schwabedissen">Henriette Meyer Zu Schwabedissen</name>
<affiliation wicri:level="1">
<nlm:aff id="A40">Biopharmacy, Department Pharmaceutical Sciences, University of Basel, Basel, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Biopharmacy, Department Pharmaceutical Sciences, University of Basel, Basel</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nauck, Matthias" sort="Nauck, Matthias" uniqKey="Nauck M" first="Matthias" last="Nauck">Matthias Nauck</name>
<affiliation wicri:level="1">
<nlm:aff id="A41">Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nederhof, Esther" sort="Nederhof, Esther" uniqKey="Nederhof E" first="Esther" last="Nederhof">Esther Nederhof</name>
<affiliation wicri:level="1">
<nlm:aff id="A42">University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Petschner, Peter" sort="Petschner, Peter" uniqKey="Petschner P" first="Peter" last="Petschner">Peter Petschner</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A43">MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Peyrot, Wouter J" sort="Peyrot, Wouter J" uniqKey="Peyrot W" first="Wouter J." last="Peyrot">Wouter J. Peyrot</name>
<affiliation wicri:level="1">
<nlm:aff id="A44">Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Schwahn, Christian" sort="Schwahn, Christian" uniqKey="Schwahn C" first="Christian" last="Schwahn">Christian Schwahn</name>
<affiliation wicri:level="1">
<nlm:aff id="A45">Department of Prosthetic Dentistry, Gerostomatology and Dental Materials, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, Gerostomatology and Dental Materials, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Sinnamon, Grant" sort="Sinnamon, Grant" uniqKey="Sinnamon G" first="Grant" last="Sinnamon">Grant Sinnamon</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stacey, David" sort="Stacey, David" uniqKey="Stacey D" first="David" last="Stacey">David Stacey</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tian, Yan" sort="Tian, Yan" uniqKey="Tian Y" first="Yan" last="Tian">Yan Tian</name>
<affiliation wicri:level="1">
<nlm:aff id="A46">Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Toben, Catherine" sort="Toben, Catherine" uniqKey="Toben C" first="Catherine" last="Toben">Catherine Toben</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Van Der Auwera, Sandra" sort="Van Der Auwera, Sandra" uniqKey="Van Der Auwera S" first="Sandra" last="Van Der Auwera">Sandra Van Der Auwera</name>
<affiliation wicri:level="1">
<nlm:aff id="A47">Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wainwright, Nick" sort="Wainwright, Nick" uniqKey="Wainwright N" first="Nick" last="Wainwright">Nick Wainwright</name>
<affiliation wicri:level="1">
<nlm:aff id="A48">Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wang, Jen Chyong" sort="Wang, Jen Chyong" uniqKey="Wang J" first="Jen-Chyong" last="Wang">Jen-Chyong Wang</name>
<affiliation wicri:level="1">
<nlm:aff id="A49">Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Willemsen, Gonneke" sort="Willemsen, Gonneke" uniqKey="Willemsen G" first="Gonneke" last="Willemsen">Gonneke Willemsen</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Anderson, Ian M" sort="Anderson, Ian M" uniqKey="Anderson I" first="Ian M." last="Anderson">Ian M. Anderson</name>
<affiliation wicri:level="1">
<nlm:aff id="A20">Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A50">Manchester Academic Health Sciences Centre, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Manchester Academic Health Sciences Centre, Manchester</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Arolt, Volker" sort="Arolt, Volker" uniqKey="Arolt V" first="Volker" last="Arolt">Volker Arolt</name>
<affiliation wicri:level="1">
<nlm:aff id="A51">Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University of Münster, Münster</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey=" Slund, Cecilia" sort=" Slund, Cecilia" uniqKey=" Slund C" first="Cecilia" last=" Slund">Cecilia Slund</name>
<affiliation wicri:level="1">
<nlm:aff id="A52">Centre for Clinical Research, Uppsala University, Uppsala, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Clinical Research, Uppsala University, Uppsala</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A53">Västmanland County Hospital Västerås, Västerås, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Västmanland County Hospital Västerås, Västerås</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bagdy, Gyorgy" sort="Bagdy, Gyorgy" uniqKey="Bagdy G" first="Gyorgy" last="Bagdy">Gyorgy Bagdy</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A43">MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Baune, Bernhard T" sort="Baune, Bernhard T" uniqKey="Baune B" first="Bernhard T." last="Baune">Bernhard T. Baune</name>
<affiliation wicri:level="1">
<nlm:aff id="A25">Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Psychiatry, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bellivier, Frank" sort="Bellivier, Frank" uniqKey="Bellivier F" first="Frank" last="Bellivier">Frank Bellivier</name>
<affiliation wicri:level="1">
<nlm:aff id="A9">Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A10">AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A11">INSERM, U1144, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, U1144, Paris</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Boomsma, Dorret I" sort="Boomsma, Dorret I" uniqKey="Boomsma D" first="Dorret I." last="Boomsma">Dorret I. Boomsma</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A24">Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Courtet, Philippe" sort="Courtet, Philippe" uniqKey="Courtet P" first="Philippe" last="Courtet">Philippe Courtet</name>
<affiliation wicri:level="1">
<nlm:aff id="A14">Université Montpellier; Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Montpellier; Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A16">Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dannlowski, Udo" sort="Dannlowski, Udo" uniqKey="Dannlowski U" first="Udo" last="Dannlowski">Udo Dannlowski</name>
<affiliation wicri:level="1">
<nlm:aff id="A51">Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University of Münster, Münster</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A54">Department of Psychiatry, University of Marburg, Marburg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry, University of Marburg, Marburg</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Geus, Eco J C" sort="De Geus, Eco J C" uniqKey="De Geus E" first="Eco J. C." last="De Geus">Eco J. C. De Geus</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A34">EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Deakin, John F W" sort="Deakin, John F W" uniqKey="Deakin J" first="John F. W." last="Deakin">John F. W. Deakin</name>
<affiliation wicri:level="1">
<nlm:aff id="A20">Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A50">Manchester Academic Health Sciences Centre, Manchester, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Manchester Academic Health Sciences Centre, Manchester</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Easteal, Simon" sort="Easteal, Simon" uniqKey="Easteal S" first="Simon" last="Easteal">Simon Easteal</name>
<affiliation wicri:level="1">
<nlm:aff id="A55">John Curtin School of Medical Research, The Australian National University, Canberra, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>John Curtin School of Medical Research, The Australian National University, Canberra</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Eley, Thalia" sort="Eley, Thalia" uniqKey="Eley T" first="Thalia" last="Eley">Thalia Eley</name>
<affiliation wicri:level="1">
<nlm:aff id="A56">King’s College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>King’s College London, Institute of Psychiatry, Psychology & Neuroscience, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fergusson, David M" sort="Fergusson, David M" uniqKey="Fergusson D" first="David M." last="Fergusson">David M. Fergusson</name>
<affiliation wicri:level="1">
<nlm:aff id="A17">Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Department of Psychological Medicine, University of Otago Christchurch, Christchurch</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Goate, Alison M" sort="Goate, Alison M" uniqKey="Goate A" first="Alison M." last="Goate">Alison M. Goate</name>
<affiliation wicri:level="1">
<nlm:aff id="A49">Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gonda, Xenia" sort="Gonda, Xenia" uniqKey="Gonda X" first="Xenia" last="Gonda">Xenia Gonda</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A43">MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A57">Department of Psychiatry and Psychotherapy, Kutvolgyi Clinical Center, Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, Kutvolgyi Clinical Center, Semmelweis University, Budapest</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Grabe, Hans J" sort="Grabe, Hans J" uniqKey="Grabe H" first="Hans J." last="Grabe">Hans J. Grabe</name>
<affiliation wicri:level="1">
<nlm:aff id="A47">Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Holzman, Claudia" sort="Holzman, Claudia" uniqKey="Holzman C" first="Claudia" last="Holzman">Claudia Holzman</name>
<affiliation wicri:level="1">
<nlm:aff id="A46">Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Johnson, Eric O" sort="Johnson, Eric O" uniqKey="Johnson E" first="Eric O." last="Johnson">Eric O. Johnson</name>
<affiliation wicri:level="1">
<nlm:aff id="A58">Fellow Program and Behavioral Health and Criminal Justice Division, RTI International, Research Triangle Park, NC, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Fellow Program and Behavioral Health and Criminal Justice Division, RTI International, Research Triangle Park, NC</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kennedy, Martin" sort="Kennedy, Martin" uniqKey="Kennedy M" first="Martin" last="Kennedy">Martin Kennedy</name>
<affiliation wicri:level="1">
<nlm:aff id="A59">Department of Pathology, University of Otago Christchurch, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Department of Pathology, University of Otago Christchurch, Christchurch</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Laucht, Manfred" sort="Laucht, Manfred" uniqKey="Laucht M" first="Manfred" last="Laucht">Manfred Laucht</name>
<affiliation wicri:level="1">
<nlm:aff id="A5">Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Martin, Nicholas G" sort="Martin, Nicholas G" uniqKey="Martin N" first="Nicholas G." last="Martin">Nicholas G. Martin</name>
<affiliation wicri:level="1">
<nlm:aff id="A60">Genetic Epidemiology, QIMR Berghofer, Brisbane, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Genetic Epidemiology, QIMR Berghofer, Brisbane</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Munaf, Marcus" sort="Munaf, Marcus" uniqKey="Munaf M" first="Marcus" last="Munaf">Marcus Munaf</name>
<affiliation wicri:level="1">
<nlm:aff id="A61">MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>MRC Integrative Epidemiology Unit at the University of Bristol, Bristol</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A62">UK Centre for Tobacco and Alcohol Studies, School of Experimental Psychology, University of Bristol, Bristol, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>UK Centre for Tobacco and Alcohol Studies, School of Experimental Psychology, University of Bristol, Bristol</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nilsson, Kent W" sort="Nilsson, Kent W" uniqKey="Nilsson K" first="Kent W." last="Nilsson">Kent W. Nilsson</name>
<affiliation wicri:level="1">
<nlm:aff id="A52">Centre for Clinical Research, Uppsala University, Uppsala, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Clinical Research, Uppsala University, Uppsala</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A53">Västmanland County Hospital Västerås, Västerås, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Västmanland County Hospital Västerås, Västerås</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Oldehinkel, Albertine J" sort="Oldehinkel, Albertine J" uniqKey="Oldehinkel A" first="Albertine J." last="Oldehinkel">Albertine J. Oldehinkel</name>
<affiliation wicri:level="1">
<nlm:aff id="A42">University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Olsson, Craig" sort="Olsson, Craig" uniqKey="Olsson C" first="Craig" last="Olsson">Craig Olsson</name>
<affiliation wicri:level="1">
<nlm:aff id="A39">Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A63">Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A64">Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ormel, Johan" sort="Ormel, Johan" uniqKey="Ormel J" first="Johan" last="Ormel">Johan Ormel</name>
<affiliation wicri:level="1">
<nlm:aff id="A42">University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Otte, Christian" sort="Otte, Christian" uniqKey="Otte C" first="Christian" last="Otte">Christian Otte</name>
<affiliation wicri:level="1">
<nlm:aff id="A65">Charité Universitätsmedizin Berlin, Klinik für Psychiatrie und Psychotherapie Campus Benjamin Franklin, Berlin, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Charité Universitätsmedizin Berlin, Klinik für Psychiatrie und Psychotherapie Campus Benjamin Franklin, Berlin</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Patton, George C" sort="Patton, George C" uniqKey="Patton G" first="George C." last="Patton">George C. Patton</name>
<affiliation wicri:level="1">
<nlm:aff id="A66">Department of Paediatrics, Murdoch Childrens Research Institute, University of Melbourne, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Paediatrics, Murdoch Childrens Research Institute, University of Melbourne, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Penninx, Brenda W J H" sort="Penninx, Brenda W J H" uniqKey="Penninx B" first="Brenda W. J. H." last="Penninx">Brenda W. J. H. Penninx</name>
<affiliation wicri:level="1">
<nlm:aff id="A44">Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name>
<affiliation wicri:level="1">
<nlm:aff id="A15">INSERM U1061 Neuropsychiatry, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1061 Neuropsychiatry, Montpellier</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Sarchiapone, Marco" sort="Sarchiapone, Marco" uniqKey="Sarchiapone M" first="Marco" last="Sarchiapone">Marco Sarchiapone</name>
<affiliation wicri:level="1">
<nlm:aff id="A67">Department of Health Sciences, University of Molise, Campobasso, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Health Sciences, University of Molise, Campobasso</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Scheid, Jm" sort="Scheid, Jm" uniqKey="Scheid J" first="Jm" last="Scheid">Jm Scheid</name>
<affiliation wicri:level="1">
<nlm:aff id="A68">Department of Psychiatry, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Serretti, Alessandro" sort="Serretti, Alessandro" uniqKey="Serretti A" first="Alessandro" last="Serretti">Alessandro Serretti</name>
<affiliation wicri:level="1">
<nlm:aff id="A22">Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Smit, Johannes H" sort="Smit, Johannes H" uniqKey="Smit J" first="Johannes H." last="Smit">Johannes H. Smit</name>
<affiliation wicri:level="1">
<nlm:aff id="A44">Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stefanis, Nicholas C" sort="Stefanis, Nicholas C" uniqKey="Stefanis N" first="Nicholas C." last="Stefanis">Nicholas C. Stefanis</name>
<affiliation wicri:level="1">
<nlm:aff id="A33">University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens, Greece</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Surtees, Paul G" sort="Surtees, Paul G" uniqKey="Surtees P" first="Paul G." last="Surtees">Paul G. Surtees</name>
<affiliation wicri:level="1">
<nlm:aff id="A48">Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Volzke, Henry" sort="Volzke, Henry" uniqKey="Volzke H" first="Henry" last="Völzke">Henry Völzke</name>
<affiliation wicri:level="1">
<nlm:aff id="A69">Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute for Community Medicine, University Medicine Greifswald, Greifswald</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Weinstein, Maxine" sort="Weinstein, Maxine" uniqKey="Weinstein M" first="Maxine" last="Weinstein">Maxine Weinstein</name>
<affiliation wicri:level="1">
<nlm:aff id="A32">Center for Population and Health, Georgetown University, Washington, DC, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Population and Health, Georgetown University, Washington, DC</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Whooley, Mary" sort="Whooley, Mary" uniqKey="Whooley M" first="Mary" last="Whooley">Mary Whooley</name>
<affiliation wicri:level="1">
<nlm:aff id="A70">Veterans Affairs Health Care System and University of California, San Francisco, CA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Veterans Affairs Health Care System and University of California, San Francisco, CA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nurnberger, John I" sort="Nurnberger, John I" uniqKey="Nurnberger J" first="John I." last="Nurnberger">John I. Nurnberger</name>
<affiliation wicri:level="1">
<nlm:aff id="A71">Institute of Psychiatric Research, Departments of Psychiatry and Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Institute of Psychiatric Research, Departments of Psychiatry and Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Breslau, Naomi" sort="Breslau, Naomi" uniqKey="Breslau N" first="Naomi" last="Breslau">Naomi Breslau</name>
<affiliation wicri:level="1">
<nlm:aff id="A46">Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bierut, Laura J" sort="Bierut, Laura J" uniqKey="Bierut L" first="Laura J." last="Bierut">Laura J. Bierut</name>
<affiliation wicri:level="1">
<nlm:aff id="A3">Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Molecular psychiatry</title>
<idno type="ISSN">1359-4184</idno>
<idno type="eISSN">1476-5578</idno>
<imprint>
<date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">The hypothesis that the S allele of the 5-HTTLPR serotonin transporter promoter region is associated with increased risk of depression, but only in individuals exposed to stressful situations, has generated much interest, research, and controversy since first proposed in 2003. Multiple meta-analyses combining results from heterogeneous analyses have not settled the issue. To determine the magnitude of the interaction and the conditions under which it might be observed, we performed
<italic>new</italic>
analyses on 31 datasets containing 38 802 European-ancestry subjects genotyped for 5-HTTLPR and assessed for depression and childhood maltreatment or other stressful life events, and meta-analyzed the results. Analyses targeted two stressors (narrow, broad) and two depression outcomes (current, lifetime). All groups that published on this topic prior to the initiation of our study and met the assessment and sample size criteria were invited to participate. Additional groups, identified by consortium members or self-identified in response to our protocol (published prior to the start of analysis
<sup>
<xref rid="R1" ref-type="bibr">1</xref>
</sup>
) with qualifying unpublished data were also invited to participate. A uniform data analysis script implementing the protocol was executed by each of the consortium members. Our findings do not support the interaction hypothesis. We found no subgroups or variable definitions for which an interaction between stress and 5-HTTLPR genotype was statistically significant. In contrast, our findings for the main effects of life stressors (strong risk factor) and 5-HTTLPR genotype (no impact on risk) are strikingly consistent across our contributing studies, the original study reporting the interaction, and subsequent meta-analyses. Our conclusion is that if an interaction exists in which the S allele of 5-HTTLPR increases risk of depression only in stressed individuals, then it is not broadly generalizable, but must be of modest effect size and only observable in limited situations.</p>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
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<journal-id journal-id-type="nlm-journal-id">9607835</journal-id>
<journal-id journal-id-type="pubmed-jr-id">20545</journal-id>
<journal-id journal-id-type="nlm-ta">Mol Psychiatry</journal-id>
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<issn pub-type="ppub">1359-4184</issn>
<issn pub-type="epub">1476-5578</issn>
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<article-id pub-id-type="pmc">5628077</article-id>
<article-id pub-id-type="doi">10.1038/mp.2017.44</article-id>
<article-id pub-id-type="manuscript">NIHMS849357</article-id>
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<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Air</surname>
<given-names>Tracy M.</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Araya</surname>
<given-names>Ricardo</given-names>
</name>
<xref ref-type="aff" rid="A26">26</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bowes</surname>
<given-names>Lucy</given-names>
</name>
<xref ref-type="aff" rid="A27">27</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Burns</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Byrne</surname>
<given-names>Enda M.</given-names>
</name>
<xref ref-type="aff" rid="A28">28</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Coffey</surname>
<given-names>Carolyn</given-names>
</name>
<xref ref-type="aff" rid="A29">29</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Coventry</surname>
<given-names>William L.</given-names>
</name>
<xref ref-type="aff" rid="A30">30</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gawronski</surname>
<given-names>Katerina</given-names>
</name>
<xref ref-type="aff" rid="A31">31</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Glei</surname>
<given-names>Dana</given-names>
</name>
<xref ref-type="aff" rid="A32">32</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hatzimanolis</surname>
<given-names>Alex</given-names>
</name>
<xref ref-type="aff" rid="A33">33</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hottenga</surname>
<given-names>Jouke-Jan</given-names>
</name>
<xref ref-type="aff" rid="A23">23</xref>
<xref ref-type="aff" rid="A34">34</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jaussent</surname>
<given-names>Isabelle</given-names>
</name>
<xref ref-type="aff" rid="A15">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jawahar</surname>
<given-names>Catharine</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jennen-Steinmetz</surname>
<given-names>Christine</given-names>
</name>
<xref ref-type="aff" rid="A35">35</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kramer</surname>
<given-names>John R.</given-names>
</name>
<xref ref-type="aff" rid="A36">36</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lajnef</surname>
<given-names>Mohamed</given-names>
</name>
<xref ref-type="aff" rid="A37">37</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Little</surname>
<given-names>Keriann</given-names>
</name>
<xref ref-type="aff" rid="A38">38</xref>
<xref ref-type="aff" rid="A39">39</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meyer zu Schwabedissen</surname>
<given-names>Henriette</given-names>
</name>
<xref ref-type="aff" rid="A40">40</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nauck</surname>
<given-names>Matthias</given-names>
</name>
<xref ref-type="aff" rid="A41">41</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nederhof</surname>
<given-names>Esther</given-names>
</name>
<xref ref-type="aff" rid="A42">42</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Petschner</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="A19">19</xref>
<xref ref-type="aff" rid="A43">43</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peyrot</surname>
<given-names>Wouter J.</given-names>
</name>
<xref ref-type="aff" rid="A44">44</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schwahn</surname>
<given-names>Christian</given-names>
</name>
<xref ref-type="aff" rid="A45">45</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sinnamon</surname>
<given-names>Grant</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stacey</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tian</surname>
<given-names>Yan</given-names>
</name>
<xref ref-type="aff" rid="A46">46</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Toben</surname>
<given-names>Catherine</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van der Auwera</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="A47">47</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wainwright</surname>
<given-names>Nick</given-names>
</name>
<xref ref-type="aff" rid="A48">48</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Jen-Chyong</given-names>
</name>
<xref ref-type="aff" rid="A49">49</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Willemsen</surname>
<given-names>Gonneke</given-names>
</name>
<xref ref-type="aff" rid="A23">23</xref>
<xref ref-type="aff" rid="A34">34</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Anderson</surname>
<given-names>Ian M.</given-names>
</name>
<xref ref-type="aff" rid="A20">20</xref>
<xref ref-type="aff" rid="A50">50</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arolt</surname>
<given-names>Volker</given-names>
</name>
<xref ref-type="aff" rid="A51">51</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Åslund</surname>
<given-names>Cecilia</given-names>
</name>
<xref ref-type="aff" rid="A52">52</xref>
<xref ref-type="aff" rid="A53">53</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bagdy</surname>
<given-names>Gyorgy</given-names>
</name>
<xref ref-type="aff" rid="A19">19</xref>
<xref ref-type="aff" rid="A43">43</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Baune</surname>
<given-names>Bernhard T.</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bellivier</surname>
<given-names>Frank</given-names>
</name>
<xref ref-type="aff" rid="A9">9</xref>
<xref ref-type="aff" rid="A10">10</xref>
<xref ref-type="aff" rid="A11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Boomsma</surname>
<given-names>Dorret I.</given-names>
</name>
<xref ref-type="aff" rid="A23">23</xref>
<xref ref-type="aff" rid="A24">24</xref>
<xref ref-type="aff" rid="A34">34</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Courtet</surname>
<given-names>Philippe</given-names>
</name>
<xref ref-type="aff" rid="A14">14</xref>
<xref ref-type="aff" rid="A15">15</xref>
<xref ref-type="aff" rid="A16">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dannlowski</surname>
<given-names>Udo</given-names>
</name>
<xref ref-type="aff" rid="A51">51</xref>
<xref ref-type="aff" rid="A54">54</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Geus</surname>
<given-names>Eco J.C.</given-names>
</name>
<xref ref-type="aff" rid="A23">23</xref>
<xref ref-type="aff" rid="A34">34</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deakin</surname>
<given-names>John F. W.</given-names>
</name>
<xref ref-type="aff" rid="A20">20</xref>
<xref ref-type="aff" rid="A50">50</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Easteal</surname>
<given-names>Simon</given-names>
</name>
<xref ref-type="aff" rid="A55">55</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eley</surname>
<given-names>Thalia</given-names>
</name>
<xref ref-type="aff" rid="A56">56</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fergusson</surname>
<given-names>David M.</given-names>
</name>
<xref ref-type="aff" rid="A17">17</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Goate</surname>
<given-names>Alison M.</given-names>
</name>
<xref ref-type="aff" rid="A49">49</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gonda</surname>
<given-names>Xenia</given-names>
</name>
<xref ref-type="aff" rid="A19">19</xref>
<xref ref-type="aff" rid="A43">43</xref>
<xref ref-type="aff" rid="A57">57</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Grabe</surname>
<given-names>Hans J.</given-names>
</name>
<xref ref-type="aff" rid="A47">47</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Holzman</surname>
<given-names>Claudia</given-names>
</name>
<xref ref-type="aff" rid="A46">46</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Johnson</surname>
<given-names>Eric O.</given-names>
</name>
<xref ref-type="aff" rid="A58">58</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kennedy</surname>
<given-names>Martin</given-names>
</name>
<xref ref-type="aff" rid="A59">59</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Laucht</surname>
<given-names>Manfred</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martin</surname>
<given-names>Nicholas G.</given-names>
</name>
<xref ref-type="aff" rid="A60">60</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Munafò</surname>
<given-names>Marcus</given-names>
</name>
<xref ref-type="aff" rid="A61">61</xref>
<xref ref-type="aff" rid="A62">62</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nilsson</surname>
<given-names>Kent W.</given-names>
</name>
<xref ref-type="aff" rid="A52">52</xref>
<xref ref-type="aff" rid="A53">53</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oldehinkel</surname>
<given-names>Albertine J.</given-names>
</name>
<xref ref-type="aff" rid="A42">42</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Olsson</surname>
<given-names>Craig</given-names>
</name>
<xref ref-type="aff" rid="A39">39</xref>
<xref ref-type="aff" rid="A63">63</xref>
<xref ref-type="aff" rid="A64">64</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ormel</surname>
<given-names>Johan</given-names>
</name>
<xref ref-type="aff" rid="A42">42</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Otte</surname>
<given-names>Christian</given-names>
</name>
<xref ref-type="aff" rid="A65">65</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Patton</surname>
<given-names>George C.</given-names>
</name>
<xref ref-type="aff" rid="A66">66</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Penninx</surname>
<given-names>Brenda W.J.H.</given-names>
</name>
<xref ref-type="aff" rid="A44">44</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ritchie</surname>
<given-names>Karen</given-names>
</name>
<xref ref-type="aff" rid="A15">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sarchiapone</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="A67">67</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Scheid</surname>
<given-names>JM</given-names>
</name>
<xref ref-type="aff" rid="A68">68</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Serretti</surname>
<given-names>Alessandro</given-names>
</name>
<xref ref-type="aff" rid="A22">22</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Smit</surname>
<given-names>Johannes H.</given-names>
</name>
<xref ref-type="aff" rid="A44">44</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stefanis</surname>
<given-names>Nicholas C.</given-names>
</name>
<xref ref-type="aff" rid="A33">33</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Surtees</surname>
<given-names>Paul G.</given-names>
</name>
<xref ref-type="aff" rid="A48">48</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Völzke</surname>
<given-names>Henry</given-names>
</name>
<xref ref-type="aff" rid="A69">69</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Weinstein</surname>
<given-names>Maxine</given-names>
</name>
<xref ref-type="aff" rid="A32">32</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Whooley</surname>
<given-names>Mary</given-names>
</name>
<xref ref-type="aff" rid="A70">70</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nurnberger</surname>
<given-names>John I.</given-names>
<suffix>Jr</suffix>
</name>
<xref ref-type="aff" rid="A71">71</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Breslau</surname>
<given-names>Naomi</given-names>
</name>
<xref ref-type="aff" rid="A46">46</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bierut</surname>
<given-names>Laura J.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Medicine and Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</aff>
<aff id="A2">
<label>2</label>
Department of Genetics and Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</aff>
<aff id="A3">
<label>3</label>
Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA</aff>
<aff id="A4">
<label>4</label>
Centre for Research on Ageing, Health and Wellbeing, The Australian National University, Canberra, Australia</aff>
<aff id="A5">
<label>5</label>
Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany</aff>
<aff id="A6">
<label>6</label>
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA</aff>
<aff id="A7">
<label>7</label>
Department of Human Genetics, University of Michigan, Ann Arbor, MI, USA</aff>
<aff id="A8">
<label>8</label>
Discipline of Psychiatry, Flinders University, Adelaide, Australia</aff>
<aff id="A9">
<label>9</label>
Sorbonne Paris Cité, Université Paris Diderot, UMR-S 1144, Paris, France</aff>
<aff id="A10">
<label>10</label>
AP-HP, Groupe Saint-Louis-Lariboisière-F. Widal, Paris, France</aff>
<aff id="A11">
<label>11</label>
INSERM, U1144, Paris, France</aff>
<aff id="A12">
<label>12</label>
Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK</aff>
<aff id="A13">
<label>13</label>
Office of Population Research, Princeton University, Princeton, NJ, USA</aff>
<aff id="A14">
<label>14</label>
Université Montpellier; Montpellier, France</aff>
<aff id="A15">
<label>15</label>
INSERM U1061 Neuropsychiatry, Montpellier, France</aff>
<aff id="A16">
<label>16</label>
Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France</aff>
<aff id="A17">
<label>17</label>
Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand</aff>
<aff id="A18">
<label>18</label>
MTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</aff>
<aff id="A19">
<label>19</label>
Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary</aff>
<aff id="A20">
<label>20</label>
Neuroscience and Psychiatry Unit, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK</aff>
<aff id="A21">
<label>21</label>
School of Psychology, University of Sussex, Brighton, UK</aff>
<aff id="A22">
<label>22</label>
Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy</aff>
<aff id="A23">
<label>23</label>
Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</aff>
<aff id="A24">
<label>24</label>
Neuroscience Campus Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands</aff>
<aff id="A25">
<label>25</label>
Discipline of Psychiatry, University of Adelaide, Adelaide, Australia</aff>
<aff id="A26">
<label>26</label>
Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK</aff>
<aff id="A27">
<label>27</label>
Department of Experimental Psychology, University of Oxford, Oxford, UK</aff>
<aff id="A28">
<label>28</label>
Queensland Brain Institute, University of Queensland, Brisbane, Australia</aff>
<aff id="A29">
<label>29</label>
Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne, Australia</aff>
<aff id="A30">
<label>30</label>
Discipline of Psychology, University of New England, Adelaide, Australia</aff>
<aff id="A31">
<label>31</label>
Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</aff>
<aff id="A32">
<label>32</label>
Center for Population and Health, Georgetown University, Washington, DC, USA</aff>
<aff id="A33">
<label>33</label>
University Mental Health Research Institute and Department of Psychiatry, University of Athens School of Medicine, Athens, Greece</aff>
<aff id="A34">
<label>34</label>
EMGO+ institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, the Netherlands</aff>
<aff id="A35">
<label>35</label>
Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany</aff>
<aff id="A36">
<label>36</label>
Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA</aff>
<aff id="A37">
<label>37</label>
INSERM U955, Creteil, France</aff>
<aff id="A38">
<label>38</label>
Murdoch Childrens Research Institute, Melbourne, Australia</aff>
<aff id="A39">
<label>39</label>
Department of Paediatrics and School of Psychological Sciences, University of Melbourne, Melbourne, Australia</aff>
<aff id="A40">
<label>40</label>
Biopharmacy, Department Pharmaceutical Sciences, University of Basel, Basel, Switzerland</aff>
<aff id="A41">
<label>41</label>
Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany</aff>
<aff id="A42">
<label>42</label>
University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands</aff>
<aff id="A43">
<label>43</label>
MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary</aff>
<aff id="A44">
<label>44</label>
Department of Psychiatry, VU University Medical Center & GGZ inGeest, Amsterdam, the Netherlands</aff>
<aff id="A45">
<label>45</label>
Department of Prosthetic Dentistry, Gerostomatology and Dental Materials, University Medicine Greifswald, Greifswald, Germany</aff>
<aff id="A46">
<label>46</label>
Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA</aff>
<aff id="A47">
<label>47</label>
Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany</aff>
<aff id="A48">
<label>48</label>
Department of Public Health and Primary Care, School of Clinical Medicine, Cambridge, UK</aff>
<aff id="A49">
<label>49</label>
Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA</aff>
<aff id="A50">
<label>50</label>
Manchester Academic Health Sciences Centre, Manchester, UK</aff>
<aff id="A51">
<label>51</label>
Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany</aff>
<aff id="A52">
<label>52</label>
Centre for Clinical Research, Uppsala University, Uppsala, Sweden</aff>
<aff id="A53">
<label>53</label>
Västmanland County Hospital Västerås, Västerås, Sweden</aff>
<aff id="A54">
<label>54</label>
Department of Psychiatry, University of Marburg, Marburg, Germany</aff>
<aff id="A55">
<label>55</label>
John Curtin School of Medical Research, The Australian National University, Canberra, Australia</aff>
<aff id="A56">
<label>56</label>
King’s College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK</aff>
<aff id="A57">
<label>57</label>
Department of Psychiatry and Psychotherapy, Kutvolgyi Clinical Center, Semmelweis University, Budapest, Hungary</aff>
<aff id="A58">
<label>58</label>
Fellow Program and Behavioral Health and Criminal Justice Division, RTI International, Research Triangle Park, NC, USA</aff>
<aff id="A59">
<label>59</label>
Department of Pathology, University of Otago Christchurch, Christchurch, New Zealand</aff>
<aff id="A60">
<label>60</label>
Genetic Epidemiology, QIMR Berghofer, Brisbane, Australia</aff>
<aff id="A61">
<label>61</label>
MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK</aff>
<aff id="A62">
<label>62</label>
UK Centre for Tobacco and Alcohol Studies, School of Experimental Psychology, University of Bristol, Bristol, UK</aff>
<aff id="A63">
<label>63</label>
Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia</aff>
<aff id="A64">
<label>64</label>
Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne, Australia</aff>
<aff id="A65">
<label>65</label>
Charité Universitätsmedizin Berlin, Klinik für Psychiatrie und Psychotherapie Campus Benjamin Franklin, Berlin, Germany</aff>
<aff id="A66">
<label>66</label>
Department of Paediatrics, Murdoch Childrens Research Institute, University of Melbourne, Melbourne, Australia</aff>
<aff id="A67">
<label>67</label>
Department of Health Sciences, University of Molise, Campobasso, Italy</aff>
<aff id="A68">
<label>68</label>
Department of Psychiatry, Michigan State University, East Lansing, MI, USA</aff>
<aff id="A69">
<label>69</label>
Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany</aff>
<aff id="A70">
<label>70</label>
Veterans Affairs Health Care System and University of California, San Francisco, CA, USA</aff>
<aff id="A71">
<label>71</label>
Institute of Psychiatric Research, Departments of Psychiatry and Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA</aff>
<pub-date pub-type="nihms-submitted">
<day>15</day>
<month>4</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>4</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>05</day>
<month>10</month>
<year>2017</year>
</pub-date>
<elocation-id>10.1038/mp.2017.44</elocation-id>
<permissions>
<license>
<license-p>Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:
<uri xlink:type="simple" xlink:href="http://www.nature.com/authors/editorial_policies/license.html#terms">http://www.nature.com/authors/editorial_policies/license.html#terms</uri>
</license-p>
</license>
</permissions>
<abstract>
<p id="P1">The hypothesis that the S allele of the 5-HTTLPR serotonin transporter promoter region is associated with increased risk of depression, but only in individuals exposed to stressful situations, has generated much interest, research, and controversy since first proposed in 2003. Multiple meta-analyses combining results from heterogeneous analyses have not settled the issue. To determine the magnitude of the interaction and the conditions under which it might be observed, we performed
<italic>new</italic>
analyses on 31 datasets containing 38 802 European-ancestry subjects genotyped for 5-HTTLPR and assessed for depression and childhood maltreatment or other stressful life events, and meta-analyzed the results. Analyses targeted two stressors (narrow, broad) and two depression outcomes (current, lifetime). All groups that published on this topic prior to the initiation of our study and met the assessment and sample size criteria were invited to participate. Additional groups, identified by consortium members or self-identified in response to our protocol (published prior to the start of analysis
<sup>
<xref rid="R1" ref-type="bibr">1</xref>
</sup>
) with qualifying unpublished data were also invited to participate. A uniform data analysis script implementing the protocol was executed by each of the consortium members. Our findings do not support the interaction hypothesis. We found no subgroups or variable definitions for which an interaction between stress and 5-HTTLPR genotype was statistically significant. In contrast, our findings for the main effects of life stressors (strong risk factor) and 5-HTTLPR genotype (no impact on risk) are strikingly consistent across our contributing studies, the original study reporting the interaction, and subsequent meta-analyses. Our conclusion is that if an interaction exists in which the S allele of 5-HTTLPR increases risk of depression only in stressed individuals, then it is not broadly generalizable, but must be of modest effect size and only observable in limited situations.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Forest plots for lifetime depression diagnosis in subjects of all ages based on exposure to childhood maltreatment as the stressor
<disp-formula id="FD3">
<mml:math id="M3" display="block" overflow="scroll">
<mml:mrow>
<mml:mtext>MODEL:</mml:mtext>
<mml:mspace width="0.16667em"></mml:mspace>
<mml:mi mathvariant="italic">depression</mml:mi>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">age</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">sex</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>3</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">stress</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>4</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">gene</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>5</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">gene</mml:mi>
<mml:mo>×</mml:mo>
<mml:mi mathvariant="italic">stress</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
Depression = lifetime depression diagnosis (never depressed = 0; ever depressed = 1)</p>
<p>Sex (female = 0; male = 1)</p>
<p>Stress = childhood maltreatment (not exposed = 0; exposed = 1)</p>
<p>Gene (additive coding in number of S alleles for 5-HTTLPR (LL = 0; LS=1; SS=2))</p>
<p>1a.
<bold>Sex:</bold>
Being male consistently and significantly protects from a lifetime diagnosis of depression</p>
<p>1b.
<bold>Stress:</bold>
Exposure to stress consistently and significantly increases lifetime risk for depression</p>
<p>1c.
<bold>Gene:</bold>
The S allele (coded additively) is not associated with risk of lifetime depression</p>
<p>1d.
<bold>Gene x Stress:</bold>
Interaction term is not significant and does not suggest a consistent direction of effect across studies. (Hypothesized direction of effect: OR > 1)</p>
</caption>
<graphic xlink:href="nihms849357f1a"></graphic>
<graphic xlink:href="nihms849357f1b"></graphic>
<graphic xlink:href="nihms849357f1c"></graphic>
<graphic xlink:href="nihms849357f1d"></graphic>
</fig>
<table-wrap id="T1" position="float" orientation="landscape">
<label>Table 1</label>
<caption>
<p>Meta-analysis of the impact of a stress-by-5-HTTLPR genotype interaction on depression based on new, uniform analyses of harmonized dichotomous phenotypes in subjects of all ages</p>
</caption>
<table frame="below" rules="groups">
<thead>
<tr>
<th colspan="8" align="left" valign="bottom" rowspan="1">
<italic>Childhood Maltreatment</italic>
</th>
</tr>
<tr>
<th align="center" valign="bottom" rowspan="1" colspan="1">Depression</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">Stress</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">Studies</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">Subjects</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">Covariate</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">OR</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">95% CI</th>
<th align="center" valign="bottom" rowspan="1" colspan="1">p-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="top" rowspan="4" colspan="1">Lifetime</td>
<td align="center" valign="top" rowspan="4" colspan="1">Childhood maltreatment</td>
<td align="center" valign="top" rowspan="1" colspan="1">18</td>
<td align="center" valign="top" rowspan="1" colspan="1">21135</td>
<td align="center" valign="top" rowspan="1" colspan="1">Sex</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.57</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.50, 0.66)</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.4E-15</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">2.16</td>
<td align="center" valign="top" rowspan="1" colspan="1">(1.65, 2.82)</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.7E-08</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.00</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.95, 1.05)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.95</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene × stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.05</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.91, 1.21)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.49</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="4" colspan="1">Current</td>
<td align="center" valign="top" rowspan="4" colspan="1">Childhood maltreatment</td>
<td align="center" valign="top" rowspan="1" colspan="1">13</td>
<td align="center" valign="top" rowspan="1" colspan="1">13956</td>
<td align="center" valign="top" rowspan="1" colspan="1">Sex</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.63</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.51, 0.78)</td>
<td align="center" valign="top" rowspan="1" colspan="1">3.5E-05</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">2.87</td>
<td align="center" valign="top" rowspan="1" colspan="1">(1.87, 4.41)</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.5E-06</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.00</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.92, 1.10)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.97</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene × stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.93</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.76, 1.14)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.50</td>
</tr>
<tr>
<td colspan="8" align="left" valign="top" rowspan="1">
<italic>Broad Stress</italic>
</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1">Depression</td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">Studies</td>
<td align="center" valign="top" rowspan="1" colspan="1">Subjects</td>
<td align="center" valign="top" rowspan="1" colspan="1">Covariate</td>
<td align="center" valign="top" rowspan="1" colspan="1">OR</td>
<td align="center" valign="top" rowspan="1" colspan="1">95% CI</td>
<td align="center" valign="top" rowspan="1" colspan="1">p-value</td>
</tr>
<tr>
<td colspan="8" align="left" valign="bottom" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="4" colspan="1">Lifetime</td>
<td align="center" valign="top" rowspan="4" colspan="1">Broad stress (Other life stress < 5 years prior or childhood maltreatment)</td>
<td align="center" valign="top" rowspan="1" colspan="1">19</td>
<td align="center" valign="top" rowspan="1" colspan="1">21938</td>
<td align="center" valign="top" rowspan="1" colspan="1">Sex</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.58</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.51, 0.67)</td>
<td align="center" valign="top" rowspan="1" colspan="1">2.8E-15</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.82</td>
<td align="center" valign="top" rowspan="1" colspan="1">(1.39, 2.39)</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.4E-05</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.00</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.95, 1.06)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.95</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene × stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.06</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.93, 1.20)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.40</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="4" colspan="1">Current</td>
<td align="center" valign="top" rowspan="4" colspan="1">Broad stress (Other life stress < 5 years prior or childhood maltreatment)</td>
<td align="center" valign="top" rowspan="1" colspan="1">14</td>
<td align="center" valign="top" rowspan="1" colspan="1">13835</td>
<td align="center" valign="top" rowspan="1" colspan="1">Sex</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.63</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.51, 0.78)</td>
<td align="center" valign="top" rowspan="1" colspan="1">2.4E-05</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">3.19</td>
<td align="center" valign="top" rowspan="1" colspan="1">(2.08, 4.91)</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.2E-07</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.01</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.90, 1.12)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.91</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene × stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.92</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.76, 1.11)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.39</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="4" colspan="1">Lifetime</td>
<td align="center" valign="top" rowspan="4" colspan="1">Broad stress (Other life stress or childhood maltreatment)</td>
<td align="center" valign="top" rowspan="1" colspan="1">21</td>
<td align="center" valign="top" rowspan="1" colspan="1">28252</td>
<td align="center" valign="top" rowspan="1" colspan="1">Sex</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.60</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.53, 0.67)</td>
<td align="center" valign="top" rowspan="1" colspan="1">6.5E-17</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">2.00</td>
<td align="center" valign="top" rowspan="1" colspan="1">(1.56, 2.56)</td>
<td align="center" valign="top" rowspan="1" colspan="1">3.8E-08</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.00</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.94, 1.07)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.92</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene × stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.05</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.94, 1.16)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.38</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="4" colspan="1">Current</td>
<td align="center" valign="top" rowspan="4" colspan="1">Broad stress (Other life stress or childhood maltreatment)</td>
<td align="center" valign="top" rowspan="1" colspan="1">17</td>
<td align="center" valign="top" rowspan="1" colspan="1">17015</td>
<td align="center" valign="top" rowspan="1" colspan="1">Sex</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.61</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.49, 0.75)</td>
<td align="center" valign="top" rowspan="1" colspan="1">5.1E-06</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">2.60</td>
<td align="center" valign="top" rowspan="1" colspan="1">(1.62, 4.19)</td>
<td align="center" valign="top" rowspan="1" colspan="1">7.8E-05</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene</td>
<td align="center" valign="top" rowspan="1" colspan="1">1.08</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.92, 1.27)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.35</td>
</tr>
<tr>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1"></td>
<td align="center" valign="top" rowspan="1" colspan="1">Gene × stress</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.85</td>
<td align="center" valign="top" rowspan="1" colspan="1">(0.68, 1.07)</td>
<td align="center" valign="top" rowspan="1" colspan="1">0.17</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TFN1">
<p>In this table the
<bold>childhood maltreatment</bold>
analyses represent Primary Analysis 2Ai from the hierarchy presented in
<xref rid="SD1" ref-type="supplementary-material">Supplemental Table S2</xref>
. The
<bold>broad stress</bold>
analyses represent Primary Analysis 2Bi from the hierarchy.</p>
</fn>
<fn id="TFN2">
<p>Sex (female = 0; male = 1)</p>
</fn>
<fn id="TFN3">
<p>Stress (not exposed = 0; exposed = 1)</p>
</fn>
<fn id="TFN4">
<p>Gene (additive coding in number of S alleles for 5-HTTLPR (LL = 0; LS=1; SS=2))</p>
</fn>
<fn id="TFN5">
<p>Broad stress does not require both stressors to be assessed.
<disp-formula id="FD4">
<mml:math id="M4" display="block" overflow="scroll">
<mml:mrow>
<mml:mtext>MODEL:</mml:mtext>
<mml:mspace width="0.16667em"></mml:mspace>
<mml:mi mathvariant="italic">depression</mml:mi>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">age</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">sex</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>3</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">stress</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>4</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">gene</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>β</mml:mi>
<mml:mn>5</mml:mn>
</mml:msub>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi mathvariant="italic">gene</mml:mi>
<mml:mo>×</mml:mo>
<mml:mi mathvariant="italic">stress</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
</fn>
<fn id="TFN6">
<p>Depression variable:
<bold>depression diagnosis</bold>
</p>
</fn>
<fn id="TFN7">
<p>Stress variable:
<bold>dichotomous stress exposure</bold>
</p>
</fn>
<fn id="TFN8">
<p>Age was not significant in any of the models</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>

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