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Intergenerational transmission of ADHD behaviors: genetic and environmental pathways

Published online by Cambridge University Press:  03 November 2023

Thomas H. Kleppesto*
Affiliation:
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
Espen Moen Eilertsen
Affiliation:
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway Department of Psychology, University of Oslo, Oslo, Norway
Elsje van Bergen
Affiliation:
Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands Research Institute LEARN!, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
Hans Fredrik Sunde
Affiliation:
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway Department of Psychology, University of Oslo, Oslo, Norway
Brendan Zietsch
Affiliation:
Centre for Psychology and Evolution, School of Psychology, University of Queensland, Brisbane, Australia
Magnus Nordmo
Affiliation:
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway Department of Educational Science, University of South-Eastern Norway, Notodden, Norway
Nikolai Haahjem Eftedal
Affiliation:
PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway Department of Psychology, University of Oslo, Oslo, Norway
Alexandra Havdahl
Affiliation:
PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway Nic Waals Institute, Spångbergveien 25, 0853 Oslo, Norway MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK
Eivind Ystrom
Affiliation:
PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway Department of Mental Disorders, Norwegian Institute of Public Health, Oslo, Norway
Fartein Ask Torvik
Affiliation:
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway
*
Corresponding author: Thomas H. Kleppesto; Email: Thomas.kleppesto@ntnu.no

Abstract

Background

We investigate if covariation between parental and child attention-deficit hyperactivity disorder (ADHD) behaviors can be explained by environmental and/or genetic transmission.

Methods

We employed a large children-of-twins-and-siblings sample (N = 22 276 parents and 11 566 8-year-old children) of the Norwegian Mother, Father and Child Cohort Study. This enabled us to disentangle intergenerational influences via parental genes and parental behaviors (i.e. genetic and environmental transmission, respectively). Fathers reported on their own symptoms and mothers on their own and their child's symptoms.

Results

Child ADHD behaviors correlated with their mother's (0.24) and father's (0.10) ADHD behaviors. These correlations were largely due to additive genetic transmission. Variation in children's ADHD behaviors was explained by genetic factors active in both generations (11%) and genetic factors specific to the children (46%), giving a total heritability of 57%. There were small effects of parental ADHD behaviors (2% environmental transmission) and gene–environment correlation (3%). The remaining variability in ADHD behaviors was due to individual-specific environmental factors.

Conclusions

The intergenerational resemblance of ADHD behaviors is primarily due to genetic transmission, with little evidence for parental ADHD behaviors causing children's ADHD behaviors. This contradicts theories proposing environmental explanations of intergenerational transmission of ADHD, such as parenting theories or psychological life-history theory.

Type
Original Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press

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Footnotes

*

Shared senior authorship.

References

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.Google Scholar
Belsky, J., Steinberg, L., & Draper, P. (1991). Childhood experience, interpersonal development, and reproductive strategy: An evolutionary theory of socialization. Child Development, 62(4), 647670. doi:10.2307/1131166.CrossRefGoogle ScholarPubMed
Berg, V., Kuja-Halkola, R., D'Onofrio, B. M., Lichtenstein, P., & Latvala, A. (2021). Parental substance misuse and reproductive timing in offspring: A genetically informed study. Evolution and Human Behavior, 42(2), 157164.CrossRefGoogle Scholar
Biele, G., Gustavson, K., Czajkowski, N. O., Nilsen, R. M., Reichborn-Kjennerud, T., Magnus, P. M., … Aase, H. (2019). Bias from self selection and loss to follow-up in prospective cohort studies. European Journal of Epidemiology, 34(10), 927938.CrossRefGoogle ScholarPubMed
Boomsma, D. I., Saviouk, V., Hottenga, J.-J., Distel, M. A., De Moor, M. H., Vink, J. M., … de Geus, E. J. (2010). Genetic epidemiology of attention deficit hyperactivity disorder (ADHD index) in adults. PLoS ONE, 5(5), e10621.CrossRefGoogle ScholarPubMed
Brikell, I., Kuja-Halkola, R., & Larsson, H. (2015). Heritability of attention-deficit hyperactivity disorder in adults. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 168(6), 406413.CrossRefGoogle ScholarPubMed
Byrne, E. M., Zhu, Z., Qi, T., Skene, N. G., Bryois, J., Pardinas, A. F., … Owen, M. J. (2020). Conditional GWAS analysis to identify disorder-specific SNPs for psychiatric disorders. Molecular Psychiatry, 26(6), 20702081.CrossRefGoogle ScholarPubMed
Coates, J., Taylor, J. A., & Sayal, K. (2015). Parenting interventions for ADHD: A systematic literature review and meta-analysis. Journal of Attention Disorders, 19(10), 831843.CrossRefGoogle ScholarPubMed
Del Giudice, M. (2014). An evolutionary life history framework for psychopathology. Psychological Inquiry, 25, 261300.CrossRefGoogle Scholar
Demontis, D., Walters, R. K., Martin, J., Mattheisen, M., Als, T. D., Agerbo, E., … Bækvad-Hansen, M. (2019). Discovery of the first genome-wide significant risk loci for attention deficit/hyperactivity disorder. Nature Genetics, 51(1), 6375.CrossRefGoogle ScholarPubMed
de Zeeuw, E. L., Hottenga, J.-J., Ouwens, K. G., Dolan, C. V., Ehli, E. A., Davies, G. E., … van Bergen, E. (2020). Intergenerational transmission of education and ADHD: Effects of parental genotypes. Behavior Genetics, 50, 221232.CrossRefGoogle ScholarPubMed
D'Onofrio, B. M., Turkheimer, E. N., Eaves, L. J., Corey, L. A., Berg, K., Solaas, M. H., & Emery, R. E. (2003). The role of the children of twins design in elucidating causal relations between parent characteristics and child outcomes. Journal of Child Psychology and Psychiatry, 44(8), 11301144.CrossRefGoogle ScholarPubMed
Eilertsen, E. M., Cheesman, R., Ayorech, Z., Røysamb, E., Pingault, J. B., Njølstad, P. R., … Torvik, F. A. (2022). On the importance of parenting in externalizing disorders: An evaluation of indirect genetic effects in families. Journal of Child Psychology and Psychiatry, 63(10), 11861195.CrossRefGoogle ScholarPubMed
Eilertsen, E. M., Gjerde, L. C., Kendler, K. S., Røysamb, E., Aggen, S. H., Gustavson, K., … Ystrom, E. (2018). Development of ADHD symptoms in preschool children: Genetic and environmental contributions. Development and Psychopathology, 31(4), 12991305. doi:10.1017/S0954579418000731.CrossRefGoogle Scholar
Franke, B., Faraone, S. V., Asherson, P., Buitelaar, J., Bau, C. H. D., Ramos-Quiroga, J. A., … Reif, A. (2012). The genetics of attention deficit/hyperactivity disorder in adults, a review. Molecular Psychiatry, 17(10), 960987.CrossRefGoogle ScholarPubMed
Frederick, M. J. (2012). Birth weight predicts scores on the ADHD self-report scale and attitudes towards casual sex in college men: A short-term life history strategy? Evolutionary Psychology, 10(2), 147470491201000212.CrossRefGoogle Scholar
Hart, S. A., Little, C., & Van Bergen, E. (2021). Nurture might be nature: Cautionary tales and proposed solutions. NPJ Science of Learning, 6(1), 112.CrossRefGoogle ScholarPubMed
Instanes, J. T., Klungsøyr, K., Halmøy, A., Fasmer, O. B., & Haavik, J. (2018). Adult ADHD and comorbid somatic disease: A systematic literature review. Journal of Attention Disorders, 22(3), 203228.CrossRefGoogle ScholarPubMed
Keller, M. C., & Miller, G. (2006). Resolving the paradox of common, harmful, heritable mental disorders: Which evolutionary genetic models work best? Behavioral and Brain Sciences, 29(4), 385404. doi:10.1017/S0140525X06009095.CrossRefGoogle ScholarPubMed
Kennair, L. E. O., Kleppestø, T. H., Jørgensen, B. E. G., & Larsen, S. M. (2018). Evolutionary clinical psychology. In Shackelford, T. K. & Weekes-Shackelford, V. A. (Eds.), Encyclopedia of evolutionary psychological science (pp. 114). Cham: Springer International Publishing.Google Scholar
Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E. V. A., … Walters, E. E. (2005). The World Health Organization adult ADHD self-report scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35(2), 245256. doi:10.1017/s0033291704002892.CrossRefGoogle Scholar
Larsson, H., Sariaslan, A., Långström, N., D'Onofrio, B., & Lichtenstein, P. (2014). Family income in early childhood and subsequent attention deficit/hyperactivity disorder: A quasi-experimental study. Journal of Child Psychology and Psychiatry, 55(5), 428435.CrossRefGoogle ScholarPubMed
Magnus, P., Birke, C., Vejrup, K., Haugan, A., Alsaker, E., Daltveit, A. K., … Stoltenberg, C. (2016). Cohort profile update: The Norwegian mother and child cohort study (MoBa). International Journal of Epidemiology, 45(2), 382388. doi:10.1093/ije/dyw029.CrossRefGoogle ScholarPubMed
McAdams, T. A., Hannigan, L. J., Eilertsen, E. M., Gjerde, L. C., Ystrom, E., & Rijsdijk, F. V. (2018). Revisiting the children-of-twins design: Improving existing models for the exploration of intergenerational associations. Behavior Genetics, 48(5), 397412.CrossRefGoogle ScholarPubMed
McAdams, T. A., Neiderhiser, J. M., Rijsdijk, F. V., Narusyte, J., Lichtenstein, P., & Eley, T. C. (2014). Accounting for genetic and environmental confounds in associations between parent and child characteristics: A systematic review of children-of-twins studies. Psychological Bulletin, 140(4), 11381173. Retrieved from http://psycnet.apa.org/journals/bul/140/4/1138.pdf.CrossRefGoogle ScholarPubMed
Miller, L. L., Gustafsson, H. C., Tipsord, J., Song, M., Nousen, E., Dieckmann, N., & Nigg, J. T. (2018). Is the association of ADHD with socio-economic disadvantage explained by child comorbid externalizing problems or parent ADHD? Journal of Abnormal Child Psychology, 46, 951963.CrossRefGoogle ScholarPubMed
Mitchell, K. J. (2018). Innate: How the wiring of our brains shapes who we are. New Jersey: Princeton University Press.Google Scholar
Neale, M. C., & Maes, H. H. M. (2004). Methodology for genetic studies of twins and families. Dordrecht, The Netherlands: Kluwer Academic Publishers B.V.Google Scholar
Nesse, R. M. (2011). Ten questions for evolutionary studies of disease vulnerability. Evolutionary Applications, 4(2), 264277. doi:10.1111/j.1752-4571.2010.00181.x.CrossRefGoogle ScholarPubMed
Nettle, D., & Frankenhuis, W. E. (2020). Life-history theory in psychology and evolutionary biology: One research programme or two? Philosophical Transactions of the Royal Society B, 375(1803), 20190490.CrossRefGoogle ScholarPubMed
Nikolas, M. A., & Burt, S. A. (2010). Genetic and environmental influences on ADHD symptom dimensions of inattention and hyperactivity: A meta-analysis. Journal of Abnormal Psychology, 119(1), 1.CrossRefGoogle ScholarPubMed
Oerbeck, B., Overgaard, K. R., Aspenes, S. T., Pripp, A. H., Mordre, M., Aase, H., … Zeiner, P. (2017). ADHD, comorbid disorders and psychosocial functioning: How representative is a child cohort study? Findings from a national patient registry. BMC Psychiatry, 17, 19.CrossRefGoogle ScholarPubMed
Park, J. L., Hudec, K. L., & Johnston, C. (2017). Parental ADHD symptoms and parenting behaviors: A meta-analytic review. Clinical Psychology Review, 56, 2539.CrossRefGoogle ScholarPubMed
Pingault, J.-B., Barkhuizen, W., Wang, B., Hannigan, L. J., Eilertsen, E. M., Corfield, E., … Havdahl, A. (2023). Genetic nurture versus genetic transmission of risk for ADHD traits in the Norwegian Mother, Father and Child Cohort Study. Molecular Psychiatry, 28(4), 17311738. doi:10.1038/s41380-022-01863-6.CrossRefGoogle ScholarPubMed
Sheppard, P., & Van Winkle, Z. (2020). Using sequence analysis to test if human life histories are coherent strategies. Evolutionary Human Sciences, 2, 118.CrossRefGoogle ScholarPubMed
Silberg, J. L., Maes, H., & Eaves, L. J. (2010). Genetic and environmental influences on the transmission of parental depression to children's depression and conduct disturbance: An extended children of twins study. Journal of Child Psychology and Psychiatry, 51(6), 734744.CrossRefGoogle ScholarPubMed
Silva, R. R., Alpert, M., Pouget, E., Silva, V., Trosper, S., Reyes, K., & Dummit, S. (2005). A rating scale for disruptive behavior disorders, based on the DSM-IV item pool. Psychiatric Quarterly, 76(4), 327339.CrossRefGoogle ScholarPubMed
Solberg, B. S., Hegvik, T. A., Halmøy, A., Skjærven, R., Engeland, A., Haavik, J., & Klungsøyr, K. (2021). Sex differences in parent–offspring recurrence of attention-deficit/hyperactivity disorder. Journal of Child Psychology and Psychiatry, 62(8), 10101018.CrossRefGoogle ScholarPubMed
Sonuga-Barke, E. J., Becker, S. P., Bölte, S., Castellanos, F. X., Franke, B., Newcorn, J. H., … Simonoff, E. (2023). Annual Research Review: Perspectives on progress in ADHD science – From characterization to cause. Journal of Child Psychology and Psychiatry, 64(4), 506532.CrossRefGoogle ScholarPubMed
Tikhodeyev, O. N., & Shcherbakova, ОV (2019). The problem of non-shared environment in behavioral genetics. Behavior Genetics, 49(3), 259269.CrossRefGoogle ScholarPubMed
Torvik, F. A., Eilertsen, E. M., McAdams, T. A., Gustavson, K., Zachrisson, H. D., Brandlistuen, R., … Ask, H. (2020). Mechanisms linking parental educational attainment with child ADHD, depression, and academic problems: A study of extended families in The Norwegian Mother, Father and Child Cohort Study. Journal of Child Psychology and Psychiatry, 61(9), 10091018.CrossRefGoogle ScholarPubMed
Tung, I., Brammer, W. A., Li, J. J., & Lee, S. S. (2015). Parenting behavior mediates the intergenerational association of parent and child offspring ADHD symptoms. Journal of Clinical Child & Adolescent Psychology, 44(5), 787799.CrossRefGoogle ScholarPubMed
van Bergen, E., Snowling, M. J., de Zeeuw, E. L., van Beijsterveldt, C. E., Dolan, C. V., & Boomsma, D. I. (2018). Why do children read more? The influence of reading ability on voluntary reading practices. Journal of Child Psychology and Psychiatry, 59(11), 12051214.CrossRefGoogle Scholar
van Hulzen, K. J., Scholz, C. J., Franke, B., Ripke, S., Klein, M., McQuillin, A., … Andreassen, O. A. (2017). Genetic overlap between attention-deficit/hyperactivity disorder and bipolar disorder: Evidence from genome-wide association study meta-analysis. Biological Psychiatry, 82(9), 634641.CrossRefGoogle ScholarPubMed
Wakefield, J. C. (1992). Disorder as harmful dysfunction: A conceptual critique of DSM-III--R's definition of mental disorder. Psychological Review, 99, 232247. doi:10.1037//0033-295X.99.2.232.CrossRefGoogle ScholarPubMed
Zietsch, B. P., de Candia, T. R., & Keller, M. C. (2015). Evolutionary behavioral genetics. Current Opinion in Behavioral Sciences, 2, 7380.CrossRefGoogle ScholarPubMed
Zietsch, B. P., & Sidari, M. J. (2020). A critique of life history approaches to human trait covariation. Evolution and Human Behavior, 41(6), 527535. https://doi.org/10.1016/j.evolhumbehav.2019.05.007.CrossRefGoogle Scholar