Abstract

Previous studies have reported interaction effects of oxytocin receptor genotype (rs53576) and environmental factors on mental health in youth. However, the findings are mixed, especially regarding the type of allele (i.e., A vs. G), and it remains unanswered whether such an interaction presents at an early stage of development. Thus, using a unique longitudinal birth cohort sample in Japan (n = 568), we examined whether there was an effect of the interaction between the OXTR rs53576 genotype and maternal postpartum depression, as an environmental risk, on behavioural problems in children. Child behavioural problems (internalising and externalising problems) were ascertained using the Strengths and Difficulties Questionnaire when children were 6 years old. Maternal postpartum depression was measured using the Edinburgh Postnatal Depression Scale when children were at 2 months and 10 months of age. The results revealed a significant effect in the interaction between OXTR rs53576 genotype and maternal postpartum depression on externalising problems in children with AA genotype (β = 0.136, 95% CI 0.032 to 0.240), but not in those with GG/GA genotype. This indicates that an interaction of vulnerable genotypes (i.e., A allele of OXTR rs53576) with an environmental burden (i.e. maternal postpartum depression) may be one of the potential elements that predisposes the infant to developing behavioural problems early in life. Hence, special attention needs to be paid to children exposed to environmental risks such as maternal postpartum depression, to facilitate the provision of appropriate care.

Highlights

  • Oxytocin is a peptide hormone that is involved in a wide range of human behaviours, and its role is well known in maternal behaviours such as parturition and lactation[1,2]

  • There was a significant interaction effect of oxytocin receptor (OXTR) × maternal postpartum depression on externalising problems (β = −0.210, 95% confidence intervals (CI) −0.359 to −0.062)

  • The association between maternal postpartum depression and externalising problems in offspring was evident in children with the AA genotype (β = 0.136, 95% CI 0.032 to 0.240), but not in those with GG/GA genotypes (Fig. 2)

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Summary

Introduction

Oxytocin is a peptide hormone that is involved in a wide range of human behaviours, and its role is well known in maternal behaviours such as parturition and lactation[1,2]. The susceptibility model posits that some genetic variation is associated with a stressful environment, and a supportive environment[17], extending the diathesis-stress model This gene × environment interaction effect on mental health has been reported for the OXTR rs53576 genotype. In a study by Thompson et al.[18], for example, the A allele, but not the G allele, was demonstrated to be related to depressive symptoms in adolescents whose mother was afflicted with depression, which was, viewed as an environmental risk factor in the study These studies suggest that oxytocin genotype, especially inheritance of the A allele, may play a role in susceptibility to disturbed mental health by interacting with adverse environments. An attempt was made to investigate the interaction effect of OXTR rs53576 genotype × maternal depression on child behavioural problems, using a representative sample of the general population in Japan

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