Publications by authors named "Alex Kwong"

Article Synopsis
  • - The study aimed to explore the genetic basis of major depressive disorder by analyzing symptoms across various clinical and community cohorts, acknowledging challenges like sample size differences and missing data patterns.
  • - Researchers performed genome-wide association studies using data from both diagnosed and undiagnosed participants, fitting models to understand the relationships between different depressive symptoms.
  • - Findings emphasized the relevance of symptom directionality (e.g., hypersomnia vs. insomnia) and the necessity of considering study design when analyzing genetic data related to depression.
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Objective: To predict birth weight at various potential gestational ages of delivery based on data routinely available at the first antenatal visit.

Design: Individual participant data meta-analysis.

Data Sources: Individual participant data of four cohorts (237 228 pregnancies) from the International Prediction of Pregnancy Complications (IPPIC) network dataset.

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Studies of longitudinal trends of depressive symptoms in young people could provide insight into aetiologic mechanism, heterogeneity and origin of common cardiometabolic comorbidities for depression. Depression is associated with immunological and metabolic alterations, but immunometabolic characteristics of developmental trajectories of depressive symptoms remain unclear. Using depressive symptoms scores measured on 10 occasions between ages 10 and 25 years in the Avon Longitudinal Study of Parents and Children (n=7302), we identified four distinct trajectories: low-stable (70% of the sample), adolescent-limited (13%), adulthood-onset (10%) and adolescent-persistent (7%).

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Background: Autism and autistic traits have been associated with greater risk of childhood trauma and adulthood psychopathology. However, the role that childhood trauma plays in the association between autism, autistic traits and depression in adulthood is poorly understood.

Methods: We used a UK-based birth cohort with phenotype and genotype data on autism, autistic traits, childhood trauma and depression in up to 9,659 individuals prospectively followed up from birth until age 28 years.

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Article Synopsis
  • * A genome-wide association meta-analysis of nearly 122,000 ANX cases revealed 58 significant genetic variants and 66 related genes, with many of these findings replicated in a larger independent sample.
  • * The findings indicate a substantial genetic overlap between ANX and other conditions like depression, emphasizing GABAergic signaling as a key mechanism, thereby enhancing our understanding of the genetic basis of ANX for future research.
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Article Synopsis
  • The study investigates the genetic risk factors associated with different patterns of adolescent depression, highlighting the importance of understanding how genetics contribute to varied symptom trajectories over time.
  • Using data from two large longitudinal cohorts in the US and UK, researchers employed growth modeling and polygenic risk score analysis to assess genetic influences on depression and related psychiatric disorders across various ancestries.
  • The findings demonstrate unique depression trajectories in adolescents and suggest that genetics play a significant role in the development and progression of depressive symptoms, potentially guiding early intervention strategies.
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Background: The Covid-19 pandemic and related public health measures, including lockdowns and school closures, have impacted on mental health of children.

Aims And Hypothesis: We hypothesised that there would be an association between maintaining a routine during lockdown and both lower emotional and behavioural difficulties in children and lower parental anxiety. Routine was taken as keeping to the same basic activities such as mealtimes and bedtimes.

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Background: People who live alone experience greater levels of mental illness; however, it is unclear whether the COVID-19 pandemic had a disproportionately negative impact on this demographic.

Objective: To describe the mental health gap between those who live alone and with others in the UK prior to and during the COVID-19 pandemic.

Methods: Self-reported psychological distress and life satisfaction in 10 prospective longitudinal population surveys (LPSs) assessed in the nearest pre-pandemic sweep and three periods during the pandemic.

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Article Synopsis
  • Major depressive disorder shows varied symptoms, and genetic analysis can help identify specific subtypes and clinical profiles.
  • Challenges in integrating symptom data arise from differences in sample sizes and patterns of missing data in clinical vs. community groups.
  • The study used genome-wide association studies to find that a model including unique symptom factors and accounting for missing data best represented the symptoms of depression, highlighting the need to consider symptom directionality and study design when analyzing genetic data.
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Irritability is a core symptom of adolescent depression, characterized by an increased proneness to anger or frustration. Irritability in youth is associated with future mental health problems and impaired social functioning, suggesting that it may be an early indicator of emotion regulation difficulties. Adolescence is a period during which behavior is significantly impacted by one's environment.

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Background: Over the past three decades, the prevalence of adolescent emotional problems (ie, anxiety and depression) has risen. Although the onset and developmental course of emotional symptoms shows high variability, no study has directly tested secular differences across development. Our aim was to investigate whether and how developmental trajectories of emotional problems have changed across generations.

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Article Synopsis
  • Earlier pubertal timing in adolescents is linked to higher rates of depressive symptoms during later adolescence, particularly in females.
  • The study analyzed data from approximately 5,000 adolescents aged 9-13 to explore the connections between puberty, brain structure, and depression over three years.
  • Results indicated that earlier puberty contributed to increased depressive symptoms two years later, with brain structure potentially playing a mediating role in this relationship, even after accounting for factors like parental depression and family income.
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The COVID-19 pandemic negatively impacted mental health globally. Individuals with neurodevelopmental disorders (NDDs), including autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), are at elevated risk of mental health difficulties. We investigated the impact of the pandemic on anxiety, depression and mental wellbeing in adults with NDDs using data from the Avon Longitudinal Study of Parents and Children (n = 3058).

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Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody levels can be used to assess humoral immune responses following SARS-CoV-2 infection or vaccination, and may predict risk of future infection. Higher levels of SARS-CoV-2 anti-Spike antibodies are known to be associated with increased protection against future SARS-CoV-2 infection. However, variation in antibody levels and risk factors for lower antibody levels following each round of SARS-CoV-2 vaccination have not been explored across a wide range of socio-demographic, SARS-CoV-2 infection and vaccination, and health factors within population-based cohorts.

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Multiple studies across global populations have established the primary symptoms characterising Coronavirus Disease 2019 (COVID-19) and long COVID. However, as symptoms may also occur in the absence of COVID-19, a lack of appropriate controls has often meant that specificity of symptoms to acute COVID-19 or long COVID, and the extent and length of time for which they are elevated after COVID-19, could not be examined. We analysed individual symptom prevalences and characterised patterns of COVID-19 and long COVID symptoms across nine UK longitudinal studies, totalling over 42,000 participants.

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Children who experience adversities have an elevated risk of mental health problems. However, the extent to which adverse childhood experiences (ACEs) cause mental health problems remains unclear, as previous associations may partly reflect genetic confounding. In this Registered Report, we used DNA from 11,407 children from the United Kingdom and the United States to investigate gene-environment correlations and genetic confounding of the associations between ACEs and mental health.

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Maternal postnatal depression (PND) is a risk factor for offspring depression in adulthood. However, few longitudinal studies have examined the role of maternal nurturing parenting behaviours in the association between maternal PND and offspring depression in adulthood. We examined pathways from maternal PND measured using self-reported Edinburgh Postnatal Depression Scale at 8 weeks to offspring ICD-10 depression diagnosed using the Clinical Interview Schedule-Revised computerised assessment at 24 years through maternal-reported nurturing behaviours concerning feeding, sleeping and crying measured from pregnancy to age 3 years 6 months in 5,881 members of the UK-based birth cohort study, the Avon Longitudinal Study of Parents and Children.

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Inflammation is implicated in depression and psychosis, including association of childhood inflammatory markers on the subsequent risk of developing symptoms. However, it is unknown whether early-life inflammatory markers are associated with the number of depressive and psychotic symptoms from childhood to adulthood. Using the prospective Avon Longitudinal Study of Children and Parents birth cohort (N = up-to 6401), we have examined longitudinal associations of early-life inflammation [exposures: interleukin-6 (IL-6), C-reactive protein (CRP) levels at age 9y; IL-6 and CRP DNA-methylation (DNAm) scores at birth and age 7y; and IL-6 and CRP polygenic risk scores (PRSs)] with the number of depressive episodes and psychotic experiences (PEs) between ages 10-28 years.

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Article Synopsis
  • The study investigates the relationship between COVID-19 infection and mental health outcomes, considering pre-pandemic mental health status and the time elapsed since infection.
  • Researchers analyzed data from 54,442 participants across 11 UK longitudinal studies to examine factors like age, sex, and ethnicity in the context of mental health implications following COVID-19.
  • Findings indicated a connection between COVID-19 infection and increased psychological distress, highlighting the importance of understanding these mental health impacts in the broader context of the pandemic.
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  • The study explored how various sociodemographic factors like sex, age, occupational class, education, and ethnicity influenced self-reported healthcare disruptions during the early COVID-19 pandemic in the UK.
  • Over 68,000 participants reported disruptions, with 6%-32% indicating challenges in accessing medications, procedures, and appointments; disruptions were notably higher among females, older adults, and ethnic minorities.
  • The findings suggest that these healthcare disruptions may exacerbate existing health inequalities, particularly affecting disadvantaged social classes.
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Article Synopsis
  • - The study analyzes the relationship between self-reported trauma exposure and major depressive disorder (MDD), considering the influence of genetic factors, using comprehensive genomic data from the UK Biobank to enhance understanding of these interactions.
  • - Participants included over 148,000 individuals who provided data on their trauma experiences, depressive symptoms, and genetics, allowing researchers to apply advanced statistical models to explore the connections.
  • - Results indicated that various types of trauma significantly contributed to the variance of MDD, estimating the heritability of the disorder at around 16%, suggesting a notable genetic influence alongside trauma exposure.
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  • - The UK introduced the Coronavirus Job Retention Scheme (furlough) in March 2020 to reduce job loss impacts during the COVID-19 pandemic, prompting a study on employment status changes and their effects on mental and social wellbeing.
  • - An analysis of over 25,000 respondents showed that furloughed workers experienced higher levels of psychological distress, low life satisfaction, increased loneliness, and poorer self-rated health compared to those who continued working.
  • - However, those who became unemployed faced even greater risks for these negative outcomes, indicating that while furloughing has its drawbacks, it helped prevent worse mental and social issues compared to outright unemployment.
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Background: Major depressive disorder (MDD) is a polygenic disorder associated with brain alterations but until recently, there have been no brain-based metrics to quantify individual-level variation in brain morphology. Here, we evaluated and compared the performance of a new brain-based 'Regional Vulnerability Index' (RVI) with polygenic risk scores (PRS), in the context of MDD. We assessed associations with syndromal MDD in an adult sample ( = 702, age = 59 ± 10) and with subclinical depressive symptoms in a longitudinal adolescent sample (baseline  = 3,825, age = 10 ± 1; 2-year follow-up  = 2,081, age = 12 ± 1).

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Background: High prevalence of parental separation and resulting biological father absence raises important questions regarding its impact on offspring mental health across the life course. We specifically examined whether these relationships vary by sex and the timing of exposure to father absence (early or middle childhood).

Methods: This study is based on up to 8409 children from the Avon Longitudinal Study of Parents and Children (ALSPAC).

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Article Synopsis
  • * It found that 7.8% to 17% of reported COVID-19 cases experienced symptoms lasting over 12 weeks, with 1.2% to 4.8% suffering debilitating symptoms.
  • * Key risk factors for prolonged symptoms included older age, female gender, being white, poor overall and mental health prior to the pandemic, obesity, and asthma, while other factors showed unclear correlations.
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