Publications by authors named "Helga Ask"

Background: Neurodevelopmental conditions are highly heritable. Recent studies have shown that genomic heritability estimates can be confounded by genetic effects mediated via the environment (indirect genetic effects). However, the relative importance of direct versus indirect genetic effects on early variability in traits related to neurodevelopmental conditions is unknown.

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Background: The COVID-19 pandemic introduced complexities that were likely more demanding for some groups, such as children and adolescents, and especially those with pre-existing mental health diagnoses. This study examines long-term patterns of psychiatric healthcare use among this vulnerable group, providing insights into shifts in psychiatric healthcare use during a global health crisis.

Methods: We use data from the primary and specialist healthcare registries available from the Norwegian emergency preparedness register for COVID-19 (Beredt C19) to estimate patterns of psychiatric healthcare use.

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Bipolar disorder is a leading contributor to the global burden of disease. Despite high heritability (60-80%), the majority of the underlying genetic determinants remain unknown. We analysed data from participants of European, East Asian, African American and Latino ancestries (n = 158,036 cases with bipolar disorder, 2.

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Background: Maternal stress during pregnancy may impact offspring development via changes in the intrauterine environment. However, genetic and environmental factors shared between mothers and children might skew our understanding of this pathway. This study assesses whether prenatal maternal stress has causal links to offspring outcomes: birthweight, gestational age, or emotional and behavioral difficulties, triangulating across methods that account for various measured and unmeasured confounders.

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Background: Early in life, behavioral and cognitive traits associated with risk for developing a psychiatric condition are broad and undifferentiated. As children develop, these traits differentiate into characteristic clusters of symptoms and behaviors that ultimately form the basis of diagnostic categories. Understanding this differentiation process-in the context of genetic risk for psychiatric conditions, which is highly generalized-can improve early detection and intervention.

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  • The study highlights the extensive overlap between anxiety disorders (ANX) and major depression (MD), suggesting that most genetic analyses fail to account for this comorbidity, potentially skewing results.
  • The research objective is to clarify the genetic and causal relationships between ANX and MD by performing disorder-specific analyses using data from large cohorts like the UK Biobank and Norwegian MoBa.
  • Findings show that ANX and MD have a lower genetic correlation when considered separately (0.53) compared to when they are comorbid (0.90), along with evidence of bidirectional causality in comorbid cases, indicating more complex interactions than previously understood.
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  • A study examined eating problems among adolescents during the pandemic compared to before, using data from 22,706 14-16-year-olds over six years.
  • Results indicated that while all adolescents showed an increase in eating problems over time, the pandemic uniquely affected girls, who reported higher levels of dieting and body dissatisfaction during this period.
  • The findings emphasize the need to address gender-specific issues related to eating problems and suggest that factors like screen time and mental distress may have worsened during the pandemic.
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  • Some studies have suggested that drinking coffee during pregnancy might affect how kids develop, but the results have been mixed.
  • This study looked at the link between mothers' and fathers' coffee consumption before and during pregnancy, and how it relates to children's development issues.
  • The findings showed a connection between moms who drank coffee and some behavioral challenges in kids, but when factors like smoking and education were considered, the link became weaker.
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  • - Individuals with mental illness are at a higher risk for severe COVID-19 outcomes, but studies on their vaccination uptake have shown mixed results.
  • - This research analyzed data from multiple cohort studies and Swedish registers to explore the relationship between mental illness and COVID-19 vaccination rates.
  • - Findings revealed that while overall vaccine uptake was high in both groups, there was a slight decrease in vaccination rates among unmedicated individuals with mental illness, indicating a need for further investigation into this subgroup.
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  • The study investigates the effects of maternal vitamin D and omega-3 fatty acid (DHA) deficiencies on neurodevelopmental traits in offspring, using a method called Mendelian randomization to establish causal relationships rather than just correlations.
  • Results showed that while higher maternal vitamin-D levels were initially linked to lower ADHD traits in children, this association disappeared when controlling for genetic factors, indicating no causal maternal influence.
  • The findings suggest that prior observational studies might have been misleading due to genetic confounding, and that genetic predispositions for autism and ADHD are related to lower levels of vitamin D and DHA in mothers.
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  • Childhood maltreatment (CM) impacts health across one's life, and this study investigates its role in severe COVID-19 outcomes among 151,427 participants in the UK Biobank.
  • * The study found that individuals with a history of CM had a significantly higher risk of hospitalization or death from COVID-19, with physical neglect being the most impactful type.
  • * Results indicated that socio-economic status, lifestyle, and pre-existing health conditions explained over half of the link between CM and severe COVID-19 outcomes, while CM was less strongly tied to COVID-19 diagnosis and vaccine uptake.
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  • Children of less-educated parents show higher rates of depression, anxiety, and ADHD, but it's unclear if this is a direct cause-and-effect relationship.
  • A study of nearly 41,000 Norwegian children found no strong evidence that parents' education levels independently impact these mental health traits in their children.
  • Instead, children's own genetic factors related to education were linked to mental health traits, suggesting that genetic influences play a larger role than previously thought, while also highlighting the need for studies in more diverse socioeconomic contexts.
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  • * 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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  • Adolescence is a crucial time when mental health issues like anxiety and depression can start to appear, and the COVID-19 pandemic's strict public health measures may have worsened these conditions for teens.* -
  • The study investigated how public health restrictions and experiences with quarantine impacted mental distress in a group of 7,787 Norwegian adolescents aged 16 to 18 from April 2020 to February 2021.* -
  • Findings showed that higher stringency of public health measures and recent or frequent quarantines were linked to increased mental distress, with no significant moderating effects from factors like sex or pre-existing mental health issues.*
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Background: Autism and different neurodevelopmental conditions frequently co-occur, as do their symptoms at sub-diagnostic threshold levels. Overlapping traits and shared genetic liability are potential explanations.

Methods: In the population-based Norwegian Mother, Father, and Child Cohort study (MoBa), we leverage item-level data to explore the phenotypic factor structure and genetic architecture underlying neurodevelopmental traits at age 3 years (N = 41,708-58,630) using maternal reports on 76 items assessing children's motor and language development, social functioning, communication, attention, activity regulation, and flexibility of behaviors and interests.

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  • Obsessive-compulsive disorder (OCD) affects about 1% of people and has a strong genetic component, but previous studies have not fully explained its genetic causes or biological mechanisms.
  • A large genome-wide association study (GWAS) analyzed data from over 53,000 OCD cases and over 2 million control participants, identifying 30 significant genetic markers related to OCD and suggesting a 6.7% heritability from SNPs.
  • The research also found 249 candidate risk genes linked to OCD, particularly in specific brain regions, and showed genetic correlations with various psychiatric disorders, laying the groundwork for further studies and potential treatments.
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Background: The timing of puberty may have an important impact on adolescent mental health. In particular, earlier age at menarche has been associated with elevated rates of depression in adolescents. Previous research suggests that this relationship may be causal, but replication and an investigation of whether this effect extends to other mental health domains is warranted.

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The aetiology of conduct problems involves a combination of genetic and environmental factors, many of which are inherently linked to parental characteristics given parents' central role in children's lives across development. It is important to disentangle to what extent links between parental heritable characteristics and children's behaviour are due to transmission of genetic risk or due to parental indirect genetic influences via the environment (i.e.

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Background: Although the persistence of physical symptoms after SARS-CoV-2 infection is a major public health concern, evidence from large observational studies beyond one year post diagnosis remain scarce. We aimed to assess the prevalence of physical symptoms in relation to acute illness severity up to more than 2-years after diagnosis of COVID-19.

Methods: This multinational study included 64,880 adult participants from Iceland, Sweden, Denmark, and Norway with self-reported data on COVID-19 and physical symptoms from April 2020 to August 2022.

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Background: An individual's overall burden of behavioural and emotional problems across childhood is associated with increased likelihood of later mental health conditions. However, the extent of behavioural versus emotional problems - that is, the extent to which the domains are from one another - may provide additional information about who is at risk of developing a mental health condition. Here, we seek to validate differentiation as an independent predictor of later mental health conditions, and to explore its aetiology.

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Conduct disorder (CD), a common mental disorder in children and adolescents, is characterized by antisocial behavior. Despite similarities with antisocial personality disorder (ASPD) and possible diagnostic continuity, CD has been shown to precede a range of adult-onset mental disorders. Additionally, little is known about the putative shared genetic liability between CD and adult-onset mental disorders and the underlying gene-environment interplay.

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To identify factors associated with change in mental distress at the onset of the COVID-19 pandemic, relative to pre-pandemic levels, and with changes during the following 1.5 years. The prospective Norwegian Mother, Father and Child Cohort Study collected eight waves of data during the pandemic (March 2020-September 2021) in 105,972 adult participants used for this analyses.

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Article Synopsis
  • The study examines the mental health effects on individuals with significant people (family or close friends) who had COVID-19, analyzing data from prospective cohorts in Iceland, Norway, Sweden, and the UK from March 2020 to March 2022.
  • It found that having someone close who was hospitalized or died from COVID-19 led to increased rates of depression and anxiety, with prevalence ratios of 1.15 for depression and 1.24 for anxiety in case of hospitalization, escalating further with ICU admission and death.
  • The research highlights that these elevated mental health issues persist for at least a year following the COVID-19 diagnosis of the significant person, indicating a substantial emotional toll on affected individuals.*
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