Evidence map›Paper›PMID 40007167›Full record

ArticleBipolar disorders2025

Exploration of Genetic Liability to Insomnia and Substance Use Disorders in Patients With Bipolar Disorder.

Lindsay M Melhuish Beaupre, Brandon J Coombes, Anthony Batzler, Jorge A Sanchez-Ruiz, Bhanu Prakash Kolla, Francisco Romo-Nava, Vanessa Pazdernik, Gregory Jenkins, T Cameron Waller, Michelle Skime and 3 more

Abstract read
In one paragraph

Article in Bipolar disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lindsay M Melhuish BeaupreDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8224-1307
Brandon J CoombesDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Anthony BatzlerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Jorge A Sanchez-RuizDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-4282-7359
Bhanu Prakash KollaDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Francisco Romo-NavaLindner Center of HOPE/University of Cincinnati, Cincinnati, Ohio, USA.ORCID 0000-0002-5894-3701
Vanessa PazdernikDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Gregory JenkinsDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
T Cameron WallerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Michelle SkimeDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Susan L McElroyLindner Center of HOPE/University of Cincinnati, Cincinnati, Ohio, USA.
Mark A FryeDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-6997-4215
Joanna M BiernackaDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-9350-4440

Funding

2/4: Leveraging EHR-linked biobanks for deep phenotyping, polygenic risk score modeling, and outcomes analysis in psychiatric disordersR01MH121924 · NIMH · MAYO CLINIC ROCHESTER · PI BIERNACKA, JOANNA M · 2019 to 2024
$2.0M
The role of the circadian system in binge eating disorderK23MH120503 · NIMH · UNIVERSITY OF CINCINNATI · PI ROMO-NAVA, FRANCISCO · 2020 to 2023
$803k
NIMH NIH HHS K23 MH120503NIMH NIH HHS R01 MH121924Thomas and Elizabeth Grainger Fund in Bipolar Functional Genomics and Drug Development
6 · The paper itself

Abstract

backgroundInsomnia and substance use disorders (SUD) are common comorbidities of bipolar disorder (BD). Genome-wide association studies (GWAS) have uncovered shared genetic contributions to insomnia and BD as well as SUDs and BD. Electronic health record (EHR) derived phenotypes (phecodes) and questionnaire data were used to examine the relationship between insomnia genetic liability and SUDs in BD.

methods40,839 participants from the Mayo Clinic Bipolar Disorder Biobank (BD Biobank; n = 774) and Mayo Clinic Biobank (n = 485 BD cases, n = 39,580 controls) were included in the analyses of diagnosis (phecode) outcomes (insomnia, SUD, alcohol use disorder [AUD] and tobacco use disorder [TUD]). Analyses of specific SUD outcomes obtained through the BD Biobank questionnaire included 1789 cases and considered BD subtype. Logistic regression was used to test for associations between insomnia polygenic risk scores (PRS) and insomnia and SUD outcomes in BD cases and controls.

resultsInsomnia PRS was associated with having an insomnia diagnosis (phecode) in the EHR in controls (OR = 1.19, p = 9.64e-33) but not in BD cases (OR = 1, p = 0.95). Associations between insomnia PRS and SUD diagnoses were significant in BD cases and controls, with the association being stronger in BD cases (interaction p = 0.024). In the BD Biobank data, the insomnia PRS was associated with increased odds of AUD (OR = 1.19, p = 4.26e-04), TUD (OR = 1.21, p = 1.25e-05) and cannabis use disorder (OR = 1.16, p = 4.19e-03).

conclusionThe effect of genetic predisposition to insomnia on SUD risk may be stronger in BD cases than in controls, which could have clinical care implications for individuals with BD and comorbid SUD.

Indexed as

Bipolar DisorderGenetic Predisposition to DiseaseSleep Initiation and Maintenance DisordersSubstance-Related DisordersAdultComorbidityFemaleGenome-Wide Association StudyHumansMaleMiddle AgedSurveys and Questionnairesalcohol use disorderbipolar disordergenetic risk scoreinsomniasubstance use disordertobacco use disorder

Identifiers

PMID40007167
PMCPMC12256197

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.