Evidence map›Paper›PMID 40336358›Full record

ArticlePsychological medicine2025

Integrating HiTOP and RDoC frameworks Part I: Genetic architecture of externalizing and internalizing psychopathology.

Christal N Davis, Yousef Khan, Sylvanus Toikumo, Zeal Jinwala, Dorret I Boomsma, Daniel F Levey, Joel Gelernter, Rachel L Kember, Henry R Kranzler

Abstract read
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Christal N DavisMental Illness Research, Education and Clinical Center, Crescenz VAMC, Philadelphia, PA, USA.ORCID 0000-0003-3974-5598
Yousef KhanCenter for Studies of Addiction, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.ORCID 0009-0002-3093-3947
Sylvanus ToikumoMental Illness Research, Education and Clinical Center, Crescenz VAMC, Philadelphia, PA, USA.ORCID 0000-0002-6024-0693
Zeal JinwalaCenter for Studies of Addiction, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.ORCID 0009-0005-5062-0827
Dorret I BoomsmaDepartment of Complex Trait Genetics, Center for Neurogenomics and Cognitive Research, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, The Netherlands and Amsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands.ORCID 0000-0002-7099-7972
Daniel F LeveyDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0001-8431-9569
Joel GelernterPsychiatry Division, VA Connecticut Healthcare Center, West Haven, CT, USA.ORCID 0000-0002-4067-1859
Rachel L KemberMental Illness Research, Education and Clinical Center, Crescenz VAMC, Philadelphia, PA, USA.ORCID 0000-0001-8820-2659
Henry R KranzlerMental Illness Research, Education and Clinical Center, Crescenz VAMC, Philadelphia, PA, USA.ORCID 0000-0002-1018-0450

Funding

Characterizing the phenotypic spectrum associated with genetic liability for alcohol use disorderK01AA028292 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI KEMBER, RACHEL LORRAINE · 2021 to 2024
$505k
NIAAA NIH HHS K01 AA028292
6 · The paper itself

Abstract

backgroundThere is considerable comorbidity between externalizing (EXT) and internalizing (INT) psychopathology. Understanding the shared genetic underpinnings of these spectra is crucial for advancing knowledge of their biological bases and informing empirical models like the Research Domain Criteria (RDoC) and Hierarchical Taxonomy of Psychopathology (HiTOP).

methodsWe applied genomic structural equation modeling to summary statistics from 16 EXT and INT traits in individuals genetically similar to European reference panels (EUR-like; n = 16,400 to 1,074,629). Traits included clinical (e.g. major depressive disorder, alcohol use disorder) and subclinical measures (e.g. risk tolerance, irritability). We tested five confirmatory factor models to identify the best fitting and most parsimonious genetic architecture and then conducted multivariate genome-wide association studies (GWAS) of the resulting latent factors.

resultsA two-factor correlated model, representing EXT and INT spectra, provided the best fit to the data. There was a moderate genetic correlation between EXT and INT (r = 0.37, SE = 0.02), with bivariate causal mixture models showing extensive overlap in causal variants across the two spectra (94.64%, SE = 3.27). Multivariate GWAS identified 409 lead genetic variants for EXT, 85 for INT, and 256 for the shared traits.

conclusionsThe shared genetic liabilities for EXT and INT identified here help to characterize the genetic architecture underlying these frequently comorbid forms of psychopathology. The findings provide a framework for future research aimed at understanding the shared and distinct biological mechanisms underlying psychopathology, which will help to refine psychiatric classification systems and potentially inform treatment approaches.

Indexed as

Mental DisordersAdultComorbidityFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansLatent Class AnalysisMajor Depressive DisorderMalePsychopathologyexternalizinggenomic structural equation modelingHiTOPinternalizingnosologypsychopathologyRDoC

Identifiers

PMID40336358
PMCPMC12094639

What Socratic holds

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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.