Skip to main content

Advertisement

Log in

Genetic and Environmental Influences on Depressive Symptoms in Chinese Adolescents

  • Original Research
  • Published:
Behavior Genetics Aims and scope Submit manuscript

Abstract

Adolescent depression is common and has become a major public health concern in China, yet little research has examined the etiology of depression in Chinese adolescents. In the present study, genetic and environmental influences on Chinese adolescent depressive symptoms were investigated in 1,181 twin pairs residing in Beijing, China (ages 11–19 years). Child- and parent-versions of the children’s depression inventory were used to measure adolescents’ depressive symptoms. For self-reports, genetic factors, shared environmental factors, and non-shared environmental factors accounted for 50, 5, and 45 % of the variation in depressive symptoms, respectively; for parent-reports, genetic factors, shared environmental factors, and non-shared environmental factors accounted for 51, 18, and 31 % of the variation, respectively. These estimates are generally consistent with previous findings in Western adolescents, supporting the cross-cultural generalizability of etiological model of adolescent depression. Neither qualitative nor quantitative sex differences were found in the etiological model. Future studies are needed to investigate how genes and environments work together (gene–environment interaction, gene–environment correlation) to influence depression in Chinese adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Abela JRZ, Stolow D, Mineka S, Yao S, Zhu XZ, Hankin BL (2011) Cognitive vulnerability to depressive symptoms in adolescents in urban and rural Hunan, China: a multiwave longitudinal study. J Abnorm Psychol 120(4):765–778

    Article  PubMed  Google Scholar 

  • Bartels M, Boomsma DI, Hudziak JJ, Rietveld MJ, van Beijsterveldt TC, van den Oord EJ (2004) Disentangling genetic, environmental, and rater effects on internalizing and externalizing problem behavior in 10-year-old twins. Twin Res Hum Genet 7(2):162–175

    Google Scholar 

  • Bronfenbrenner U, Ceci SJ (1994) Nature-nurture reconceptualized in developmental perspective: a bioecological model. Psychol Rev 101(4):568–586

    Article  PubMed  Google Scholar 

  • Burt SA (2009) Rethinking environmental contributions to child and adolescent psychopathology: a meta-analysis of shared environmental influences. Psychol Bull 135(4):608–637

    Article  PubMed  Google Scholar 

  • Byers AL, Levy BR, Kasl SV, Bruce ML, Allore HG (2009) Heritability of depressive symptoms: a case study using a multilevel approach. Int J Methods Psychiatr Res 18(4):287–296

    PubMed Central  PubMed  Google Scholar 

  • Chen X, Liu M, Li D (2000) Parental warmth, control, and indulgence and their relations to adjustment in Chinese children: a longitudinal study. J Fam Psychol 14(3):401–419

    Article  PubMed  Google Scholar 

  • Chen Z, Guo F, Yang X, Li X, Duan Q, Zhang J, Ge X (2009) Emotional and behavioral effects of romantic relationships in Chinese adolescents. J Youth Adolesc 38(10):1282–1293

    Article  PubMed  Google Scholar 

  • Chen J, Li X, Chen Z, Yang X, Zhang J, Ge X et al (2010) Optimization of zygosity determination by questionnaire and DNA genotyping in Chinese adolescent twins. Twin Res Hum Genet 13(2):194–200

    Article  PubMed  Google Scholar 

  • Chen J, Li X, McGue M (2012) Interacting effect of BDNF Val66Met polymorphism and stressful life events on adolescent depression. Genes Brain Behav 11(8):958–965

    Google Scholar 

  • Chen J, Li X, Zhang J, Natsuaki MN, Leve LD, Harold GT et al (2013) The Beijing Twin Study (BeTwist): a longitudinal study of child and adolescent development. Twin Res Hum Genet 16(1):91–97

    Article  PubMed  Google Scholar 

  • Chiao JY, Blizinsky KD (2010) Culture–gene coevolution of individualism–collectivism and the serotonin transporter gene. Proc Biol Sci 277(1681):529–537

    Article  PubMed Central  PubMed  Google Scholar 

  • Cho H, Guo G, Iritani BJ, Hallfors DD (2006) Genetic contribution to suicidal behaviors and associated risk factors among adolescents in the US. Prev Sci 7(3):303–311

    Article  PubMed  Google Scholar 

  • Cole DA, Martin NC (2005) The longitudinal structure of the children’s depression inventory: testing a latent trait-state model. Psychol Assess 17(2):144–155

    Article  PubMed  Google Scholar 

  • Cole DA, Tram JM, Martin JM, Hoffman KB, Ruiz MD, Jacquez FM et al (2002) Individual differences in the emergence of depressive symptoms in children and adolescents: a longitudinal investigation of parent and child reports. J Abnorm Psychol 111(1):156–165

    Article  PubMed  Google Scholar 

  • Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60(8):837–844

    Article  PubMed  Google Scholar 

  • Demir T, Karacetin G, Demir DE, Uysal O (2011) Epidemiology of depression in an urban population of Turkish children and adolescents. J Affect Disord 134(1):168–176

    Article  PubMed  Google Scholar 

  • Dennis C (2004) Mental health: Asia’s tigers get the blues. Nature 429(6993):696–698

    Article  PubMed  Google Scholar 

  • Eaves LJ, Silberg JL, Meyer JM, Maes HH, Simonoff E, Pickles A et al (1997) Genetics and developmental psychopathology 2: the main effects of genes and environment on behavioral problems in the Virginia Twin Study of Adolescent Behavioral Development. J Child Psychol Psychiatry 38(8):965–980

    Article  PubMed  Google Scholar 

  • Eley TC (1997) Depressive symptoms in children and adolescents: etiological links between normality and abnormality: a research note. J Child Psychol Psychiatry 38(7):861–865

    Article  PubMed  Google Scholar 

  • Eley TC, Stevenson J (1999) Exploring the covariation between anxiety and depression symptoms: a genetic analysis of the effects of age and sex. J Child Psychol Psychiatry 40(8):1273–1282

    Article  PubMed  Google Scholar 

  • Ford T, Goodman R, Meltzer H (2003) The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 42(10):1203–1211

    Article  PubMed  Google Scholar 

  • Franic S, Middeldorp CM, Dolan CV, Ligthart L, Boomsma DI (2010) Childhood and adolescent anxiety and depression: beyond heritability. J Am Acad Child Adolesc Psychiatry 49(8):820–829

    Article  PubMed  Google Scholar 

  • Ge X, Lorenz FO, Conger RD, Elder GH, Simons RL (1994) Trajectories of stressful life events and depressive symptoms during adolescence. Dev Psychol 30(4):467–483

    Article  Google Scholar 

  • Greenberger E, Chen C, Tally SR, Dong Q (2000) Family, peer, and individual correlates of depressive symptomatology among US and Chinese adolescents. J Consult Clin Psychol 68(2):209–219

    Article  PubMed  Google Scholar 

  • Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE (1998) Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 107(1):128–140

    Article  PubMed  Google Scholar 

  • Happonen M, Pulkkinen L, Kaprio J, Van der Meere J, Viken RJ, Rose RJ (2002) The heritability of depressive symptoms: multiple informants and multiple measures. J Child Psychol Psychiatry 43(4):471–479

    Article  PubMed  Google Scholar 

  • Hicks BM, DiRago AC, Iacono WG, McGue M (2009) Gene–environment interplay in internalizing disorders: consistent findings across six environmental risk factors. J Child Psychol Psychiatry 50(10):1309–1317

    Article  PubMed Central  PubMed  Google Scholar 

  • Hong X, Li JQ, Xu F, Tse L, Liang YQ, Wang ZY et al (2009) Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC public health 9(1):148–157

    Article  PubMed Central  PubMed  Google Scholar 

  • Hong W, Abela JR, Cohen JR, Sheshko DM, Shi XT, Hamel AV et al (2010) Rumination as a vulnerability factor to depression in adolescents in mainland China: lifetime history of clinically significant depressive episodes. J Clin Child Adolesc Psychol 39(6):849–857

    Article  PubMed  Google Scholar 

  • Hou XY, Sun J, Dunne MP (2012) Academic stress among adolescents in China. Australasian Epidemiologist 19(1):9–12

    Google Scholar 

  • Hur YM (2008) Sex differences in genetic and environmental contributions to depression symptoms in South Korean adolescent and young adult twins. Twin Res Hum Genet 11(3):306–313

    Article  PubMed  Google Scholar 

  • Jacobson KC, Rowe DC (1999) Genetic and environmental influences on the relationships between family connectedness, school connectedness, and adolescent depressed mood: sex differences. Dev Psychol 35(4):926–939

    Article  PubMed  Google Scholar 

  • Jansson M, Gatz M, Berg S, Johansson B, Malmberg B, McClearn GE et al (2004) Gender differences in heritability of depressive symptoms in the elderly. Psychol Med 34(3):471–479

    Article  PubMed  Google Scholar 

  • Kenny DA, Zautra A (2001) Trait–state models for longitudinal data. In: Collins LM, Sayer AG (eds) New methods for the analysis of change: decade of behavior. American Psychological Association, Washington, DC, pp 243–263

    Chapter  Google Scholar 

  • Kovacs M, Staff MHS (2003) Children’s depression inventory (CDI): technical manual update. Multi-Health Systems Inc, North Tonawanda

    Google Scholar 

  • Lau JYF, Eley TC (2006) Changes in genetic and environmental influences on depressive symptoms across adolescence and young adulthood. Br J Psychiatry 189(5):422–427

    Article  PubMed  Google Scholar 

  • Lau JYF, Eley TC (2008) Disentangling gene–environment correlations and interactions on adolescent depressive symptoms. J Child Psychol Psychiatry 49(2):142–150

    Article  PubMed  Google Scholar 

  • Lee S, Tsang A, Huang Y, He Y, Liu Z, Kessler R et al (2009) The epidemiology of depression in metropolitan China. Psychol Med 39(5):735–747

    Article  PubMed Central  PubMed  Google Scholar 

  • Liu XC, Ma DD, Kurita H, Tang MQ (1999) Self-reported depressive symptoms among Chinese adolescents. Soc Psychiatry Psychiatr Epidemiol 34(1):44–47

    Article  PubMed  Google Scholar 

  • Long H, Liu B, Hou B, Wang C, Li J, Yu C et al (2013) The long rather than the short allele of 5-HTTLPR predisposes Han Chinese to anxiety and reduced connectivity between prefrontal cortex and amygdala. Neurosci Bull 29(1):4–15

    Article  PubMed  Google Scholar 

  • Lu J, Ruan Y, Huang Y, Yao J, Dang W, Gao C (2008) Major depression in Kunming: prevalence, correlates and co-morbidity in a South-Western city of China. J Affect Disord 111(2):221–226

    Article  PubMed  Google Scholar 

  • Ma X, Xiang YT, Cai ZJ, Li SR, Xiang YQ, Guo HL et al (2009) Prevalence and socio-demographic correlates of major depressive episode in rural and urban areas of Beijing. China J Affect Disord 115(3):323–330

    Article  Google Scholar 

  • Mash EJ, Hunsley J (2005) Evidence-based assessment of child and adolescent disorders: issues and challenges. J Clin Child Adolesc Psychol 34(3):362–379

    Article  PubMed  Google Scholar 

  • McCaffery JM, Niaura R, Swan GE, Carmelli D (2003) A study of depressive symptoms and smoking behavior in adult male twins from the NHLBI twin study. Nicotine Tob Res 5(1):77–83

    Article  PubMed  Google Scholar 

  • McCaffery JM, Papandonatos GD, Stanton C, Lloyd-Richardson EE, Niaura R (2008) Depressive symptoms and cigarette smoking in twins from the National Longitudinal Study of Adolescent Health. Health Psychol 27(3):207–215

    Article  Google Scholar 

  • McGue M, Bouchard TJ Jr (1984) Adjustment of twin data for the effects of age and sex. Behav Genet 14(4):325–343

    Article  PubMed  Google Scholar 

  • Merikangas K, Nakamura E, Tsuang M, Tohen M, Jones P (2011) The epidemiology of depression and anxiety in children and adolescents, 3rd edn. Textbook in Psychiatric Epidemiology, New york, pp 435–448

    Google Scholar 

  • Neale MC, Boker SM, Xie G, Maes HH (2006) Mx: Statistical Modeling. Richmond, VA: Department of Psychiatry. Virginia Institute for Psychiatric and Behavior Genetics, Virginia Commonwealth University

  • Nolen-Hoeksema S (2012) Emotion regulation and psychopathology: the role of gender. Annu Rev Clin Psychol 8:161–187

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema S, Girgus JS (1994) The emergence of gender differences in depression during adolescence. Psychol Bull 115(3):424–443

    Article  PubMed  Google Scholar 

  • O’Connor TG, McGuire S, Reiss D, Hetherington EM, Plomin R (1998) Co-occurrence of depressive symptoms and antisocial behavior in adolescence: a common genetic liability. J Abnorm Psychol 107(1):27–37

    Article  PubMed  Google Scholar 

  • Phillips MR, Zhang J, Shi Q, Song Z, Ding Z, Wang Z et al (2009) Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–2005: an epidemiological survey. The Lancet 373(9680):2041–2053

    Article  Google Scholar 

  • Rice F, Thapar A (2009) Depression and anxiety in childhood and adolescence: Developmental pathways, genes and environment. In: Thapar A (ed) Handbook of behavior genetics. Springer, New york, pp 379–396

    Chapter  Google Scholar 

  • Rice F, Harold GT, Thapar A (2002a) Assessing the effects of age, sex and shared environment on the genetic aetiology of depression in childhood and adolescence. J Child Psychol Psychiatry 43(8):1039–1051

    Article  PubMed  Google Scholar 

  • Rice F, Harold GT, Thapar A (2002b) The genetic aetiology of childhood depression: a review. J Child Psychol Psychiatry 43(1):65–79

    Article  PubMed  Google Scholar 

  • Rice F, Harold GT, Shelton KH, Thapar A (2006) Family conflict interacts with genetic liability in predicting childhood and adolescent depression. J Am Acad Child Adolesc Psychiatry 45(7):841–848

    Article  PubMed  Google Scholar 

  • Rushton JL, Forcier M, Schectman RM (2002) Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. J Am Acad Child Adolesc Psychiatry 41(2):199–205

    Article  PubMed  Google Scholar 

  • Ryder AG, Sun J, Zhu X, Yao S, Chentsova-Dutton YE (2012) Depression in China: integrating developmental psychopathology and cultural-clinical psychology. J Clin Child Adolesc Psychol 41(5):682–694

    Article  PubMed  Google Scholar 

  • Scourfield J, Rice F, Thapar A, Harold GT, Martin N, McGuffin P (2003) Depressive symptoms in children and adolescents: changing aetiological influences with development. J Child Psychol Psychiatry 44(7):968–976

    Article  PubMed  Google Scholar 

  • Sun Y, Tao F, Hao J, Wan Y (2010) The mediating effects of stress and coping on depression among adolescents in China. J Child Adolesc Psychiatr Nurs 23(3):173–180

    Article  PubMed  Google Scholar 

  • Tepper P, Liu X, Guo C, Zhai J, Liu T, Li C (2008) Depressive symptoms in Chinese children and adolescents: parent, teacher, and self reports. J Affect Disord 111(2):291–298

    Article  PubMed  Google Scholar 

  • Thapar A, Collishaw S, Pine DS, Thapar AK (2012) Depression in adolescence. The Lancet 379(11):60871–60874

    Google Scholar 

  • Tram JM, Cole DA (2006) A multimethod examination of the stability of depressive symptoms in childhood and adolescence. J Abnorm Psychol 115(4):674–686

    Article  PubMed  Google Scholar 

  • Unger JB, Lessov-Schlaggar CN, Pang Z, Guo Q, Ning F, Gallaher P, Lee L, Cao W, Conti D, Johnson CA (2011) Heritability of smoking, alcohol use, and psychological characteristics among adolescent twins in Qingdao. China Asia Pac J Public Health 23(4):565–568

    Google Scholar 

  • Verhagen M, Van Der Meij A, van Deurzen P, Janzing J, Arias-Vasquez A, Buitelaar J et al (2008) Meta-analysis of the BDNF Val66Met polymorphism in major depressive disorder: effects of gender and ethnicity. Mol Psychiatry 15(3):260–271

    Article  PubMed  Google Scholar 

  • Windle M, Dumenci L (1998) An investigation of maternal and adolescent depressed mood using a latent trait-state model. J Res Adolesc 8(4):461–484

    Article  Google Scholar 

  • Zhang K, Xu Q, Xu Y, Yang H, Luo J, Sun Y et al (2009) The combined effects of the 5-HTTLPR and 5-HTR1A genes modulates the relationship between negative life events and major depressive disorder in a Chinese population. J Affect Disord 114(1–3):224–231

    Article  PubMed  Google Scholar 

  • Zhong BL, Ding J, Chen HH, Li Y, Xu HM, Tong J et al (2013) Depressive disorders among children in the transforming China: an epidemiological survey of prevalence, correlates, and service use. Depress Anxiety. doi:10.1002/da.22109

    PubMed  Google Scholar 

  • Zhou Q, Wang Y, Deng XL, Eisenberg N, Wolchik SA, Tein JY (2008) Relations of parenting and temperament to Chinese children’s experience of negative life events, coping efficacy, and externalizing problems. Child Dev 79(3):493–513

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by the Knowledge Innovation Program of the Chinese Academy of Sciences (KSCX2-EW-J-8), and the National Natural Science Foundation of China (31170993, 91132728 and 31300841). This research was also supported by Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences and the BeTwiSt of Institute of Psychology, Chinese Academy of Sciences. The original principal investigator, Dr. Xiaojia Ge, passed away during the course of this study and the authors dedicate this paper to his memory and for his great contribution in founding the BeTwiSt. We are also grateful to participating twin families and Schools.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xinying Li.

Additional information

Edited by Kristen Jacobson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, J., Li, X., Natsuaki, M.N. et al. Genetic and Environmental Influences on Depressive Symptoms in Chinese Adolescents. Behav Genet 44, 36–44 (2014). https://doi.org/10.1007/s10519-013-9632-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10519-013-9632-8

Keywords

Navigation