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Genome-Wide Association Study of Symptom Change Following Cognitive Behavioral Therapy for Common Mental Disorders
Karolinska Institutet, Sweden; Region Stockholm, Sweden.
Karolinska Institutet, Sweden; Region Stockholm, Sweden.
Karolinska Institutet, Sweden; Region Stockholm, Sweden; University of North Carolina, USA.
Karolinska Institutet, Sweden; Region Stockholm, Sweden.
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2026 (English)In: American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, ISSN 1552-4841, E-ISSN 1552-485X, Vol. 201, no 6, p. 396-405Article in journal (Refereed) Published
Abstract [en]

Cognitive behavioral therapy (CBT) is a well-established, evidence-based treatment for common mental disorders such as depression, anxiety disorders, and obsessive-compulsive disorder (OCD). However, treatment outcomes vary widely, and a substantial proportion of patients do not achieve sufficient improvement. Robust predictors of individual differences in symptom change are currently lacking. Genetic differences have been suggested to play a role, but existing evidence is inconclusive. This study investigated the extent to which common genetic variants-single nucleotide polymorphisms (SNPs)-contribute to variability in symptom change. The sample was derived from the MULTI-PSYCH and NORDiC cohorts, comprising 3113 adults and children treated with CBT for depression, panic disorder, social anxiety disorder, or OCD. We performed a genome-wide association study (GWAS) of symptom change following CBT and estimated the proportion of variance attributed to SNPs. Secondary analyses included GWAS and SNP-based heritability estimation of additional clinically relevant outcomes: pre- and post-treatment symptom severity and remission status. No variants reached genome-wide significance. We estimated SNP-based heritability of symptom change at h2SNP = 0.221 (SE = 0.123. These results suggest that common genetic variation may contribute modestly to treatment outcomes. Much larger samples would be required to obtain more precise estimates and to detect genome-wide significant loci.

Place, publisher, year, edition, pages
John Wiley & Sons, 2026. Vol. 201, no 6, p. 396-405
Keywords [en]
anxiety, cognitive behavioral therapy, depression, genome-wide association study, obsessive-compulsive disorder, symptom change, treatment outcome
National Category
Psychiatry
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-145623DOI: 10.1002/ajmg.b.70015ISI: 001709481300001PubMedID: 41804033Scopus ID: 2-s2.0-105032766878OAI: oai:DiVA.org:lnu-145623DiVA, id: diva2:2047853
Available from: 2026-03-23 Created: 2026-03-23 Last updated: 2026-08-10Bibliographically approved

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Kaldo, Viktor

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