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thor%22%2C%22firstName%22%3A%22John%20P.%22%2C%22lastName%22%3A%22John%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pratima%22%2C%22lastName%22%3A%22Murthy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vivek%22%2C%22lastName%22%3A%22Benegal%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22YC%22%2C%22lastName%22%3A%22Janardhan%20Reddy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sanjeev%22%2C%22lastName%22%3A%22Jain%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22ADBS%20Consortium%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Biju%22%2C%22lastName%22%3A%22Viswanath%22%7D%5D%2C%22abstractNote%22%3A%22Background%20Neurocognitive%20deficits%20are%20considered%20an%20endophenotype%20for%20several%20psychiatric%20disorders%2C%20typically%20studied%20in%20unaffected%20first-degree%20relatives%20%28FDRs%29.%20Environmental%20factors%20such%20as%20adverse%20childhood%20experiences%20%28ACEs%29%20may%20also%20affect%20neurocognition.%20This%20study%20examines%20the%20effect%20of%20ACEs%20on%20neurocognitive%20performance%20in%20FDRs%20of%20patients%20with%20severe%20mental%20illness%20in%20order%20to%20determine%20whether%20familial%20risk%20has%20a%20moderating%20effect%20on%20the%20relationship%20between%20ACEs%20and%20neurocognition.Methods%20The%20sample%20consists%20of%20a%20total%20of%20512%20individuals%20composed%20of%20unaffected%20FDRs%20from%20multiplex%20families%20with%20severe%20mental%20illnesses%20%28schizophrenia%2C%20bipolar%20disorder%2C%20obsessive-compulsive%20disorder%20or%20alcohol%20use%20disorder%29%20and%20healthy%20controls%20%28with%20no%20familial%20risk%29.%20Neurocognitive%20tests%20included%20processing%20speed%20%28Color%20Trails%29%2C%20new%20learning%20%28Auditory%20Verbal%20Learning%20Test%29%2C%20working%20memory%20%28N-Back%29%2C%20and%20Theory%20of%20Mind%20%28SOCRATIS%29.%20ACEs%20were%20measured%20using%20the%20WHO%20ACE-International%20Questionnaire%20%28ACE-IQ%29.%20Regression%20models%20adjusted%20for%20age%2C%20gender%20and%20education%20were%20done%20to%20predict%20each%20neurocognitive%20domain%20by%20the%20effect%20of%20familial%20risk%2C%20ACE-IQ%20Total%20Score%20and%20the%20interaction%20%28familial%20risk%20x%20ACE-IQ%20Total%20score%29.Results%20When%20all%20FDRs%20were%20examined%20as%20a%20group%2C%20the%20main%20effect%20of%20familial%20risk%20predicted%20poor%20performance%20in%20all%20domains%20of%20neurocognition%20%28p%20%26lt%3B0.01%29%2C%20and%20the%20ACEs%20x%20familial%20risk%20interaction%20had%20a%20significant%20negative%20association%20with%20global%20neurocognition%2C%20processing%20speed%20%26amp%3B%20working%20memory.%20This%20interaction%20effect%20was%20driven%20predominantly%20by%20the%20familial%20risk%20of%20AUD.%20In%20FDRs%20of%20schizophrenia%20%26amp%3B%20bipolar%20disorder%2C%20only%20the%20main%20effects%20of%20familial%20risk%20were%20significant%20%28working%20memory%2C%20theory%20of%20mind%20%26amp%3B%20global%20neurocognition%29%2C%20with%20no%20impact%20of%20ACEs%20or%20its%20interaction%20in%20both%20these%20sub-groups.Conclusions%20The%20impact%20of%20childhood%20adversity%20on%20neurocognition%20is%20moderated%20by%20familial%20risk%20of%20psychiatric%20disorders.%20Genetic%20or%20familial%20vulnerability%20may%20play%20a%20greater%20role%20in%20disorders%20such%20as%20schizophrenia%20and%20bipolar%20disorder%2C%20while%20the%20interaction%20between%20ACEs%20and%20family%20history%20may%20be%20more%20relevant%20in%20the%20case%20of%20disorders%20with%20greater%20environmental%20risk%2C%20such%20as%20substance%20use.Competing%20Interest%20StatementThe%20authors%20have%20declared%20no%20competing%20interest.Clinical%20Protocols%20https%3A%5C%2F%5C%2Fbmcpsychiatry.biomedcentral.com%5C%2Farticles%5C%2F10.1186%5C%2Fs12888-018-1674-2%20Funding%20StatementThis%20research%20is%20funded%20by%20the%20Accelerator%20program%20for%20Discovery%20in%20Brain%20disorders%20using%20Stem%20cells%20%28ADBS%29%20%28jointly%20funded%20by%20the%20Department%20of%20Biotechnology%2C%20Government%20of%20India%2C%20and%20the%20Pratiksha%20trust%3B%20Grant%20BT%5C%2FPR17316%5C%2FMED%5C%2F31%5C%2F326%5C%2F2015%29.%20BV%20is%20funded%20by%20the%20Intermediate%20%28Clinical%20and%20Public%20Health%29%20Fellowship%20%28IA%5C%2FCPHI%5C%2F20%5C%2F1%5C%2F505266%29%20of%20the%20DBT%5C%2FWellcome%20Trust%20India%20Alliance.Author%20DeclarationsI%20confirm%20all%20relevant%20ethical%20guidelines%20have%20been%20followed%2C%20and%20any%20necessary%20IRB%20and%5C%2For%20ethics%20committee%20approvals%20have%20been%20obtained.YesThe%20details%20of%20the%20IRB%5C%2Foversight%20body%20that%20provided%20approval%20or%20exemption%20for%20the%20research%20described%20are%20given%20below%3AThe%20ethical%20approval%20for%20this%20work%20was%20given%20by%20the%20Institute%20Ethics%20Committee%2C%20National%20Institute%20of%20Mental%20Health%20and%20Neuro%20Scie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%3A%7B%22id%22%3A5860128%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Paul%20et%20al.%22%2C%22parsedDate%22%3A%222021-02%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EPaul%2C%20P.%2C%20Nadella%2C%20R.%20K.%2C%20Viswanath%2C%20B.%2C%20Reddy%2C%20Y.%20C.%20J.%2C%20Jain%2C%20S.%2C%20%26amp%3B%20Purushottam%2C%20M.%20%282021%29.%20Does%20CACNA1C%20rs1006737%20genotype%20play%20a%20role%20in%20lithium%20treatment%20response%20in%20bipolar%20disorder%20patients%3F%20%3Ci%3EAsian%20Journal%20of%20Psychiatry%3C%5C%2Fi%3E%2C%20%3Ci%3E56%3C%5C%2Fi%3E%2C%20102525.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajp.2020.102525%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajp.2020.102525%3C%5C%2Fa%3E%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Does%20CACNA1C%20rs1006737%20genotype%20play%20a%20role%20in%20lithium%20treatment%20response%20in%20bipolar%20disorder%20patients%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pradip%22%2C%22lastName%22%3A%22Paul%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ravi%20Kumar%22%2C%22lastName%22%3A%22Nadella%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Biju%22%2C%22lastName%22%3A%22Viswanath%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Y.%20C.%20Janardhan%22%2C%22lastName%22%3A%22Reddy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sanjeev%22%2C%22lastName%22%3A%22Jain%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Meera%22%2C%22lastName%22%3A%22Purushottam%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021-02%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ajp.2020.102525%22%2C%22ISSN%22%3A%221876-2026%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22KBMQGC3H%22%5D%2C%22dateModified%22%3A%222021-04-03T09%3A01%3A44Z%22%7D%7D%5D%7D
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