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ORIGINAL CONTRIBUTION Association of FKBP5 Polymorphisms and Childhood Abuse With Risk of Posttraumatic Stress Disorder Symptoms in Adults Elisabeth B. Binder, MD, PhD Context In addition to trauma exposure, other factors contribute to risk for devel- Rebekah G. Bradley, PhD opment of posttraumatic stress disorder (PTSD) in adulthood. Both genetic and envi- ronmental factors are contributory, with child abuse providing significant risk liability. Wei Liu, PhD Objective To increase understanding of genetic and environmental risk factors as Michael P. Epstein, PhD well as their interaction in the development of PTSD by gene environment interac- Todd C. Deveau, BS tions of child abuse, level of non–child abuse trauma exposure, and genetic polymor- phisms at the stress-related gene FKBP5. Kristina B. Mercer, MPH Design, Setting, and Participants A cross-sectional study examining genetic and Yilang Tang, MD, PhD psychological risk factors in 900 nonpsychiatric clinic patients (762 included for all geno- Charles F. Gillespie, MD, PhD type studies) with significant levels of childhood abuse as well as non–child abuse trauma Christine M. Heim, PhD using a verbally presented survey combined with single-nucleotide polymorphism (SNP) genotyping. Participants were primarily urban, low-income, black (95%) men and Charles B. Nemeroff, MD, PhD women seeking
JAMA – American Medical Association
Published: Mar 19, 2008
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