Table 1.
Description of 5-HTTLPR, Stress and Depression Studies Included in the Overall Meta-analysis
Study | No. of Participants | % Female |
Mean Age |
Study Design |
Stressor | Depression Measure | Reported Findings* |
Averaged one-tailed p value** |
Fisher’s p after study exclusion |
---|---|---|---|---|---|---|---|---|---|
Mossner et al, 2001 | 72 | 46 | NA | Exposed only | Parkinson’s Disease | Hamilton Depression Rating Scale |
Positive | 0.0125 | 1.90E-05 |
Caspi et al, 2003 | 845 | 48 | 26 | Longitudinal | Child Maltreatment | Diagnosis of Depression | Positive | 0.0100 | 4.20E-05 |
Eley et al, 2004 | 374 | 58 | 16 | Case-Control | Adverse Family Environment |
MFQ | Partially positive | 0.2575 | 1.95E-05 |
Grabe et al, 2004 | 973 | 69 | 52 | Cross- sectional |
Number of Chronic Diseases |
von Zerssen’s Complaints Scale |
Partially positive | 0.2503 | 2.16E-05 |
Kendler et al, 2005 | 549 | NA | 35 | Longitudinal | Stressful Life Events | Diagnosis of Depression | Positive | 0.0070 | 3.27E-05 |
Nakatani et al, 2005 | 2509 | 25 | 64 | Exposed only | Acute Myocardial Infarction |
Zung Self-Rating Depression Scale |
Positive | 0.0075 | 1.62E-04 |
Jacobs et al, 2006 | 374 | 100 | 27 | Longitudinal | Stressful Life Events | SCL-90 | Positive | 0.0200 | 2.51E-05 |
Kaufman et al, 2006 | 196 | 51 | 9 | Cross- sectional |
Child Abuse | MFQ | Partially positive | 0.0225 | 2.12E-05 |
Ramasubbu et al, 2006 | 51 | 35 | 60 | Exposed only | Stroke | Diagnosis of Depression | Positive | 0.0130 | 1.86E-05 |
Sjoberg et al, 2006 | 198 | 63 | 17 | Cross- sectional |
Psychosocial Circumstances in Family |
Depression Self-Rating Scale |
Partially positive/ opposite |
0.4721 | 1.76E-05 |
Surtees et al, 2006 | 4175 | 47 | 60 | Cross- sectional |
Childhood Adversities/Stressful Life Events |
Diagnosis of Depression | Negative | 0.5000 | 1.33E-06 |
Taylor et al, 2006 | 110 | 57 | 21 | Cross- sectional |
Childhood Adversities | BDI | Partially positive |
0.0268 | 1.95E-05 |
Wilhelm et al, 2006 | 127 | 67 | 48 | Longitudinal | Stressful Life Events | Diagnosis of Depression | Partially positive |
0.1178 | 1.89E-05 |
Zalsman et al, 2006 | 79 | 68 | 38 | Case-control | Stressful Life Events | Hamilton Depression Rating Scale | Partially positive |
0.2233 | 1.81E-05 |
Cervilla et al, 2007 | 737 | 72 | 49 | Case-control | Stressful Life Events | Diagnosis of Depression | Positive | 0.0143 | 3.62E-05 |
Chipman et al, 2007 | 2094 | 52 | 23 | Cross-sectional | Stressful Life Events | Goldman Depression Scale | Negative | 0.3400 | 1.60E-05 |
Chorbov et al, 2007 | 236 | 100 | 22 | Longitudinal | Traumatic Events | Diagnosis of Depression | Opposite | 1.0000 | 1.10E-05 |
Cicchetti et al, 2007 | 339 | 46 | 17 | Cross- sectional |
Child Abuse | ASEBA | Partially positive |
0.2518 | 1.94E-05 |
Dick et al, 2007 | 956 | NA | NA | Family-based association study | Problems with work, relationship or health |
Diagnosis of Depression | Positive | 0.0040 | 5.37E-05 |
Kilpatrick et al, 2007 | 589 | 64 | ≥ 60 (77%) |
Cross- sectional |
Hurricane exposure + low social support 6 months before hurricane |
Diagnosis of Depression | Positive | 0.0015 | 3.94E-05 |
Kim et al, 2007 | 732 | NA | ≥65 | Cross- sectional |
Stressful Life Events | Diagnosis of Depression | Negative | 0.0385 | 3.11E-05 |
Kraus et al, 2007 | 139 | 49 | 42 | Exposed only | Interferon-α Treatment | Hospital Anxiety and Depression Scale |
Negative | 0.5650 | 1.73E-05 |
Mandelli et al, 2007 | 670 | 68 | 48 | Case-only | Stressful Life Events | Diagnosis of Depression | Positive | 0.0112 | 3.50E-05 |
Middeldorp et al, 2007 | 367 | 68 | 39 | Longitudinal | Stressful Life Events | Anxiety-Depression Rating Scale |
Negative | 0.5000 | 1.73E-05 |
Otte et al, 2007 | 557 | 15 | 68 | Exposed only | Coronary Disease | Diagnosis of Depression | Partially positive |
0.0275 | 2.86E-05 |
Scheid et al, 2007 | 568 | 100 | 20–34 | Cross- sectional |
Stressful Life Events | CES-D | Negative | 0.0800 | 2.50E-05 |
Brummett et al, 2008 | 288 | 75 | 58 | Cross- sectional |
Caregiving to patients with Altzheimer’s disease/dementia |
CES-D | Positive | 0.0015 | 2.64E-05 |
Kohen et al, 2008 | 150 | 37 | 60 | Exposed only | Stroke | Geriatric Depression Scale | Positive | 0.0225 | 2.03E-05 |
Lazary et al, 2008 | 567 | 79 | 31 | Cross- sectional |
Stressful Life Events | Zung Self-Rating Depression Scale |
Positive | 0.0025 | 3.67E-05 |
Lenze et al, 2008 | 23 | 87 | 77 | Exposed only | Hip Fracture | Diagnosis of Depression | Positive | 0.0068 | 1.81E-05 |
Power et al, 2008 | 1421 | NA | ≥65 | Cross- sectional |
Stressful Life Events | MINI, CES-D | Negative | 0.6200 | 1.10E-05 |
Wichers et al, 2008 | 394 | 100 | 18–64 | Cross- sectional |
Childhood Trauma | SCL-90; SCID Depressive Symptoms |
Negative | 0.2000 | 2.03E-05 |
Aguilera et al, 2009 | 534 | 55 | 23 | Cross- sectional |
Childhood Trauma | SCL-90-R | Positive | 0.0001 | 4.63E-05 |
Araya et al, 2009 | 4334 | NA | 7 | Longitudinal | Stressful Life Events | SDQ Emotional Symptom 5- item Subscale |
Negative | 0.5000 | 1.03E-06 |
Aslund et al, 2009 | 1482 | 48 | 17–18 | Cross- sectional |
Quarrels or violence between parents; Physical or Psychological Matreatment |
Depression Self-Rating Scale |
Positive | 0.0078 | 7.68E-05 |
Bull et al, 2009 | 98 | 36 | 46 | Longitudinal | Interferon-α and Ribavirin Treatment |
Zung Self-Rating Depression Scale/BDI |
Positive | 0.0150 | 1.95E-05 |
Coventry at al, 2009 | 3243 | 60 | 32 | Longitudinal | Stressful Life Events | Diagnosis of Depression | Negative | 0.5000 | 4.33E-06 |
Drachmann Bukh et al, 2009 | 290 | 66 | 39 | Case-only | Stressful Life Events | Diagnosis of Depression | Negative | 0.0350 | 2.25E-05 |
Kim et al, 2009 | 521 | 55 | 72 | Longitudinal | Number of Chronic Health Problems |
Diagnosis of Depression | Positive | 0.0050 | 3.27E-05 |
Laucht et al, 2009 | 309 | 54 | 19 | Cross- sectional |
Stressful Life Events | Diagnosis of Depression, BDI | Partially negative/ opposite |
0.7375 | 1.57E-05 |
Lotrich et al, 2009 | 71 | 27 | 48 | Exposed only | Interferon-α Treatment | BDI | Positive | 0.0250 | 1.88E-05 |
McCaffery et al, 2009 | 977 | 21 | 59 | Exposed only | Established Cardiovascular Disease |
BDI | Negative | 0.5000 | 1.57E-05 |
Ressler et al, 2009 | 926 | 62 | ≥ 18 | Cross- sectional |
Childhood Trauma | Diagnosis of Depression (partially), BDI |
Partially positive |
0.5000 | 1.59E-05 |
Ritchie et al, 2009 | 942 | 58 | 65–92 | Cross- sectional |
Childhood Adversities | Diagnosis of Depression, CES-D, Treatment with Antidepressants |
Partially opposite |
0.5390 | 1.51E-05 |
Wichers et al, 2009 | 502 | 100 | 27 | Longitudinal | Stressful Life Events | Diagnosis of Depression, SCL-90-R |
Partially positive |
0.3803 | 1.84E-05 |
Zhang et al, 2009 | 792 | 54 | 33 | Case- control |
Stressful Life Events | Diagnosis of Depression | Opposite | 0.9975 | 5.24E-06 |
Zhang et al, 2009 | 306 | 38 | NA | Exposed only | Parkinson’s Disease | CES-D | Negative | 0.5000 | 1.74E-05 |
Hammen et al, 2010 | 346 | 62 | 24 | Longitudinal | Negative Acute Life Events, Chronic Family Stress at age 15 |
BDI | Partially positive |
0.3763 | 1.86E-05 |
Benjet et al, in press | 78 | 100 | 12 | Cross- sectional |
Relational Aggression | Children’s Depression Inventory |
Positive | 0.0050 | 1.94E-05 |
Goldman et al, in press | 984 | 45 | 66 | Longitudinal | Stressful Life Events | CES-D | Partially positive |
0.0203 | 4.19E-05 |
Grassi et al, in press | 145 | 100 | 56 | Exposed only | Breast Cancer | Hospital Anxiety and Depression Scale |
Negative | 0.5000 | 1.75E-05 |
Kumsta et al, in press | 125 | NA | 11/15 | Longitudinal | Institutionalization in Romanian orphanages at ages 6 – 42 months |
CAPA, Rutter Child Scale, Strengths&Difficulties Questionnaire |
Positive | 0.0117 | 2.02E-05 |
Sen et al, in press | 268 | 58 | 28 | Longitudinal | Medical Internship | Patient Health Questionnaire (PHQ) |
Positive | 0.0020 | 2.54E-05 |
Sugden et al, in press | 2017 | 51 | 12 | Longitudinal | Bullying Victimization | ASEBA | Negative | 0.1603 | 2.94E-05 |
Sum | 40749 | ||||||||
Average (N) | 755 | p=0.00002 |
“Positive” indicates a significant (p<0.05) interaction effect with the S allele, “Negative” indicates no interaction effect (p>0.05) and “Opposite” indicates a significant (p<0.05) interaction effect with the L allele.
One-tailed p value with smaller values indicating greater stress sensitivity among S allele subjects