Intergenerational transmission of ADHD behaviors: Genetic and environmental pathways

Thomas H. Kleppesto*, Espen Moen Eilertsen, Elsje Van Bergen, Hans Fredrik Sunde, Brendan Zietsch, Magnus Nordmo, Nikolai Haahjem Eftedal, Alexandra Havdahl, Eivind Ystrom, Fartein Ask Torvik

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background We investigate if covariation between parental and child attention-deficit hyperactivity disorder (ADHD) behaviors can be explained by environmental and/or genetic transmission. Methods We employed a large children-of-twins-and-siblings sample (N = 22 276 parents and 11 566 8-year-old children) of the Norwegian Mother, Father and Child Cohort Study. This enabled us to disentangle intergenerational influences via parental genes and parental behaviors (i.e. genetic and environmental transmission, respectively). Fathers reported on their own symptoms and mothers on their own and their child's symptoms. Results Child ADHD behaviors correlated with their mother's (0.24) and father's (0.10) ADHD behaviors. These correlations were largely due to additive genetic transmission. Variation in children's ADHD behaviors was explained by genetic factors active in both generations (11%) and genetic factors specific to the children (46%), giving a total heritability of 57%. There were small effects of parental ADHD behaviors (2% environmental transmission) and gene-environment correlation (3%). The remaining variability in ADHD behaviors was due to individual-specific environmental factors. Conclusions The intergenerational resemblance of ADHD behaviors is primarily due to genetic transmission, with little evidence for parental ADHD behaviors causing children's ADHD behaviors. This contradicts theories proposing environmental explanations of intergenerational transmission of ADHD, such as parenting theories or psychological life-history theory.

Original languageEnglish
Pages (from-to)1309-1317
Number of pages9
JournalPsychological Medicine
Volume54
Issue number7
Early online date3 Nov 2023
DOIs
Publication statusPublished - May 2024

Bibliographical note

Publisher Copyright:
© The Author(s), 2023. Published by Cambridge University Press.

Keywords

  • ADHD
  • gene-environment interplay
  • heritability
  • intergenerational transmission
  • life-history theory
  • parenting

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