Psychiatric resilience: longitudinal twin study.
BACKGROUND
The source of variability in people's response to stressful life events is poorly understood.


OBJECTIVE
We examine the genetic and environmental underpinning of resilience (i.e. the difference between the twins' internalising symptoms and their predicted symptoms based on cumulative stressful life events).


METHODS
Stressful life event exposure and internalising symptoms were assessed at two time points in 7500 adult twins. Using the residual between actual and predicted internalising symptom total score, twin modelling was conducted for each wave separately and longitudinally.


RESULTS
Resilience was found to have a moderate genetic heritability at each wave (~31%). Qualitative gender effects were found. Incorporating error of measurement into the model increased the estimated heritability for the latent construct of resilience (~50%). When measurement error and occasion-specific effects were removed, environmental influences contributed roughly equally to level of resilience.


CONCLUSIONS
Both genes and environment influence level of psychiatric resilience, and are largely stable over time. Environmental influences can have an enduring effect on resilience.
Ananda B. Amstadter, PhD, John M. Myers, MS, Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia; Kenneth S. Kendler, MD, Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, and Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, Virginia, USA.
Ananda B
AB
Amstadter
Ananda B. Amstadter, PhD, John M. Myers, MS, Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia; Kenneth S. Kendler, MD, Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, and Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, Virginia, USA.
John M
JM
Myers
Ananda B. Amstadter, PhD, John M. Myers, MS, Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia; Kenneth S. Kendler, MD, Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, and Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, Virginia, USA.
Kenneth S
KS
Kendler
D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008016:Life Change Events; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012931:Social Environment; D013315:Stress, Psychological / Q000235:genetics / Q000523:psychology*; D014427:Twins