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Causal relationships of anxiety, depression and neuroticism with recurrent spontaneous abortion: a Mendelian randomization analysis
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Hao YUAN1, 2, Xiao LI1, 2, Zhiyu SUN1, 2, Aiwu WEI1, 2
Journal of Army Medical University | 2025, 47(4) : 378 - 384
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Journal of Army Medical University | 2025, 47(4): 378-384
• Public Health and Preventive Medicine •
Causal relationships of anxiety, depression and neuroticism with recurrent spontaneous abortion: a Mendelian randomization analysis
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Hao YUAN1, 2, Xiao LI1, 2, Zhiyu SUN1, 2, Aiwu WEI1, 2
Affiliations
  • 1Departmental of Reproductive Medicine,First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan
  • 2the First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou,Henan,China
Published: 2025-02-28 doi: 10.16016/j.2097-0927.202405107
Outline
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Objective

To explore the causal relationships of anxiety, depression and neuroticism with recurrent spontaneous abortion (RSA).

Methods

Genome-wide association study (GWAS) data were used to extract single nucleotide polymorphisms (SNPs) closely related to anxiety, depression and neuroticism as instrumental variables (IVs). Inverse variance weighting (IVW), weighted median estimator (WME), weighted mode (WM) and Mendelian randomization (MR)-Egger regression were employed for MR analysis to evaluate the causal effects of anxiety, depression and neuroticism with RSA, and to analyze heterogeneity, gene pleiotropy and sensitivity.

Results

A total of 46 SNPs were extracted from GWAS data as IVs (5 anxiety SNPs, 9 depression SNPs, and 32 neuroticism SNPs). IVW, WME, WM and MR-Egger regression analysis revealed that the odds ratio (OR) and 95% confidence interval (CI) of anxiety data were 1.07 (0.86-1.32), 1.10 ( 0.85-1.43), 1.14 (0.81-1.59) and 1.18 (0.53-2.61); those of depression data were 1.11 (0.93-1.32), 1.05 (0.83-1.32), 0.96 (0.67-1.38) and 0.57 (0.25-1.31); those of neuroticism data were 1.01 (0.75-1.36), 1.07 (0.73-1.56), 1.02 (0.49-2.12) and 2.40 (0.46-12.44), but none of the above causal analyses were statistically significant (all P>0.05). After reliability analysis, the Cochran's Q test for heterogeneity evaluation was not significant (P>0.05), the MR-Egger regression intercepts for gene pleiotropy evaluation were all close to 0 (P>0.05), and the sensitivity evaluation "Leave-one-out" test also shows that the combined causal effect values are similar.

Conclusion

There dose not exist causal relationships of anxiety, depression and neuroticism with RSA. The reliability test shows that the results are relatively robust.

negative emotion  /  recurrent spontaneous abortion  /  Mendelian randomization analysis
袁昊, 李霄, 孙志玉, 卫爱武. 焦虑、抑郁、神经质与复发性流产的因果关系:一项孟德尔随机化研究. 陆军军医大学学报, 2025 , 47 (4) : 378 -384 . DOI: 10.16016/j.2097-0927.202405107
Hao YUAN, Xiao LI, Zhiyu SUN, Aiwu WEI. Causal relationships of anxiety, depression and neuroticism with recurrent spontaneous abortion: a Mendelian randomization analysis[J]. Journal of Army Medical University, 2025 , 47 (4) : 378 -384 . DOI: 10.16016/j.2097-0927.202405107
Year 2025 volume 47 Issue 4
12
3
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Article Info
doi: 10.16016/j.2097-0927.202405107
  • Receive Date:2024-05-29
  • Online Date:2026-10-30
  • Published:2025-02-28
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History
  • Received:2024-05-29
  • Revised:2024-07-19
Affiliations
    1Departmental of Reproductive Medicine,First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan
    2the First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou,Henan,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
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Percentage of
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Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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