Health
Major Genetic Study Reveals Shared Biological Roots Across Mental Health Conditions
A new large-scale genetic study suggests that different mental health conditions may have far more in common at a biological level than previously thought. Researchers from the University of Colorado Boulder and Mass General Brigham in the United States said the findings of this study could eventually improve how mental health conditions are diagnosed and treated, especially for people who live with more than one diagnosis.
The study analysed DNA from more than six million people, including over one million diagnosed with at least one mental health condition. According to the World Health Organization, more than a billion people worldwide live with mental health challenges.
“Right now, we diagnose psychiatric disorders based on what we see in the room, and many people will be diagnosed with multiple disorders. That can be hard to treat and disheartening for patients,” said Andrew Grotzinger, assistant professor of psychology and neuroscience at the University of Colorado Boulder and corresponding author of the study.
The research examined 14 psychiatric disorders and found that most of the genetic differences between people with and without these conditions could be explained by just five broad genetic patterns. These patterns involved 238 genetic variants that influence brain development and function. Based on these shared features, researchers grouped the conditions into five categories.
One group included disorders with compulsive traits, such as anorexia nervosa, Tourette’s disorder, and obsessive-compulsive disorder. Another encompassed internalising conditions, including depression, anxiety, and post-traumatic stress disorder. A third group focused on substance use disorders, while a fourth covered neurodevelopmental conditions such as autism and attention-deficit hyperactivity disorder. The final group included bipolar disorder and schizophrenia, which were found to share around 70 percent of their genetic signals.
“Genetically, we saw that they are more similar than they are unique,” Grotzinger said, noting that these two conditions are rarely diagnosed together but have overlapping biological roots.
The findings challenge the traditional view that mental health conditions are largely separate illnesses. Instead, the study suggests that many disorders may be driven by common biological processes. While the results are not yet being used to change diagnostic practices, the team hopes they will inform future updates to the Diagnostic and Statistical Manual of Mental Disorders, the handbook used by mental health professionals worldwide.
“This work provides the best evidence yet that there may be things that we are currently giving different names to that are actually driven by the same biological processes,” Grotzinger said. “By identifying what is shared across these disorders, we can hopefully come up with strategies to target them in a different way that doesn’t require four separate pills or four separate psychotherapy interventions.”
The study also identified specific biological pathways linked to different disorder groups. For example, genes affecting excitatory neurons were more active in bipolar disorder and schizophrenia, while variants linked to oligodendrocytes, cells that maintain the brain’s wiring, were more common in depression and anxiety. Some shared genetic factors may influence brain development even before birth, while others act later in life, potentially explaining why multiple conditions often occur in the same person.
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