History of the Beijing Twin Study
The Beijing Twin Study (BeTwiSt) is a longitudinal twin project established in 2006 to investigate the genetic and environmental etiologies of emotional and behavioral problems in children and adolescents in China (Chen, Li, Zhang et al., Reference Chen, Li, Zhang, Natsuaki, Leve, Harold and Ge2012). This study offers a unique opportunity to understand the effects of the genes and environmental factors and their interplay on the development of psychopathology within a longitudinal framework. The variables of interest in the study include demographic characteristics (e.g., age, sex and ethnic group), biological factors (e.g., puberty, height and weight), adolescent psychopathology (e.g., depression, anxiety and problematic behavior), psychological processes (e.g., emotion regulation, rumination and effortful control) and social variables (e.g., life stress, parenting and peer affiliation). Psychopathological variables for parents (e.g., depression, anxiety, drinking and smoking) were also explored. Emotional and behavioral information was provided for the twins by multiple informants, including the twins, their parents and their teachers, to resolve rater bias in the assessment. In addition, saliva samples were provided by the twins to extract their genomic DNA using the Oragene DNA self-collection kit (Genotek Inc.).
The zygosity of same-sex twins in the study was determined by a combination of DNA analyses and a questionnaire (Chen, Li, Chen et al., Reference Chen, Li, Chen, Yang, Zhang, Duan and Ge2012). Among 1125 pairs of same-sex twins (T1 sample), 990 pairs were determined by genetic analyses, and 116 pairs, whose saliva samples yielded insufficient DNA, were determined by the questionnaire method. Zygosity of 19 pairs was unable to be identified because of missing responses to the zygosity questionnaire and insufficient DNA. For the genetic analyses, DNA was purified from saliva samples and used to amplify the following nine short tandem repeat loci: D3S1358, D13S317, D8s1179, vWA, D16S539, D18S51, D5S818, D21S11 and FGA. All of these nine loci, which are highly heterogeneous in the Chinese population, were used in the genetic analysis. Same-sex twins with at least one different genetic marker were categorized as dizygotic (DZ) twins, whereas other same-sex twins were categorized as monozygotic (MZ) twins. The zygosity of twins whose saliva samples yielded insufficient DNA was identified via a questionnaire. The predictive accuracy of the questionnaire method in this study was estimated at 91% when compared with genotyping (Chen, Li, Chen et al., Reference Chen, Li, Chen, Yang, Zhang, Duan and Ge2012). The zygosity of a small number of twins was determined by questionnaire, but these may have been misclassified because of the 91% accuracy. According to the simulations study by Neale (Reference Neale2003), there are biased estimates of variance components using conventional analysis for samples containing misclassified pairs, showing that the additive genetic variance (A) is underestimated while shared environmental variance (C) and no-shared environmental variance (E) are overestimated.
Advances of the BeTwiSt
Completion of Three Waves of Data Collection
Participants were recruited based on a large, representative twin sample from over 600 public schools in Beijing, China. At present, the study has completed three waves of data collection: T0 for a pilot survey, T1 for a comprehensive survey and T2 for a follow-up survey. The intervals between waves were approximately 1.5 years in duration. The core samples in the BeTwiSt were T1 and T2, which consisted of 1387 pairs of twins and 1007 pairs of twins, respectively. The attrition rate from T1 to T2 was 27.4%. Descriptions of the samples in the T1 and T2 waves, including zygosity, sex and age, are shown in Table 1. The power of this study to detect the effects of common environmental variation was calculated by Mx (http://www.vcu.edu/mx). The analysis result showed that based on a combined observed sample size of 1368 (T1 wave, MZ = 795, DZ = 573), at the .05 significance level with 1 df, power of this study was 0.9680 when A = 20%, 0.9999 when A = 40%, 1.0000 when A = 60%, 0.2978 when C = 10%, 0.9944 when C = 30% and 1.0000 when C = 50%. These results were in line with expectations that powers are high except when C = 10%.
Note: MZ = monozygotic twins, DZ = dizygotic twins, OST = opposite-sex twins.
Resting-State Functional Magnetic Resonance Imaging Scanning
The effects of both genetic and environmental factors can be mediated by brain structure and function (Jansen et al., Reference Jansen, Mous, White, Posthuma and Polderman2015). Evidence shows that resting-state brain activities play an important role in the etiology of child and adolescent psychopathology (Menon, Reference Menon2011). Therefore, we collected resting-state functional magnetic resonance imaging (fMRI) datasets from 108 pairs of same-sex twins after the T2 wave to determine how the resting-state brain activities were influenced by genes and the environment in adolescence and whether this brain activity mediated the relationship between genetic and environmental risk factors and behavioral outcomes. These participants, including 27 male and 27 female MZ twin pairs and 29 male and 25 female DZ twin pairs, were recruited via telephone invitation. The twins’ mean age was 15.72 (SD = 0.94) years.
After reading and signing the informed consent form, the scanning procedure was initiated. Images were acquired with a 3.0 T Siemens Trio Tim scanner. A three-dimensional T1-weighted volumetric sequence was performed using a protocol with repetition time = 2530 ms, echo time = 3.37 ms, flip angle = 7°, field of view = 256 × 256 mm2, acquisition matrix = 256 × 192 mm2, slice thickness = 1.33 mm without gap and slice number = 144. Resting-state fMRI data were obtained via an echo-planar imaging sequence with the following parameters: echo time = 30 ms, repetition time = 2 s, flip angle = 90°, acquisition matrix = 64 × 64 mm2, field of view = 220 × 220 mm2, slice thickness = 4 mm without gap and 180 volumes. The scanning time was 6 min, 30 s. Conventional functional imaging preprocessing was performed using Statistical Parametric Mapping (SPM12, https://www.fil.ion.ucl.ac.uk/spm/software/spm12/). The brain imaging data were merged with behavioral and genetic datasets, and data analysis is ongoing.
Measurement of Other Psychological Traits
Considering that various complex human traits are influenced by genes and environment (Polderman et al., Reference Polderman, Benyamin, de Leeuw, Sullivan, van Bochoven, Visscher and Posthuma2015), we collaborated with researchers in other fields to examine the genetic base of individual differences across various domains in adolescents. Data collection included social and personality (e.g., narcissism, liking for names, life satisfaction, affective wellbeing, impulsive buying, gender-science stereotypes, nostalgia, self-enhancement, implicit self-esteem and mistrust), cognitive [e.g., biological motion (BM) perception, spatial working memory and set-shifting] and other (e.g., autistic traits and risk-taking) factors. Table 2 provides the measurement methods for the specific phenotypes in which we were interested.
Key Findings of the BeTwiSt
The Etiological Mechanism Underlying Adolescent Externalizing and Internalizing Problems
ACE models have been used to estimate the contributions of genetic and environmental factors to adolescent psychopathology. Regarding internalizing problems, ACE models were established for depression and anxiety symptoms (Table 3). Moderate heritability was found for both depression and anxiety in Chinese adolescents, and non-shared environmental factors played an important role (Chen, Li, Natsuaki et al., Reference Chen, Li, Natsuaki, Leve and Harold2014; Chen, Yu, Li et al., Reference Chen, Yu, Li and Zhang2015; Chen, Yu, Zhang et al., Reference Chen, Yu, Zhang, Li and Zhang2014). These results were generally consistent with previous findings observed in Western adolescents, supporting the crosscultural generalizability of the etiological models of adolescent depression and anxiety. Concerning externalizing problems, ACE models were established for problematic internet use, aggression and rule-breaking behavior (Chen, Yu, Liu et al., Reference Chen, Yu, Liu, Zhang and Zhang2015; Li et al., Reference Li, Chen, Li and Li2014). The results also revealed a moderate genetic influence on these externalizing problems. Non-shared and shared environmental effects were also observed, although the latter was generally small. As rumination and dysfunctional attitudes are often correlated with depression (Krause et al., Reference Krause, Vélez, Woo, Hoffmann, Freres, Abenavoli and Gillham2017; Winkeljohn Black & Pössel, Reference Winkeljohn Black and Pössel2015), we further estimated the genetic and environmental sources of these two variables and observed moderate heritability in Chinese adolescents for both, which suggests that rumination and dysfunctional attitudes can be used as an endophenotype reflecting genetic risk of depression (Chen & Li, Reference Chen and Li2013, Reference Chen and Li2014).
Note: A = additive genetic effects, C = shared environmental effects, E = no-shared environmental effects.
Consensus that gene–environment (G × E) interactions contribute to the development of adolescent depression and anxiety has been reached. However, knowledge about specific genetic and environmental factors involved in G × E interactions is limited. Therefore, we conducted molecular behavioral genetic studies to investigate the interaction effect between specific genes and environmental factors on the etiology of adolescent depression and anxiety. Given that the BDNF plays an important role in the growth and differentiation of neurons and may be sensitive to changes in environment (Park & Poo, Reference Park and Poo2012), the BDNF gene is a promising candidate for G × E interactions. We genotyped BDNF Val66Met polymorphism and tested the interaction between this polymorphism and some specific environmental factors (e.g., maternal parenting and stressful life events) on adolescent depression and anxiety. Results showed that the BDNF Val66Met polymorphism significantly moderated the influence of maternal positive parenting and stressful life events on adolescent depression and anxiety (Chen, Li, & McGue, Reference Chen, Li and McGue2012, Reference Chen, Li and McGue2013; Chen, Yu, Liu et al., Reference Chen, Yu, Liu, Zhang and Zhang2015; Zhang et al., Reference Zhang, Li, Chen, Li, Zhang and Belsky2016). These findings provided evidence to support the differential susceptibility hypothesis of youth depression and anxiety, which suggests that individuals with sensitive genes are more susceptible to both positive and negative environmental influences, while less sensitive individuals are less susceptible to changes in the environment.
As non-shared environment has been found to exert a significant effect on both internalizing and externalizing problems (Table 3), we used the MZ difference design to investigate the effect of specific non-shared environmental factors on adolescent psychopathology. The basic assumption of MZ difference design is that all the observed behavioral differences between MZ twin pairs are due to non-shared environments, as the two twins have almost the same genes. One study showed that there were different related patterns between parental warmth reasoning and harsh hostility in youth anxiety, indicating that parental warmth reasoning and harsh hostility may exert unique environmental influences on youth anxiety (Chen et al., Reference Chen, Yu and Zhang2016). Another study found that the relationship between adolescent externalizing behaviors and parental hostility supported the selection effect, in which the twin with a higher level of externalizing behaviors was more likely to be subject to greater hostility relative to his or her co-twin; this was also supported by the relationship between externalizing behaviors and deviant peer affiliation (Hou et al., Reference Hou, Chen, Natsuaki, Li, Yang, Zhang and Zhang2013).
Findings of Magnetic Resonance Imaging
There is an advantage to integrating behavior genetics and magnetic resonance imaging (MRI) to investigate the heritability of brain morphology and function. Researchers have shown that brain activation in cortical motor areas, the thalamus and the cerebellum was associated with complex motor sequencing and audiovisual integration (Li, Huang et al., Reference Li, Huang, Xu, Wang, Li, Zeng and Chan2018), and activation in the left insula, right stratum and right superior parietal lobule was risk-related and may be heritable (Rao et al., Reference Rao, Zhou, Zheng, Yang and Li2018). In addition, researchers scanned the resting state of adolescent twins and found large genetic correlations between head motion and the default network intrinsic functional connectivity, which had profound implications for interpreting individual differences in default network connectivity (Zhou et al., Reference Zhou, Chen, Luo, Zheng, Rao, Li and Zuo2016). They also found that the subdivisions of diverse brain regions based on genetic correlations were generally consistent with functional connectivity patterns, indicating that the magnitude of the genetic covariance in brain anatomy could be used to portray the boundaries of functional subregions of the brain (Cui et al., Reference Cui, Liu, Zhou, Fan, Li, Zhang and Jiang2016).
Genetic and Environmental Influences on Social and Personality Factors
The BeTwiSt has produced numerous important results regarding the genetic and environmental bases of some vital social and personality factors such as different categories of narcissism (Table 4; Cai & Luo, Reference Cai and Luo2017; Cai et al., Reference Cai, Luo, Shi, Liu and Yang2016; Cai et al., Reference Cai, Shi, Fang and Luo2015; Luo, Cai, Sedikides et al., Reference Luo, Cai, Sedikides and Song2014; Luo, Cai, & Song, Reference Luo, Cai and Song2014; Luo et al., Reference Luo, Liu, Cai, Wildschut and Sedikides2016; Luo, Shi et al., Reference Luo, Shi, Cai, Wu and Song2014; Zhou, Wong et al., Reference Zhou, Wong, Shi, Cui, Qian, Jiang and Chan2018). As shown in Table 4, most phenotypes were influenced by genes and non-shared environments. In addition, these studies provided the genetic and environmental bases of the relationships between some related concepts. For example, the two dimensions of narcissism (i.e., intrapersonal grandiosity and interpersonal entitlement, agentic narcissism, and communal narcissism) were largely independent of each other in terms of their genetic and environmental sources (Luo, Cai, Sedikides et al., Reference Luo, Cai, Sedikides and Song2014; Luo, Cai, & Song, Reference Luo, Cai and Song2014). However, some associations were driven by common genetic and non-shared environmental influences, such as the positive associations between name-liking and subjective wellbeing (Luo, Shi et al., Reference Luo, Shi, Cai, Wu and Song2014) and between global narcissism and impulsive buying (Cai et al., Reference Cai, Shi, Fang and Luo2015). These findings have provided novel evidence for theories and deepen our understanding of society and personality psychology.
Note: A = additive genetic effects, C = shared environmental effects, E = no-shared environmental effects, U = error/unreliability.
Genetic and Environmental Influences on Cognitive and Other Factors
We have examined the heritability of some phenotypes of cognitive factors and achieved important research results. For example, we found that the two components of BM perception have different genetic and environmental bases. The local BM was influenced mainly by genes; nevertheless, the global BM was influenced mainly by environment (Wang et al., Reference Wang, Wang, Xu, Liu, Chen, Troje and Jiang2018). This was also observed for the relationship between the two core cognitive features in schizophrenia, and spatial working memory had moderate heritability, but set-shifting was explained mostly by specific environments (Zhou, Li et al., Reference Zhou, Li, Xie, Xu, Cheung, Li and Chan2018).
Furthermore, some studies have found that autistic traits and risk-taking were both influenced by genes and non-shared environments (Rao et al., Reference Rao, Zhou, Zheng, Yang and Li2018; Wang et al., Reference Wang, Wang, Xu, Liu, Chen, Troje and Jiang2018). The heritability rates for autistic traits and risk-taking were 60% (95% CI [43, 73]) and 41% (95% CI [26, 53]), respectively. These findings advance our understanding of the causes of individual differences in psychological traits, which is important in psychology and social sciences.
Conclusions and Future Plans
As a result of China’s strict one-child policy, there are many Chinese families with one child, especially those in urban areas. Yet, we do not think that the representativeness of twin samples in the population will be influenced. First, there are also many families in China with more than one child. Based on an estimation and survey, by the end of 2015, the population of only children was 224.61 million and the population of children with siblings was 519.98 million (Li, Wang et al., Reference Li, Wang and Ren2018). The study results of twin samples can be generalized to this category of children with siblings. Second, the change of policy will lead to more families with more than one child. At the end of 2015, China decided to allow all couples to have two children, so there will be more children with siblings in China.
The BeTwiSt is an ongoing twin study that aims to unravel the interplay between genes and environment in the development of psychopathology. Some of the participants are now reaching adulthood; therefore, we are preparing to measure their emotional and behavioral problems, which are important outcome variables in adulthood (e.g., educational level and marital status), to increase our understanding of how experiences that occur during adolescence influence adult psychopathology. Moreover, we will expand our collaboration with other research groups to advance the development of behavioral genetics research.
Acknowledgments
We would like to thank the twins and their families, and schools participating in the BeTwiSt.
Financial support
This work was supported by the National Natural Science Foundation of China (grant number 31530031).
Conflict of interest
None.