evoloution
Joined 15 years ago
Joined 15 years ago
Our team is excited to share our paper in Nature Human Behaviour. We investigated whether genetic predisposition (polygenic scores, or PGS) for 17 neuropsychiatric traits—ranging from mental health disorders like ADHD to personality traits such as agreeableness—might influence membership in 22 broad professional categories (e.g., “Computers & Math”).
Key questions: 1. Does higher genetic load for any of these traits increase the likelihood of entering certain professions? 2. Do these findings still hold when excluding individuals with any neuropsychiatric disorder diagnosis?
Main Findings 1. Weak but Significant Associations: Despite significance across multiple trait-profession pairs, each neuropsychiatric trait’s PGS explained less than 0.4% of variation in individual professional membership. 2. Stronger Influence from Age and Sex: Age accounted for around 21% of variance, and sex 7%, overshadowing the influence of genetic predisposition. 3. No “GATTACA” Scenario: Our data suggest that neuropsychiatric trait PGS currently can’t predict career outcomes—nor is it likely to become a robust predictor in the future displacing traditional assessments.
Motivations & Broader Context 1. Reducing Mental Health Stigma: Neuropsychiatric disorders are common and often highly heritable. Some risk variants could persist because they carry potential benefits under certain contexts. Our aim was to explore these potential “trade-offs” and contribute to a deeper understanding of how these common genetic factors shape our societies. For instance, our findings showed a positive association of ASD PGS with both “Computers & Math” and “Arts & design”. 2. Scientific Curiosity: We wanted to test whether neuropsychiatric PGS could serve as a strong predictor of professional membership. Our conclusion: not really—these scores cannot reliably forecast someone’s career path.
Further Insights 1. ADHD & Education: ADHD-related associations were largely mediated through educational attainment, which influenced career pathways. Notably, the gatekeeping “Education” profession itself had a negative association with ADHD PGS and a positive one with (contrasting) OCD PGS. Unfortunately, systemic modifiable biases in education may affect individuals with ADHD. 2. ASD & Management: “Management” showed a negative association with ASD PGS but a positive one with extraversion PGS—an intriguing contrast to “Computers & Math”—a finding that may resonate with frequent discussions about the social and organizational demands of tech management roles at HN.
Limitations of interest 1.We deliberately excluded intelligence, cognitive performance, and educational attainment PGS from our analyeses. 2. We chose more interpretable statistical approaches rather than complex machine-learning algorithms, as the goal was interpretability over prediction performance. 3. Future studies might use multivariate multiple regression approaches to uncover even more nuanced interactions.
Conclusion At the population level, there are small yet significant associations between neuropsychiatric trait PGS and professions. However, demographic factors—age, sex—and life circumstances dominate these outcomes. Genetic information alone won’t be a meaningful guide for career selection.
If you’d like to dive deeper please read the full article from the link shared at the top of the page.
Correspondence: [email protected] (evoloution) [email protected]
PS1: We hope this research helps reduce stigma around neurodivergence and mental health and spark further discussion on the complex interplay between genetics and life outcomes.
PS2: Figure 2 in our published paper has an error where the “Legal” data point was inadvertently removed (should overlap with horizontal dotted line just above “ga”); we plan to correct this soon.
Now visiting the late-onset part, I have mostly seen it in clinical practice in individuals who had ADHD traits already (may not have met diagnostic criteria) that got really worse after traumatic brain injury and/or worsening of a comorbid mental health conditions e.g. their anxiety or their depression. The natural progression of ADHD for most is to get better over the years as they develop compensatory habits and/or choose lines of work that make ADHD traits less of an obstacle; some believe that also brain maturation kind of catches up at some point which is an incomplete cure. However, the effects on confidence and self-perception are long-lasting...
Another misconception is that high IQ corrects for ADHD traits, this has been mostly rebutted in both clinical literature and we have a genetic study under review that mostly replicates that. Finally, there is an overlap in signs when comparing "bored" gifted individuals and ADHD individuals which can be confusing... Unfortunately, smart individuals with ADHD (of the inattentive type) get enough performance to fly below the radar of diagnosis which ultimately hurts them or delays them from realize "their full potential".
1. https://doi.org/10.1038/s41588-022-01285-8 and for open-access see manuscript at PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914347/
In reality you have an army of paper pushers that are hired and have their salaries paid to restrict what can be prescribed. For patients that fit well in proper diagnoses and are otherwise typical it is sometimes annoying but for the 1-2% of patient that rules do not apply (for so many reasons that I cannot possibly enumerate here) it is detrimental. The people who are actually doing this job are not happy with it, the doctors are not happy with it. Every step of the prior authorization process is designed to irritate the doctor or provider (like saying all the patients information again when the representative changes or not accepting the case id to pull out the patient information or "sorry Dr. we only accept this application by fax, we don't do this online" or "this patient's plan does not support peer review") and discourage him from doing it. I know patients that were turned away because their doctors didn't want to handle specific prior auths for them.
"But doctor why don't you want to prescribe medication A that is as effective as medication B but it has more side effects?" As your advocate, I feel obliged to recommend the best medication, if your insurance does not want to cover it then they should take the risk and the legal responsibility of their policy not force me to change my recommendation based on price. Of course, I will not start with the bazooka antibiotic for your tonsillitis but there is a medical reason for not doing that (resistance development). Right now, I have to spend extra time to even justify why a patient should stay on a good medication yearly even if it works great for them. The doctor is your medical scientist consultant, he shouldn't be burdened with saving money from the system, he will tell you what is best, if you want them to give you a value-for-money determination they can do that as well. If two medications work exactly the same, I would happily give the older and cheaper one - it has been longer in the market so it has been more extensively tested.
Little snitch doesn't talk directly to the kernel's netfilter/iptables/nftables framework so some traffic may be hidden from it (low-level stuff that cannot be accessed via the API). I don't use it so I don't know if there is a way to bypass this in the settings or with special permission.