Fibromyalgia & musculoskeletal pain

Disentangling the relationship between depression and chronic widespread pain: A Mendelian randomisation study

Semin Arthritis RheumPublished Two-sample Mendelian randomisation study

Authors' conclusion

This study provides evidence in support of a bidirectional causal relationship between depression and increased risk of chronic widespread pain, whilst overcoming the major limitations of previous epidemiological studies.

Study context

Population
Large population-level genetic data: depression (170,756 cases, 329,443 controls) and chronic widespread pain (CWP) (6,914 cases, 242,929 controls)
Comparison
Genetically predicted depression and risk of CWP, and CWP on depression susceptibility
Outcome
Bidirectional causal relationship between depression and CWP
Methodological detailsbidirectional, CAUSE method (allows for sample overlap), traditional Mendelian randomisation (MR) and sensitivity analyses
  • Bidirectional
  • CAUSE method (allows for sample overlap)
  • Traditional MR and sensitivity analyses

Main finding

As reported in the abstract

Risk of CWP per doubling in odds of genetic liability to depression: OR (95% CrI 1.003-1.005); p = 7.3 × 10-5 that the causal model is a better fit than non-causal model

1.004

Depression susceptibility from genetic liability to CWP: OR (95% CrI 1.57, 3.40); p = 0.0026 that the causal model is a better fit

2.31

Further findings

Other MR methods produced concordant results

Original publication

Disentangling the relationship between depression and chronic widespread pain: A Mendelian randomisation study. Semin Arthritis Rheum. Published 11 March 2023. doi:10.1016/j.semarthrit.2023.152188

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