Table 4 Detailed characteristics of studies investigating offspring externalising behaviours (N = 36).

From: Parental characteristics and offspring mental health and related outcomes: a systematic review of genetically informative literature

Offspring externalising behaviours

Study

Design

Sample

Parental attribute (predictor)

Child attribute (outcome)

Control variables

Genetic overlap

Environmental transmission

G–E interplay

Bornovalova et al.53

Adoption

SIBS

402 adoptive, 204 biological families

Age: 11–21 years

Antisociality: interview, SCI

Maladaptive parenting: self-report, PEQ

Marital discord: self-report or marital status, MRS

Antisociality: interview, SCI

Mother and father age, parental education, child ethnicity, child adoptive status, family-based clustering correction, child sex, age

Not studied

Adoptive maladaptive parenting and marital discord (but not antisociality) were associated with offspring disruptive behaviours

Parental antisociality & child disruptive behaviour disorders were associated in biological families, but not adoptive families. The authors interpret this as passive rGE, but it may be only indicative of genetic overlap

Kendler et al.54

Adoption

Snr

18,070 adoptees, and their biological (79,206) and adoptive (47,311) relatives

Age: adoption until 20 years old

Adoptive parental/sibling criminal behaviour risk: composite score, criminal behaviour, alcohol use disorder (AUD), drug abuse, psychiatric illness, parental divorce

Biological parent/sibling criminal behaviour risk: composite score, criminal behaviour, AUD, drug abuse, psychiatric illness, parental educational attainment (EA), maternal divorce, age at birth

Criminal behaviour: register-based, any conviction

Sex of the adoptee, birth year, age at first cohabitation with adoptive parents

The criminal behaviour of not-lived-with biological parent and siblings was associated with offspring criminal behaviour (OR = 1.5)

The criminal behaviour of adoptive family and siblings was associated with offspring criminal behaviour (OR range = 1.3–1.4)

No evidence of G × E interaction found

Lipscomb et al.48

Adoption

EGDS

233 families

Age: 9 months to 6 years

Adoptive parent over-reactive parenting: self-report, PS

Birth parent self-regulation: self-report, ATQ

Externalising behaviour: parent report, CBCL

Prenatal and obstetric complications, birth mother IQ, adoptive family SES, adoption openness, child age, sex, age of entry & time spent in early care

No, birth parent self-regulation did not predict offspring externalising behaviours

Yes, over-reactive adoptive parenting was associated with externalising behaviours (β = 0.14)

G×E: low birth parent self-regulation & exposure to early care-centre × over-reactive parenting: more externalising problems

Kendler et al.55

Multiple parenting relationships design

Snr

2,111,074 intact, 155,121 not-lived-with father, 10,194 not-lived-with mother, 107,163 stepfather, 17,637 stepmother, 10,038 adoptive families

Age: 15+

Criminal behaviour: Swedish Crime register

Criminal behaviour: Swedish Crime register

Criminal behaviour status of all other relevant biological and step-parents

Yes, criminal behaviour of not-lived-with biological parents was correlated with offspring criminal behaviour (HR = 1.56)

Yes, criminal behaviour of adoptive or step-parent was correlated with offspring criminal behaviour (HR = 1.28)

 

Kendler et al.8

Triparental family design

Snr

41,360 triparental families (mother, not-lived-with biological father, stepfather)

Age: 15+

Criminal behaviour: Swedish Crime register

Criminal behaviour: Swedish Crime register

 

Yes, criminal behaviour of not-lived-with biological parents was correlated with offspring criminal behaviour (HR = 1.46)

Yes, criminal behaviour of adoptive or step-parent was correlated with offspring criminal behaviour (HR = 1.30)

 

Hyde et al.52

Adoption

EGDS

561 families

Age: 18–27 months

Adoptive mother positive reinforcement: observation

Birth mother antisocial behaviour: self-report, DIS

Externalising behaviours: maternal report, CBCL

Callous - unemotional behaviours

Oppositional behaviours

Attention-deficit behaviours

Child sex, openness/contact in the adoption, perinatal risk index

Birth mother antisocial behaviour predicted offspring callous–unemotional behaviours (β = 0.16), but not oppositional or attention-deficit behaviours

Adoptive mother positive reinforcement was protective against callous–unemotional (β = −0.19) and oppositional (β = −0.15), but not attention-deficit behaviours

G × E: high birth mother antisociality × low adoptive mother positive reinforcement: callous–unemotional behaviours

Stover et al.49

Adoption

EGDS

361 families

Age: 9 months to 6 years

Marital hostility: self & spouse-report, BARS

Hostile parenting: self-report, IFIRS

Birth mother antisociality: self-report, composite score, delinquency (EYQ), substance use (CIDI), antisocial behaviour (CDIS)

Aggression: parent report, CBCL

Adoption openness

No, birth mother antisociality was not associated with offspring aggression

Adoptive parent hostile parenting and marital hostility were associated with offspring aggression (β range = −0.5 to 0.09)

 

Reuben et al.50

Adoption

EGDS

361 families

Age: 26 months to 7 years

Warm parenting: self-report, IFIRS

Over-reactive parenting: self-report, PS

Birth mother externalising problems: self-report, composite score, delinquency (ESBQ), novelty seeking (TCI) and drug dependence

Externalising behaviour: teacher-report, TRF

Effortful control: shape Stroop task and gift delay task, the composite score

Prenatal risk and obstetric complications, adoption openness, birth mother externalising problems, child sex

No, birth mother externalising problems did not predict offspring externalising behaviour or effortful control

Adoptive maternal warm parenting (but not paternal, or over-reactive parenting) was associated with offspring externalising behaviours (β = −0.18), and this association was moderated by offspring effortful control

 

Marceau et al.51

Adoption

EGDS

561 families

Age: 4.5–8 years

Adoptive parent warmth and hostility: self-report, IWHS

Birth mother substance use during pregnancy: study design cannot distinguish G and E effects

Birth mother internalising & externalising problems: composite score, number of symptoms, diagnoses, age of onset, first degree relatives with psychopathology

Conduct problems: maternal report, Preschool Age Psychiatric Assessment

Adoption openness, child sex and earlier externalising problems

Birth mother externalising and internalising problems were associated with fewer conduct problems in boys (β range = −0.09 to −0.15) but not girls

Adoptive parent warmth and hostility were not associated with offspring conduct problems after controlling for earlier externalising problems

G × E: birth mother externalising problems × adoptive parent warmth and hostility (boys only)

Marceau et al.41

Adoption

EGDS

361 families

Age: 9 months to 6 years

Over-reactive parenting: self-report, PS

Birth mother risk: self-report, composite score, substance use, depression (BDI) and anxiety (BAI)

Externalising behaviours: parent report, CBCL

Adoption openness

No, birth mother risk did not predict offspring externalising behaviours (effect size not clear)

Yes, maternal (but not paternal) over-reactive parenting predicted offspring internalising behaviours (effect size not clear)

 

McAdams et al.19

Adoption, children-of-twins

Adoption: EGDS

361 families

Age: 4.5–7 years

CoT: TOSS

287 MZ and 489 DZ twin families

Age: 11–22 years

Adoptive & birth parent depression: self-report, BDI

Depressive symptoms (CoT sample): self-report, CES-D

Externalising problems (adoption sample): parent report, CBCL

Externalising problems (CoT sample): mother, father and self-report, CBCL

Adoption sample: Obstetric complications, adoption openness

CoT sample: twin sex, age

Adoption sample: Birth mother depressive symptoms predicted externalising problems at age 4.5 and 7 (β range = 0.13–0.16), but not age 6

CoT sample: No shared genetic effects between parental depression and offspring externalising problems

Adoption sample: No, adoptive parent depression did not predict subsequent offspring externalising problems

CoT sample: Yes, after accounting for genetic relatedness, parental depression was associated with offspring externalising problems (effect size not clear)

Evocative rGE: birth mother depression predicted child externalising problems, which predicted adoptive parent depression

Roos et al.57

Adoption

EGDS

293 families

Age: 6–7 years

Adoptive & birth mother internalising symptoms: self-report, composite score, BAI and BDI

Adoptive mother uninvolved parenting: self-report, APQ

Adoptive & birth mother processing speed: Stroop colour-word naming task

Externalising-only problems: parent report, CBCL

Co-occurring internalising and externalising problems: parent report, CBCL

Child sex, child age, adoption openness, obstetric complications

Birth mother internalising symptoms and processing speed did not predict externalising-only symptoms, but maternal processing speed was associated with co-occurring symptoms (OR = 1.88)

Adoptive parent internalising symptoms, uninvolved parenting, and processing speed did not predict externalising-only problems, but uninvolved parenting was associated with co-occurring symptoms (OR = 7.91)

G × E: adoptive mother high internalising symptoms x inherited risk of slow processing speed: co-occurring symptoms

Grabow et al.20

Adoption

EGDS, EPoCH

541 adoptive mother–child pairs, 126 biological mother-biological child pairs

Age: 7 years

Maternal trauma frequency: repeated self-report, mean score, NLES

Adoptive & birth mother depressive symptoms: self-report, BDI

Externalising behaviours: parent report, CBCL, age 7

EPoCH: timing of maternal trauma, SES, child sex

EGDS:

Perinatal risk, adoption openness, SES, child sex

Yes, birth mother depression predicted adopted-away offspring externalising behaviours (β = 0.22)

Adopted mother depression predicted offspring externalising behaviours (β = 0.40), and mediated the relationship between maternal trauma and offspring externalising behaviours

 

Gjerde et al.24

Sibling comparison

MoBa

11,599 families with 17,830 full siblings

Age: 6 months to 5 years

Maternal depression: self-report, SCL

Externalising problems: maternal report, CBCL

Maternal parity, maternal EA, child age, child sex

Not studied

Children exposed to concurrent maternal depression had more externalising symptoms than their unexposed siblings, but perinatal maternal symptoms had no effect

 

Hannigan et al.21

Multiple children-of-twins and siblings

MoBa

22,195 mothers and 25,299 children

Age: 18–60 months

Maternal depressive symptoms: self-report, SCL

Externalising problems: maternal report, CBCL

Prenatal analyses: adjusted for concurrent depression

Yes, shared genetic effects between maternal depression and offspring externalising problems explained 37% of the variance (R2) in offspring externalising problems

No, after accounting for genetic relatedness, maternal depression was not associated with offspring externalising problems

 

Gjerde et al.22

Multiple children-of-twins and siblings

MoBa

22,316 mothers and 35,589 offspring

Age: 1.5 to 5 years

Concurrent maternal depression symptoms: self-report, SCL

Behavioural problems: maternal report, CBCL

Child sex, maternal age

Yes, there were shared genetic effects between maternal depression and offspring behavioural problems (R2 = 14.2–29.3%)

Yes, after accounting for genetic relatedness, maternal depression was associated with offspring behavioural problems (R2 = 0.4–1.3%)

 

Hails et al.25

Adoption

EGDS

561 families

Age: 9 months to 6 years

Adoptive parent depression: self-report, BDI-II

Birth mother internalising symptoms: self-report, CIDI

Externalising symptoms: parent and teacher report, CBCL and TRF

Adoption openness, prenatal risk and obstetric complications, infant negative emotionality

Yes, the birth mother’s internalising symptoms predicted parent (but not teacher) rated offspring externalising symptoms (β = 0.11)

Adoptive maternal (but not paternal) depression predicted offspring externalising symptoms (β = 0.11)

 

Eilertsen et al.56

Children-of-twins and siblings

MoBa

17,070 extended-family units

Age: 5 years

Parental prenatal depression symptoms: self-reported at pregnancy week 30 for mothers, week 17 for fathers, Symptom Checklist

ADHD symptoms: maternal report, CPRS

 

Yes, there were shared genetic effects between parental depression and offspring ADHD symptoms (β = 0.42)

After accounting for genetic relatedness, maternal (but not paternal) prenatal depression was associated with offspring ADHD symptoms (β = 0.07)

 

Gjerde et al.31

Sibling comparison

MoBa

17,724 offspring and 11,553 mothers

Age: 1.5–5 years

Maternal anxiety symptoms: self-report, SCL

Externalising problems: maternal report, CBCL

Child age, sex, maternal depressive symptoms, parity and education

Not studied

No difference in externalising problems between exposed children and their unexposed siblings

 

Samek et al.64

Adoption

SIBS

525 adopted and 323 biological offspring

Age: 16.5 years and older

Parent–child relationship quality: offspring report, PEQ

Alcohol and tobacco use: mother & father report, composite score, SAM and CSUA

Externalising behaviours: latent factor based on antisocial behaviour (self-report, SCI), risky sexual behaviour (self-report, LEI) & alcohol and tobacco use (self-report, SAM)

Child age, sex, ethnicity, SES

Not studied

Adoptive parent relationship quality with child (but not alcohol and tobacco use) was associated with offspring externalising behaviours

The study states that it provides evidence against passive rGE, but in fact the adoption-at-birth design excludes passive rGE

Elam et al.61

Adoption

EGDS

316 families

Age: 27 months to 4.5 years

Adoptive parent hostility: self-report, IFIRS

Disruptive peer behaviour: parent report, PIPPS

Prenatal risk and obstetric complications, adoption openness

Not studied

Adoptive mother–child and father–child hostility predicted offspring disruptive peer behaviours

Evocative rGE: birth mother low behavioural motivation predicted toddler low social motivation, which predicted adoptive parent–child hostility

Marceau et al.59

Extended children-of-twins

NEAD, TOSS

408 twin/sibling pairs, 854 twin families

Age: 11–22 years

Parental knowledge: mother, father and self-report, composite score, CMS

Externalising problems: mother, father, and self-report, composite score, ZBPI (NEAD sample), CBCL (TOSS sample)

Age, sex, age difference between non-twin siblings and cousins

No, there were no shared genetic effects between parental knowledge and offspring externalising problems

Yes, after accounting for genetic relatedness, parental knowledge was associated with offspring externalising problems (effect size not clear)

No passive or evocative rGE found

Guimond et al.65

Sibling comparison

QNTS

164 twin pairs

Age: 13–14 years

Perceived maternal support and negativity: child report, NRI

Delinquent behaviours: self-report, S-RDQ

Genetically controlled analyses using MZ twin-difference score

Not studied

No, perceived maternal support and negativity were not associated with offspring delinquent behaviours

No evocative rGE, but child-to-parent effects found

Plamondon et al.62

Sibling comparison

KFP

397 families, 920 children

Age: 1.5–4 years

Maternal negativity: self-report, NLSCY

Child disruptive behaviour: mother and father report, mean score, OCHS

Maternal EA, child sex and child age

Not studied

Exposed children showed more disruptive behaviours than their unexposed sibling

 

Trentacosta et al.60

Adoption

EGDS

561 families

Age: 18 months to 4.5 years

Adoptive parent harsh parenting: self-report, PS

Inherited risk: self-report, birth mother fearlessness (BISS) and interpersonal affiliation (HAS-PP)

Callous– unemotional behaviours: parent report, CBCL

Pregnancy and obstetric complications, adoption openness, child gender, oppositional behaviour

No difference in callous–unemotional behaviours in children with high or low inherited risk

Adoptive parent harsh parenting was associated with callous–unemotional behaviours at 54, but not at 27 months (β range = 0.12–0.15)

G × E: high inherited risk (high birth mother fearlessness and low affiliation) × adoptive father harsh parenting: callous–unemotional behaviours

Ellingson et al.71

Sibling comparison

CNLSY

10,251 children of 4,827 mothers

Age: 4–14 years

Smoking during pregnancy: self-report, mean number of packs smoked per day

Disruptive behaviour: maternal report, BPI

Maternal age at birth, EA, intelligence, delinquency, offspring sex, birth order, ethnicity, household income, geographic location

Not studied

No difference in disruptive behaviours between exposed children and their unexposed siblings

 

Kuja-Halkola et al.67

Sibling comparison, children-of-twins

Snr

2,754,626 children

Age: up to 20 years

Maternal smoking during pregnancy: self-report

Criminality: national crime register, any conviction

Maternal age at childbirth, child sex, birth year

Yes, there were shared genetic effects between maternal smoking during pregnancy and offspring criminality (effect size not clear)

No, exposed children did not differ from their unexposed siblings, and after accounting for genetic relatedness, maternal smoking was not associated with offspring criminality

 

Kendler et al.66

Adoption

Snr

1010 intact, 9944 triparental, 56,906 not-lived-with father, 6141 not-lived-with mother, 25,027 stepfather, 5049 stepmother, 837 adoptive families

Age: not reported

Drug abuse: Swedish medical registers, the Suspicion Register, the Crime Register, drug-related driving offenses, and the Prescribed Drug Register

ADHD: Hospital Discharge Register, the Outpatient Care Register, and the Prescribed Drug Register

 

Yes, birth parent drug abuse was associated with offspring ADHD (HR range = 2.06–2.48)

No, adoptive or step-parent drug abuse was not associated with offspring ADHD

 

Obel et al.73

Sibling comparison

DNR

Families of 17,381 children with ADHD

Age: 3 years to diagnosis

Maternal smoking during pregnancy: self-report

ADHD: diagnosis of hyperkinetic disorder, or prescription of ADHD medication for at least 6 months

Maternal age, parity, child sex, year of birth

Not studied

No difference in ADHD diagnosis between exposed or unexposed siblings

 

Knopik et al.72

Sibling comparison

MO-MATCH study

173 mothers and their offspring

Age: 10–12 years

Smoking during pregnancy: maternal report, MAGIC-PC

ADHD symptoms: parent and teacher-report, CRS

Maternal marital status at birth, food stamp usage at delivery, exposure to paternal smoking during pregnancy, childbirth order, sex

Not studied

Exposed children had more parent-reported (but not teacher-reported) ADHD symptoms than their unexposed siblings

 

Estabrook et al.70

Sibling comparison

MIDS

299 families

Age: 3–18 years

Maternal smoking during pregnancy: self-report

ADHD: SBSC

Oppositional Defiant Disorder (ODD): SBSC

Conduct Disorder (CD): SBSC

Offspring age, sex, parental history of antisocial behaviour (Antisocial Behaviour Questionnaire)

Not studied

Exposed children were more likely to show oppositional defiant disorder and conduct disorder (but not ADHD) than their unexposed siblings

 

Eilertsen et al.74

Sibling comparison

MoBa

16,407 mothers and 34,283 children

Age: 5 years

Maternal alcohol use during pregnancy: AUDIT-C

ADHD symptoms: maternal report, revised CRS and CBCL

ADHD diagnosis: diagnosis

Parental EA, parental income, maternal smoking during pregnancy, children’s birth order, gender

Not studied

Exposed children had more ADHD symptoms (according to CPGS-R, but not CBCL) than their unexposed siblings, but did not differ in ADHD diagnosis

 

Lund et al.47

Sibling comparison

MoBa

14,639 mothers, 25,744 children

Age: 1.5–5 years

Maternal alcohol consumption during pregnancy: self-report, AUDIT-C

Behavioural problems: maternal report, CBCL

Attention problems

Aggressive behaviours

Parity, unplanned pregnancy, daily smoking, pre-pregnancy abstinence from alcohol

Not studied

Exposed children were more aggressive, but did not have more attentional problems, than their unexposed sibling

 

Pingault et al.13

Within-family PGS: genetic sensitivity analysis

TEDS

3663 to 4693 individuals

Age: 8–16 years

Maternal EA: self-report, eight levels

ADHD: maternal, report, mean score, CRS-Revised

Sex, age and ten principal components of ancestry, PGS for EA and ADHD

Yes, the association between maternal EA and offspring ADHD decreased after adjusting for EA and ADHD PGS (from β = −0.13 to β = −0.11)

Under a twin-heritability scenario, the association between maternal EA and offspring ADHD was expected to be null if EA and ADHD PGS captured all heritability

 

Torvik et al.45

Children-of-twins and siblings

MoBa

34,958 children

Age: 8 years

Educational attainment: self-report, highest level completed

ADHD symptoms: maternal report, RSDBDs

 

Yes, there were shared genetic effects between parental EA and offspring ADHD symptoms (effect size not clear)

Yes, after accounting for genetic relatedness, parental EA was associated with offspring ADHD (effect size not clear)

 

de Zeeuw et al.75

Within-family PGS: genetic nurture (transmitted/non-transmitted method)

NTR

5900 offspring,

2649 families

Age: 10–12, 25–64 years

Genetic transmission: effect of transmitted alleles PGS for EA and ADHD

Genetic nurture: effect of non-transmitted alleles PGS for EA and ADHD

ADHD symptoms: parent and teacher report, at-home and at-school symptoms, CBCL and TRF

Sex, year of birth (for EA), the interaction between sex and year of birth (for EA), ten principal components, genotyping platform

EA and ADHD PGS based on transmitted parental alleles were associated with offspring ADHD symptoms at home and at school (R2 = 0.8–2%)

EA and ADHD PGS based on non-transmitted parental alleles were not associated with offspring ADHD symptoms at home and at school

 
  1. G–E gene–environment, G×E gene–environment interaction, rGE gene–environment correlation.
  2. Design = CoT children-of-twins, PGS polygenic scores.
  3. Samples = CNLSY Children of the National Longitudinal Survey of Youth, EGDS Early Growth and Development Study, Dnr Danish national registers, EPoCH Early Parenting of Children study, MIDS Midwest Infant Development Study, KFP Kids, Families, and Places Study, MoBa Norwegian Mother Father and Child Study, MO-MATCH Missouri Mothers and Their Children Study, NEAD Nonshared Environment in Adolescent Development Study, NTR Netherlands Twin Register, QNTC Quebec Newborn Twin Study, SIBS Sibling Interaction and Behaviour Study, Snr Swedish national registers, TEDS Twins Early Development Study, TOSS Twin Offspring Study of Sweden.
  4. Measures = APQ Alabama Parenting Questionnaire, ATQ Adult Temperament Questionnaire, AUDIT-C Alcohol Use Disorder Identification Test-Consumption, BAI Beck Anxiety Inventory, BARS Behaviour Rating Scale, BDI Beck Depression Inventory, BISS Behavioural Inhibition System scale, BPI Behaviour Problem Index, CBCL Child Behaviour Checklist, CDIS Computerised Diagnostic Interview Schedule, CES-D Centre for Epidemiological Studies Depression Scale, CIDI Composite International Diagnostic Instrument, CMS Child Monitoring Scale, CRS Conner’s Rating Scale, CSUA Computerised Substance Use Assessment, DIS Diagnostic Interview Schedule, ESBQ Elliott Social Behaviour Questionnaire, EYQ Elliott Youth Questionnaire, HAS-PP Harter Adult Self-Perception Profile scale, IFIRS Iowa Family Interaction Rating Scales, IWHS Iowa Warmth and Hostility Scales, LEI Life Events Interview, MAGIC-PC Missouri Assessment of Genetics Interview for Children–Parent on Child, MRS Marital Relationship Questionnaire, NLES Negative Life Events Scale, NRI Network of Relationships Inventory, NLSCY negativity scale from the National Longitudinal Survey of Children and Youth, OCHS conduct disorder-aggression scale from the Ontario Child Health Study, PEQ Parental Environment Questionnaire, PIPPS Penn Interactive Peer Play Scale, PS the Parenting Scale, RSDBD Rating Scale for Disruptive Behaviour Disorders, SAM Substance Abuse Module, SBSC Stony Brook Symptom Checklist, SCI Structured Clinical Interview for DSM-III-R, SCL Symptoms Checklist, S-RDQ Self-Report Delinquency Questionnaire, TCI Temperament Characteristic Inventory, TRF Teacher Report Form, ZBPI Zill Behaviour Problems Inventory.
  5. Statistics = β standardised parameter estimate, OR odds ratio, HR hazard ratio, R2 percentage of variance explained. Effect sizes are not reported for studies that did not investigate both genetic and environmental transmission.