Table 3 Detailed characteristics of studies investigating offspring internalising behaviours (N = 30).

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

Offspring internalising behaviours

Study

Design

Sample

Parental attribute (predictor)

Child attribute (outcome)

Control variables

Genetic overlap

Environmental transmission

G–E interplay

Brooker et al.27

Adoption

EGDS

361 families

Offspring age: 18–27 months

Adoptive & birth parent anxiety

: self-report, BAI

Internalising problems: maternal and paternal report, composite score, CBCL

 

No, birth parent anxiety did not predict offspring internalising problems

Yes, adoptive parent anxiety predicted offspring internalising problems (β = 0.25)

G × E: high birth parent anxiety × greater attention control × low adoptive parent anxiety: fewer internalising problems

Brooker et al.28

Adoption

EGDS

349 families

Age: 9–27 months

Adoptive parent anxiety: self-report, BAI

Birth parent negative affect: self-report, ATQ

Negative affect: observation and adoptive-parent report, composite score, ICQ and TBAQ

Prenatal risk and obstetric complications, adoption openness

No, birth parent negative affect did not predict offspring negative effect (effect size not clear)

Yes, adoptive parent anxiety predicted offspring negative effect (effect size not clear)

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

Marceau et al.41

Adoption

EGDS

361 families

Age: 9 months 6 years

Over-reactive parenting: self-report, PS

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

Internalising behaviours: parent report, CBCL

Adoption openness

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

Yes, paternal (but not maternal) 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 monozygotic (MZ) & 489 dizygotic (DZ) twin families

Age: 11–22 years

Adoptive & parent depression: self-report, BDI

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

Internalising problems (adoption sample): parent report, CBCL

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

Adoption sample: obstetric complications, adoption openness

CoT sample: twin sex, age

Adoption: birth mother depressive symptoms predicted internalising problems at age 7 (β = 0.15), but not age 4.5 or age 6

CoT: no shared genetic effects between parental depression and offspring internalising problems

Adoption: no, adoptive parent depression did not predict subsequent offspring internalising problems

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

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

Eley et al.29

Children-of-twins

TOSS

387 MZ, 489 DZ families

Age: 11–22 years

Anxious personality: self-report, KSP

Anxiety: mother, father and self-report, CBCL

Twin sex, age

No shared genetic effects between parental anxious personality and offspring anxiety

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

 

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

Internalising-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 internalising-only symptoms, but processing speed was associated with co-occurring symptoms (OR = 1.88)

Adoptive parent internalising symptoms predicted internalising-only symptoms (OR = 1.17), but not co-occurring symptoms, uninvolved parenting predicted co-occurring symptoms (OR = 7.91), but not internalising-only symptoms and adoptive parent processing speed and offspring outcomes were unrelated

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

Grabow et al.20

Adoption

EPoCH

541 adoptive mother–child dyads, 126 biological mother–child dyads

Age: 7 years

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

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

Internalising behaviours: parent report, CBCL

EPoCH: Timing of maternal trauma, socioeconomic status (SES), sex

EGDS: Perinatal risk, adoption openness, SES, sex

Yes, birth mother depression predicted adopted-away offspring internalising behaviours (β = 0.16)

Adopted mother depression predicted offspring internalising behaviours (β = 0.15), and mediated the relationship between maternal trauma and offspring internalising behaviours

 

Gjerde et al.24

Sibling comparison

MoBa

17,830 siblings, 11,599 families

Age: 6 months to 5 years

Maternal depression: self-report, SCL

Internalising problems: maternal report, CBCL

Maternal parity, maternal education, child age and child sex

Not studied

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

 

Bekkhus et al.34

Sibling comparison

MoBa

21,980 families with at least two siblings

Age: 6 months to 3 years

Maternal anxiety during pregnancy: self-report, SCL (short version)

Infant difficulties: maternal report, ICQ

Emotional difficulties: maternal report, CBCL

Maternal substance use during pregnancy, post-birth anxiety, partner disharmony, somatic disease, marital status, education, age, parity, child gestational age, birth complications, sex, birthweight

Not studied

No difference in infant difficulties or emotional difficulties between exposed and unexposed siblings

 

Bridgett et al.36

Adoption

EGDS

361 families

Age: 4.5–6 years

Harsh negative parenting: observation

Biological parent self-regulation: Go/no Go task computerised task

Self-regulation: parent report (Children’s Behaviour Questionnaire) and Go/no Go computerised task

Obstetric and neonatal complications, adoption openness, child anger (parent report), gender

Yes, birth mother self-regulation predicted adopted-away offspring’s self-regulation (β = 0.23)

Yes, adoptive parent harsh parenting predicted poor offspring self-regulation (β = −0.22 to −0.25)

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

Hannigan et al.21

Multiple children-of-twins and siblings

MoBa

22,195 mothers, 25,299 children

Age: 18–60 months

Maternal depressive symptoms: self-report, SCL

Internalising problems: maternal report, CBCL

Prenatal depression: adjusted for concurrent depression

Yes, there were shared genetic effects between maternal depression and offspring internalising problems effect size not clear)

Yes, after accounting for genetic relatedness and prenatal depression, concurrent maternal depression was associated with offspring internalising problems (effect size not clear)

 

Liskola et al.26

Adoption

FAS

548 international adopted children

Age: 9–12 years

Depressive symptoms: self-report, GHQ

Depressive symptoms: self-report, CDI

Child age, gender, age at adoption, type of placement before adoption, the continent of birth, adoptive family SES

Not studied

Adoptive paternal (but not maternal) depressive symptoms were associated with offspring depressive symptoms

 

Kendler et al.23

Multiple parenting relationships design

Snr

2,041,816 intact, 14,104 adoptive, 115,501 not-lived-with father, 57,826 stepfather, 29,205 triparental families

Age: 26–56 years

Major depression: diagnosis, hospital discharge and outpatient care registers

Major depression: diagnosis, hospital discharge and outpatient care registers

None

Yes, MD status of not-lived-with biological parents was associated with offspring MD (r = 0.08)

Yes, MD status of adoptive or step-parents was associated with offspring MD (r = 0.08)

No G × E interaction found

Ahmadzadeh et al.30

Adoption

EGDS

305 families

Age: 6–8 years

Adoptive parent anxiety: self-report, ST-AIA

Birth parents’ internalising problems: mother & father self-report, composite score, CIDI and FH-RDC

Anxiety: maternal and paternal report, CBCL

The weighted risk score of obstetric complications, adoption openness, child sex

No, birth parents’ internalising problems did not predict adopted-away offspring anxiety

Adoptive paternal anxiety (but not maternal) predicted offspring anxiety (β = 0.10)

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

Gjerde et al.22

Multiple children-of-twins and siblings

MoBa

22,316 mothers and 35,589 offspring

Age: 1.5–5 years

Concurrent maternal depression symptoms: self-report, SCL

Emotional problems: maternal report, CBCL

Child sex, maternal age

Yes, there were shared genetic effects between maternal depression and offspring emotional problems (R2 = 21.1–28.5%)

Yes, after accounting for genetic relatedness, maternal depression was associated with offspring internalising problems (R2 = 0.3–2.2%)

 

Hails et al.25

Adoption

EGDS

561 families

Age: 9 months to 6 years

Adoptive parent depression: self-report, BDI-IIBirth

mother internalising symptoms: self-report, CIDI

Internalising symptoms: parent and teacher report, CBCL and (TRF

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

No, birth mother internalising symptoms did not predict offspring internalising symptoms

Adoptive paternal (but not maternal) depression predicted parent-reported (but not teacher-reported) offspring internalising symptoms (β = 0.21)

 

Field et al.32

Adoption

EGDS

561 families

Age: 18 months to 4.5 years

Adoptive and birth parent anxiety: self-report, composite score of two measurements, BAI

Anxiety symptoms: parent report, an average of the maternal and paternal report, CBCL

 

No, birth parent anxiety did not predict offspring anxiety symptoms

Adoptive maternal and paternal anxiety equally predicted both offspring anxiety symptoms and change in anxiety symptoms (effect size not clear)

No evidence of evocative rGE found

Gjerde et al.31

Sibling comparison

MoBa

11,553 mothers and 17,724 children

Age: 1.5–5 years

Maternal anxiety: self-report, SCL

Child internalising problems: maternal report, CBCL

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

Not studied

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

 

O’Reilly et al.123

Children of siblings

Snr

2,762,883 unique offspring

Age: 12 and over

Suicidal behaviour: suicide attempt or death by suicide, National Patient Register and Cause of Death register, prior to offspring age 18

Suicidal behaviour: suicide attempt or death by suicide, National Patient Register and Cause of Death register

Offspring: parity. Parental: age at birth, educational attainment, Swedish by birth, mental illness, criminal convictions

Yes, there were shared genetic effects between parental and offspring suicidal behaviour (effect size not clear)

Yes, after accounting for genetic relatedness, parental suicidal behaviour was associated with offspring suicidal behaviour effect size not clear)

 

Horwitz et al.37

Extended children-of-twins

TOSS, TCHAD

858 twin families, 690 twin families

Age: 11–22 years, 16–17 years

Parental criticism: self-report, EES

Somatic symptoms: parent and self-report, composite score, CBCL

Age, sex, age difference for the cousin offspring in TOSS

No shared genetic effects between parental criticism and offspring somatic symptoms

Yes, after accounting for genetic relatedness, parental criticism was associated with offspring somatic symptoms (effect size not clear)

No evidence of 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

Depressive symptoms: self-report, CDI

Genetically-controlled analyses using MZ twin-difference score

Not studied

No, perceived maternal support and negativity were not associated with offspring depressive symptoms

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

McAdams et al.38

Children-of-twins

TOSS

387 MZ, 489 DZ families

Age: 11–22 years

Expressed affection and closeness with child: self-report

Self-worth: self-report, HPCS

Twin sex and age

No shared genetic effects between expressed affection or closeness with child and offspring self-worth

Yes, after accounting for genetic relatedness, expressed affection and closeness with the child were associated with offspring self-worth (effect size not clear)

 

Hannigan et al.39

Children-of-twins

TOSS

909 twin pairs

Age: 11–22 years

Relationship quality with offspring: maternal and paternal report, P-CAS, EAS and P-CRQ

Internalising problems: self-report, CBCL

 

No shared genetic effects between parental relationship quality with offspring, and offspring internalising problems

Yes, after accounting for genetic relatedness, parental relationship quality with offspring was associated with offspring internalising problems (effect size not clear)

 

Ahmadzadeh et al.40

Extended children-of-twins

TOSS, TCHAD

876 twin families, 1030 twin families

Age: 11–22 years

Parental criticism: self-report, EES

Internalising symptoms: parent and self-report, composite score, CBCL and YSR

Child age, sex

No shared genetic effects between parental criticism and offspring internalising symptoms

Yes, after accounting for genetic relatedness, parental criticism was associated with offspring internalising symptoms (effect size not clear)

 

Kendler et al.42

Sibling comparison

Snr

666 full sibships and 2596 half-sibships of high-risk (MDD diagnosis) biological parents

Age: 15 and over

Adoptive parenting: protective effect of high-quality rearing environment

Major depression: diagnosis, hospital discharge, outpatient care registers, primary care registry

Parental age at birth, high-risk status of the other parent of a half-sibling, child sex

Not studied

Children exposed to adoptive parenting had a lower risk of MDD than their unexposed siblings, this protective effect disappeared when the adoptive family was disrupted or if there was a high-risk adoptive parent

 

Jami et al.43

M-GCTA, children-of-twins and siblings

MoBa

M-GCTA: 3801 parent–offspring trios, extended CoT: 10,688 children

Age: 8 years

Genetic nurture: M-GCTA, maternal and paternal genotypes

Shared maternal or paternal environment: children-of-twins and siblings

Anxiety symptoms: maternal report, SCARED

Depressive symptoms: maternal report, SMFQ

Sex, genotyping batch, first ten principal components

Not studied

After accounting for shared genetic effects, maternal or paternal genes did not explain significant variance in offspring depression or anxiety symptoms, and there were no shared maternal or paternal environment effects

No evidence of rGE found

Cheesman et al.44

Relatedness disequilibrium regression (RDR), children-of-twins and siblings

MoBa

RDR: 11,598 parent–offspring trios, extended CoT: 26,086 pairs of relatives

Age: 8 years

Genetic nurture: RDR, mid-parent genotype

Maternal emotional symptoms: self-report, common factor score of 5 measurements, SCL-8

Shared parental environment: children-of-twins and siblings

Anxiety symptoms: maternal report, SCARED

Depressive symptoms: maternal report, SMFQ

Child sex. RDR: ten principal components and genotyping batch

Not studied

After accounting for shared genetic effects, parental genes explained significant variance in offspring depression (but not anxiety) symptoms, this effect was partly mediated by maternal emotional symptoms

Shared parental environmental effect was observed for offspring depression (but not anxiety) symptoms

Negative rGE between genetic nurture and offspring depressive symptoms

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

Emotional problems: maternal report, CBCL

Emotional reactivity

Anxious/depressed

Somatic complaints

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

Not studied

Exposed children were more emotionally reactive and had more somatic complaints, but did not have more anxious depressive symptoms, than their unexposed siblings

 

Torvik et al.45

Children-of-twins and siblings

MoBa

34,958 children

Age: 8 years

Educational attainment (EA): self-report, highest level completed

Depression symptoms: maternal report, SMFQ

 

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

No, after accounting for genetic relatedness, parental EA was not associated with offspring depression

 
  1. G–E gene–environment, G×E gene–environment interaction, rGE gene–environment correlation.
  2. Design = M-GCTA maternal-effects genome-wide complex traits analysis.
  3. Samples = EGDS Early Growth and Development Study, EPoCH Early Parenting of Children study, FAS Finnish Adoption Study, MoBa Norwegian Mother Father and Child Study, QNTC Quebec Newborn Twin Study, Snr Swedish national registers, TCHAD Twin Study of Child and Adolescent Development, 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, BDI Beck Depression Inventory, CBCL Child Behaviour Checklist, CDI Children’s Depression Inventory, CES-D Centre for Epidemiological Studies Depression Scale, CIDI Composite International Diagnostic Instrument, EAS Expression of Affection Scale, EES Expression Emotion Scale, FH-RDC Family History-Research Diagnostic Criteria, GHQ General Health Questionnaire, HPCS Harter Perceived Competence Scale, ICQ Infant Characteristics Questionnaire, KSP Karolinska Scales of Personality, NLES Negative Life Events Scale, NRI Network of Relationships Inventory, P-CAS Parent–Child Agreement Scale, P-CRQ Parent–Child Relationship Questionnaire, PS the Parenting Scale, SCARED Screen for Child Anxiety Related Disorders, SCL Symptoms Checklist, SMFQ Short Mood and Feelings Questionnaire, S-TAIA State-Trait Anxiety Inventory for Adults, TBAQ Toddler Behaviour Assessment Questionnaire, TRF Teacher Report Form, YSR Youth Self Reports.
  5. Statistics = β standardised parameter estimate, OR odds ratio, R2 percentage of variance explained, r weighted tetrachoric correlation. Effect sizes are not reported for studies that did not investigate both genetic and environmental transmission.