SummaryAim. Although both have shown significant effects upon depression in clinical samples, no direct comparison has been reported of the relative power of psychological resilience and the short form of the serotonin transporter gene 5-HTTLPR as predictors of depression in a community sample. material and methods. In a sample set by a priori power analysis, 67 adult females and 59 adult males were used to enable a comparison between a single genetic factor, childhood stressors, recent stressors, psychological resilience and depression. Results. None of genotype, childhood or recent stressors was significantly associated with depression scores, but resilience was a significant inverse predictor of depression scores and also of the presence of clinically significant depression. discussion. These data suggest that measures of an individual's ability to resist or recover from stress may be useful in assessing vulnerability to depression when used with 'at risk' individuals in everyday practice.
depression / genes / resilience / stressors / distal / proximalAlthough often seen as being of potential major benefit to clinical treatment settings, the search for a unique and comprehensive genetic biomarker of depression has not been clearly successful as yet [1][2][3] with a recent mega-analysis of 1.2 million single-nucleotide polymorphisms failing to identify robust and replicable findings for any specific genetic factor [4]. Instead, a great deal of recent research has focussed upon the interaction of genes and environment via the serotonin transporter 5-HTTLPR plus the individual's response to various stressors [5][6][7]. The short (ss) form of the 5-HTTLPR has been implicated in studies of affective disorders [8] and in depression among individuals who have experienced distal major stressful life events such as childhood adversity, as well as more recent proximal major stressors from financial, relationship, and occupational sources. This led Karg and colleagues [9] to report that, from a meta-analysis of 54 studies, there was "strong evidence" (p. 444) of the ss allele of the 5-HTTLPR being as- Archives of Psychiatry and Psychotherapy, 2014; 4 : 15-26 sociated with an increased risk of individuals developing depression following distal (childhood) major stressors, major medical conditions and (less robust but still statistically significant) more recent proximal stressors. Those initial findings were recently confirmed by a further meta-analysis of 81 studies [10].However, when considering the applicability of these findings to screening for individuals in clinical practice who are at risk of developing major depression, it is worthy of note that 22 of the 54 studies that Karg et al. (2011) included in their meta-analysis reported data that were "positive" (i.e., that carriers of the ss allele were significantly more likely to have higher depression than carriers of other alleles),13 reported data that were "partially positive", 15 reported no association between the ss, stress and depression, and a further 6 ...