Published online Mar 22, 2015. doi: 10.5498/wjp.v5.i1.112
Peer-review started: August 26, 2014
First decision: September 16, 2014
Revised: November 21, 2014
Accepted: February 4, 2015
Article in press: February 9, 2015
Published online: March 22, 2015
Processing time: 209 Days and 13 Hours
Previous evidence suggests that emotion dysregulation may have different biological correlates between adults and children/adolescents. Although the role of genetic factors has been extensively studied in adult-onset emotion dysregulation, the genetic basis for pediatric-onset emotion dysregulation remains elusive. The current review article presents a summary of previous studies that have suggested a few genetic variants associated with pediatric emotion dysregulation. Among these candidate loci, many prior studies have been focused on serotonin transporter promoter gene polymorphism 5-HTTLPR. Certain alleles of the 5-HTTLPR gene polymorphism have been found to be associated with traits associated with emotion dysregulation, such as aggression, affect reactivity, and insecure attachment. Additionally, genetic variants involving dopamine and neurophysiological biomarkers like the COMT Val158Met (rs460) and dopamine receptor D2/ ankyrin repeat and kinase domain containing one polymorphisms may play a role in emotion dysregulation. Inconsistent findings have been noted, possibly due to the heterogeneity in study designs and characteristics of different populations. Further research on the role of genetic predetermination of emotion dysregulation in children and adolescents is warranted.
Core tip: Genetic correlates involved in emotion dysregulation in children and adolescents remain rather understudied compared to adult populations, despite the strong impact emotion dysregulation can have on an individual and societal functioning. This paper covers the key genetic variants involved in pediatric emotion dysregulation, with a special emphasis on the serotonin transporter promoter gene polymorphism 5-HTTLPR typically associated with aggression, affect reactivity, and emotion dysregulation. This review places emphasis on the necessity for further research in this field of study in order to better understand biological mechanisms underlying emotion dysregulation in children and adolescents, and also highlight current avenues of study worthy of further investigation.