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Genome-wide meta-analysis of quantitatively measured generalized anxiety symptoms in individuals of European ancestry

Skelton, Megan, Mitchell, Brittany L., Assary, Elham, Li, Danyang, Morneau-Vaillancourt, Genevieve and Walters, James T. R. ORCID: https://orcid.org/0000-0002-6980-4053 2026. Genome-wide meta-analysis of quantitatively measured generalized anxiety symptoms in individuals of European ancestry. Nature Human Behaviour 10 , pp. 1594-1608. 10.1038/s41562-026-02476-7

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Abstract

Anxiety is heritable and exists on a continuum, with symptoms ranging from adaptive threat response to clinical disorder. Here we performed a genome-wide association meta-analysis of generalized anxiety symptom severity in 693,869 individuals of European ancestry from 14 cohorts. We identified 80 independent genome-wide significant variants within 74 loci, 39 of which were newly associated with anxiety. SNP-based heritability was 5.9% (posterior s.d. = 0.15%). Polygenic scores were significantly associated with anxiety symptom severity and disorder in European, African and South Asian ancestry samples (R2 = 1.2–2.9%). Significant genetic correlations (rg) were estimated with mental and physical health traits, including case–control anxiety, neuroticism and depression (rg = 0.71–0.85), irritable bowel syndrome (rg = 0.57), coronary artery disease, endometriosis and migraine (rg = 0.20–0.27). Gene-based and pathway analyses implicated synaptic and axonal processes, with enriched expression in the brain. These findings highlight the discovery power gained from analysing a quantitative trait rather than a case–control phenotype in anxiety genetics.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Schools > Medicine
Additional Information: For full list of authors see https://doi.org/10.1038/s41562-026-02476-7
Publisher: Nature Research
ISSN: 2397-3374
Date of First Compliant Deposit: 22 May 2026
Date of Acceptance: 13 April 2026
Last Modified: 03 Sep 2026 11:29
URI: https://orca.cardiff.ac.uk/id/eprint/187174

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