Study Report
                    
                        
                        Study Information
                        
 
                     
                    
                    
                        
                        Basic Info
                        
 
                     
                    
                        
                            
                                | Reference | Mercer, K. B.,2012 PMID: 21893641 | 
                        
                            | Citation | Mercer, K. B., et al. (2012). "Acute and posttraumatic stress symptoms in a prospective gene x environment study of a university campus shooting." Arch Gen Psychiatry 69(1): 89-97. | 
                        
                            | Phenotype | Postshooting PTSD symptoms score (delta DEQ >1 month), Hyperarousal (2-4 week delta DEQ), Reexperiencing (2-4 week delta DEQ), Avoidance (2-4 week delta DEQ) | 
                        
                            | Trauma | Campus shooting | 
                        
                            | Study Design | Longitudinal study | 
                        
                            | Study Type | Candidate gene association study, Gene-environment interaction study | 
                        
                            | Sample Size | 204 participants | 
                        
                        
                            | SNP/Marker Size | 3 Variants | 
                        
                        
                            | Predominant Ethnicity | Caucasian, Black | 
                        
                        
                            | Population | 77.5% white, 13.7% black or African American, other races accounted for 8.9%. | 
                        
                        
                        
                        
                            | Gender | all female | 
                        
                        
                        
                            | Age | Mean age=20.1 years, SD=2.6. | 
                        
                    
                     
                    
                        
                            
                        Detail Info
                        
 
                     
                        
                    
                        
                        
                            | Sample Diagnosis | DSM-IV, DSM-IV-TR | 
                        
                        
                        
                            | Related Diagnostic Tools | Traumatic Life Events Questionnaire, Distressing Event Questionnaire (DEQ),  Multidimensional Scale of Perceived Social Support, | 
                        
                        
                        
                            | Sample Status | Participants were recruited from an ongoing longitudinal study following the mass shooting at Northern Illinois University on February 14, 2008. All individuals were interviewed on at least 3 occasions, prior to the shooting (time 1), 2 to 13 weeks postshooting (mean=3.2 weeks, time 2), and 8 to 12 months following time 2 (mean=8.4 months, time 3). | 
                        
                        
                        
                            | Controls Exposed | Yes | 
                        
                        
                        
                            | Replication Size | None | 
                        
                        
                        
                            | Result Summary | Results: We found that although the STin2 variant and 5-HTTLPR alone did not associate with increased PTSD symptoms, rs25531 and the 5-HTTLPR multimarker genotype (combined 5-HTTLPR and rs25531) were associated with significantly increased acute stress disorder symptoms at 2 to 4 weeks postshooting (n = 161; P-value<.05). This association remained significant when controlling for race and for level of shooting exposure (n = 123; P-value<.007). The association was most robust with the 5-HTTLPR multimarker genotype and avoidance symptoms (P-value=.003). Conclusion: These data suggest that differential function of the serotonin transporter may mediate differential response to a severe trauma. When examined in a relatively homogenous sample with shared trauma and known prior levels of child and adult trauma, the 5-HTTLPR multimarker genotype may serve as a useful predictor of risk for PTSD-related symptoms in the weeks and months following the trauma. | 
                        
                        
                        
                            | Potential Biomarker | None | 
                        
                    
                         
                        
                     
                        
                    
                        Genetic result reported by this study
                        
