Afari N

Genetic and environmental influences on posttraumatic stress disorder symptoms and disinhibited eating behaviors

Afari N, Gasperi M, Dochat C, Wooldridge JS, Herbert MS, Schur EA, Buchwald DS. Posttraumatic stress disorder (PTSD) and eating disorders (ED) frequently co-occur, but the mechanisms underlying this association remain unclear. EDs are characterized by features of maladaptive eating behaviors including disinhibited eating and cognitive dietary restraint. Identifying the genetic overlap between PTSD symptoms […]

Genetic and Environment Influences on Sleep, Pain, and Depression Symptoms in a Community Sample of Twins

Gasperi M, Herbert M, Schur E, Buchwald D, Afari N. Objective We used quantitative genetic methods to evaluate whether sleep quality, pain, and depression symptoms share a common genetic diathesis, to estimate the genetic and environmental sources of covariance among these symptoms, and to test for possible causal relationships. Methods A community sample of 400 […]

Dexamethasone-suppressed Salivary Cortisol and Pain Sensitivity in Female Twins

Godfrey KM, Herbert M, Strachan E, Mostoufi S, Crofford LJ, Buchwald D, Poeschla B, Succop A, Afari N. Objectives Hypothalamic-pituitary-adrenal (HPA) axis dysregulation is associated with chronic pain. Studying pain sensitivity and the HPA axis could elucidate the role of stress in chronic pain development, which might be influenced by familial factors, including genes. Methods […]

Familial Contributions to Self-Reported Sleep and Pain in Female Twins

Godfrey KM, Strachan E, Mostoufi S, Poeschla B, Succop A, Afari N The relationship between sleep quality and pain has been studied in populations with chronic pain and in nonclinical populations using experimental paradigms. Little is known about the familial contributions to this relationship. This study examines self-reported sleep quality and pain in a nonclinical […]

Heritability of Pain Catastrophizing and Associations with Experimental Pain Outcomes: A Twin Study

Trost Z, Strachan E, Sullivan M, Vervoort T, Avery AR, Afari N This study used a twin paradigm to examine genetic and environmental contributions to pain catastrophizing and the observed association between pain catastrophizing and cold-pressor task (CPT) outcomes. Male and female monozygotic (n = 206) and dizygotic twins (n = 194) from the University […]

Clinical and evoked pain, personality traits, and emotional states: Can familial confounding explain the associations?

Strachan E, Poeschla B, Dansie E, Succop A, Chopko L, Afari N Pain is a complex phenomenon influenced by context and person-specific factors. Affective dimensions of pain involve both enduring personality traits and fleeting emotional states. We examined how personality traits and emotional states are linked with clinical and evoked pain in a twin sample. 99 […]

Salivary cortisol and cold pain sensitivity in female twins

Godfrey KM, Strachan E, Dansie E, Crofford LJ, Buchwald D, Goldberg J, Poeschla B, Succop A, Noonan C, Afari N There is a dearth of knowledge about the link between cortisol and pain sensitivity. We examined the association of salivary cortisol with indices of cold pain sensitivity in 198 female twins and explored the role of […]

Adverse childhood experiences, health perception, and the role of shared familial factors in adult twins

Mostoufi S, Strachan E, Chopko L, Succop A, Martinez B, Ahumada S, Afari N To examine the relationship between adverse childhood experiences (ACE) and health perception in adulthood, and to explore the contribution of shared familial factors to these associations. Data were collected from 180 female twins (90 pairs) from the community-based University of Washington […]

Can familial factors account for the association of body mass index with poor mental health in men or women?

Schur E, Godfrey KM, Dansie E, Buchwald D, Pagoto S, Afari N This study examined if associations between body mass index (BMI) and mental and physical health were independent of genetic and familial factors. Data from 2831 twins (66% female) were used in an epidemiological co-twin control design with measures of BMI and mental and physical […]

The University of Washington Twin Registry: Poised for the next generation of twin research

Strachan E, Hunt C, Afari N, Duncan G, Noonan C, Schur E, Watson N, Goldberg J, Buchwald D The University of Washington Twin Registry is a unique community-based registry of twin pairs who join specifically to participate in scientific research. It was founded in 2002 to serve as a resource for investigators throughout the scientific […]

The comorbidity of self-reported chronic fatigue syndrome, post-traumatic stress disorder, and traumatic symptoms

Dansie EJ, Heppner P, Furberg H, Goldberg J, Buchwald D, Afari N Data from primary care and community samples suggest higher rates of post-traumatic stress disorder (PTSD) among individuals with chronic fatigue syndrome (CFS). This study investigated the co-occurrence of CFS, PTSD, and trauma symptoms and assessed the contribution of familial factors to the association of […]

Temporomandibular disorder-type pain and migraine headache in women: a preliminary twin study

Plesh O, Noonan C, Buchwald DS, Goldberg J, Afari N To determine whether shared genetic influences are responsible for the association between pain from temporomandibular disorders (TMD) and migraine headache. Data were obtained from 1,236 monozygotic and 570 dizygotic female twin pairs from the University of Washington Twin Registry. TMD pain was assessed with a question […]

C-Reactive Protein and Pain Sensitivity: Findings from Female Twins

Afari N, Mostoufi S, Noonan C, Poeschla B, Succop A, Chopko L, Strachan E Systemic inflammation and pain sensitivity may contribute to the development and maintenance of chronic pain conditions. We examined the relationship between systemic inflammation as measured by C-reactive protein (CRP) and cold pain sensitivity in 198 female twins from the University of Washington […]

Depression and obesity: Do shared genes explain the relationship?

Afari N, Noonan C, Goldberg J, Roy-Byrne P, Schur E, Golnari G, Buchwald D Studies have found a modest association between depression and obesity, especially in women. Given the substantial genetic contribution to both depression and obesity, we sought to determine whether shared genetic influences are responsible for the association between these 2 conditions. Data were […]

Chronic pain, overweight, and obesity: Findings from a community-based twin registry

Wright LJ, Schur E, Noonan C, Ahumada S, Buchwald D, Afari N Chronic pain and obesity, and their associated impairments, are major health concerns. We estimated the association of overweight and obesity with 5 distinct pain conditions and 3 pain symptoms, and examined whether familial influences explained these relationships. We used data collected from 3,471 twins […]

A twin study of depression and migraine: Evidence for a shared genetic vulnerability

Schur E, Noonan C, Buchwald D, Goldberg J, Afari N To determine if shared genetic or environmental vulnerabilities could underlie depression and migraine. Depression and migraine headaches frequently coexist and their comorbidity may be due to shared etiologies. Female twins in the University of Washington Twin Registry responded to a mailed survey regarding their health history. Depression […]

Are post-traumatic stress disorder symptoms and temporomandibular pain associated? Findings from a community-based twin registry

Afari N, Wen Y, Buchwald D, Goldberg J, Plesh O The goals of this study were to determine if symptoms of posttraumatic stress disorder (PTSD) are related to the pain of temporomandibular disorders (TMD) in a community-based sample of female twin pairs, and if so, to ascertain if the association is due to the presence […]

Twin analyses of fatigue

Schur E, Afari N, Goldberg J, Buchwald D, Sullivan PF Prolonged fatigue of ≥1 month duration and chronic fatigue of ≥6 months duration are both commonly seen in clinical practice, yet little is known about the etiology or epidemiology of either symptom. Chronic fatigue syndrome (CFS), while rarer, presents similar challenges in determining cause and […]

Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions

Schur E, Afari N, Furberg H, Olarte M, Goldberg J, Sullivan PF, Buchwald D Considerable overlap in symptoms and disease comorbidity has been noted among medically unexplained and psychiatric conditions seen in the primary care setting, such as chronic fatigue syndrome, low back pain, irritable bowel syndrome, chronic tension headache, fibromyalgia, temporomandibular joint disorder, major […]

University of Washington Twin Registry: construction and characteristics of a community-based twin registry

Afari N, Noonan C, Goldberg J, Edwards K, Gadepalli K, Osterman B, Evanoff C, Buchwald D The University of Washington Twin Registry is a community-based registry of twins identified from the Washington State Department of Licensing. A fortuitous quirk in the Washington State drivers’ license and identification number assignment, and collaborative Washington State laws, permitted […]