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A Hierarchical Factor Model of Executive Functions in Adolescents: Evidence of Gene-Environment Interplay

Published online by Cambridge University Press:  15 December 2014

James J. Li*
Affiliation:
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia
Tammy A. Chung
Affiliation:
Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, Pennsylvania
Michael M. Vanyukov
Affiliation:
Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania
D. Scott Wood
Affiliation:
Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, Pennsylvania
Robert Ferrell
Affiliation:
Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania
Duncan B. Clark
Affiliation:
Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, Pennsylvania School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania
*
Correspondence and reprint requests to: James J. Li, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, 800 East Leigh Street, P.O. Box 980126, Richmond, VA 23298-0126. E-mail: jli9@vcu.edu
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Abstract

Executive functions (EF) are a complex set of neurodevelopmental, higher-ordered processes that are especially salient during adolescence. Disruptions to these processes are predictive of psychiatric problems in later adolescence and adulthood. The objectives of the current study were to characterize the latent structure of EF using bifactor analysis and to investigate the independent and interactive effects of genes and environments on EF during adolescence. Using a representative young adolescent sample, we tested the interaction of a polymorphism in the serotonin transporter gene (5-HTTLPR) and parental supervision for EF through hierarchical linear regression. To account for the possibility of a hierarchical factor structure for EF, a bifactor analysis was conducted on the eight subtests of the Delis-Kaplan Executive Functions System (D-KEFS). The bifactor analysis revealed the presence of a general EF construct and three EF subdomains (i.e., conceptual flexibility, inhibition, and fluency). A significant 5-HTTLPR by parental supervision interaction was found for conceptual flexibility, but not for general EF, fluency or inhibition. Specifically, youth with the L/L genotype had significantly lower conceptual flexibility scores compared to youth with S/S or S/L genotypes given low levels of parental supervision. Our findings indicate that adolescents with the L/L genotype were especially vulnerable to poor parental supervision on EF. This vulnerability may be amenable to preventive interventions. (JINS, 2014, 20, 62–73)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2014 

Introduction

Adolescence is a critical period for cognitive and emotional development, particularly for executive functioning (EF; Crone, Reference Crone2009), which are neurocognitive processes that regulate and maintain higher-order actions and goal oriented behaviors (Barkley, Reference Barkley1997). During adolescence, typically developing youth improve in their abilities to regulate and plan their actions and thoughts (Huizinga, Dolan, & Van der Molen, Reference Huizinga, Dolan and van der Molen2006). The degree of maturation in adolescent regulatory abilities is thought to reflect neurobiological development and influences risk behaviors, including disruptive behavior (Hobson, Scott & Rubia, Reference Hobson, Scott and Rubia2011; Matthys, Vanderschuren, & Schutter, Reference Matthys, Vanderschuren and Schutter2013) and substance use disorders (Clark et al., Reference Clark, Chung, Pajtek, Zhai, Long and Hasler2013; Giancola & Tarter, Reference Giancola and Tarter1999). Adolescent development is also strongly influenced by environmental factors, such as parenting behaviors (Clark, Thatchere, & Maisto, Reference Clarke, Dalley, Crofts, Robbins and Roberts2004; Clark, Kirisci, Mezzich, & Chung, Reference Clark, Kirisci, Mezzich and Chung2008) and deviant peers (Huizinga et al., Reference Huizinga, Dolan and van der Molen2006). However, relatively little is known about how environmental and heritable factors interact to influence EF during this developmental epoch.

Regarding the taxonomy of EF, a tripartite framework has been proposed (Miyake, Friedman, Rettinger, Shah, & Hegarty, Reference Miyake, Friedman, Rettinger, Shah and Hegarty2001), consisting of three distinct but moderately correlated factors. These dimensions include set-shifting [i.e., the ability to shift back and forth between multiple tasks, operations or mental sets (Monsell, 1996)], updating and monitoring [i.e., the ability to monitor and code information relevant to the task and manipulate the information appropriately when new information is provided; also similar to working memory (Goldman-Rakic, Reference Goldman-Rakic1996)], and inhibition [i.e., the ability to deliberately suppress a dominant response in the presence of a nonessential stimuli (Logan, Schachar, & Tannock, Reference Logan, Schachar and Tannock1997)]. However, emerging research suggests that the factor structure of EF may vary by age, particularly across childhood and adolescence (Huizinga et al., Reference Huizinga, Dolan and van der Molen2006; Lee, Bull, & Ho, Reference Lee, Bull and Ho2013; Prencipe et al., Reference Prencipe, Kesek, Cohen, Lamm, Lewis and Zelazo2011; Zelazo, Craik, & Booth, Reference Zelazo, Craik and Booth2004). A two factor structure, representing inhibition and switching, was the best fit to the data during early to late childhood, but a three factor model, representing inhibition, updating, and switching, became the best fit to the data during adolescence (Lee et al., Reference Lee, Bull and Ho2013). Prencipe and colleagues (2011) distinguished between “hot” (i.e., motivationally salient) and “cool” (i.e., abstract) EF tasks in a typically developing sample between 8 and 15 years of age and found that improvements in cool EF tasks (i.e., Color-Word Stroop, Backward Digit Span) began during the earlier aged cohorts, whereas improvements in “hot” tasks (i.e., gambling task, delay-discounting) developed more gradually and were most robust in the adolescent cohort. However, in their exploratory factor analysis for all tasks, a single factor model emerged as the best fit to the data. This suggests that the factor structure of EF may be organized hierarchically, such that the covariation among EF components may be modeled as a single latent factor (Alarcón, Plomin, Fulker, Corley, & DeFries, 1998; Friedman et al., Reference Friedman, Miyake, Young, DeFries, Corley and Hewitt2008), whereas each sub-dimension of EF may be defined by unique genetic and environmental pathways.

Twin studies have established the important role of genetic influences for variation in EF, with heritability estimates for inhibition, set-shifting, and monitoring/working memory ranging from 43% to 77% (Ando, Ono, & Wright, Reference Ando, Ono and Wright2001; Coolidge, Thede, & Young, Reference Coolidge, Thede and Young2000; Kuntsi et al., Reference Kuntsi, Rogers, Swinard, Börger, Meere, Rijsdijk and Asherson2006). While the search for specific genes associated with EF have been elusive, one particular candidate system with implications for EF is serotonin (5-HT; see Logue & Gould, Reference Logue and Gould2014). The role of 5-HT in the development of EF is partly related to the expression of 5-HT in the prefrontal cortex (PFC; Puig & Gulledge, Reference Puig and Gulledge2011), a region of the brain that is known to regulate higher order functions such as learning, working memory, and behavioral flexibility (Fuster, Reference Fuster2001; also see Blakemore & Choudhury, Reference Blakemore and Choudhury2006). Serotonergic receptors are largely expressed in the PFC, which regulate 5-HT activity (Enge, Fleischhaauer, Lesch, Reif, & Strobel, Reference Enge, Fleischhauer, Lesch, Reif and Strobel2011). Variations in extracellular 5-HT in the PFC have been associated with performance in response inhibition, reversal learning tasks and other EF tasks across human (Cools, Roberts, & Robbins, Reference Cools, Roberts and Robbins2008; Crean, Richards, & de Wit, Reference Crean, Richards and de Wit2002) and nonhuman primate models (Homberg et al., 2007; Walker, Mikheenko, Argyle, Robbins, & Roberts, Reference Walker, Mikheenko, Argyle, Robbins and Roberts2006), although associations with set-shifting abilities have been equivocal (Logue & Gould, Reference Logue and Gould2014). Given the primacy of 5-HT regulation and EF performance in general, the functional polymorphism in the promoter region of the 5-HT transporter gene (5-HTTLPR) is a plausible candidate for EF, as the short (S) allele is known to convey reduced 5-HT transporter transcription (i.e., lower transporter levels) and subsequently reduced 5-HT reuptake than the long (La) allele (Hu et al., Reference Hu, Lipsky, Zhu, Akhtar, Taubman, Greenberg and Goldman2006). The A>G single nucleotide polymorphism (SNP) has also been identified within the L allele and is functionally similar to the S allele (Hu et al., Reference Hu, Lipsky, Zhu, Akhtar, Taubman, Greenberg and Goldman2006).

Genetic association studies have shown a link between the S allele and increased sensitivity to stress and higher risk for depression (see meta-analysis by Karg, Burmeister, Shedden, & Sen, Reference Karg, Burmeister, Shedden and Sen2011), but better performance on EF (Weikum et al., Reference Weikum, Brain, Chau, Grunau, Boyce, Diamond and Oberlander2013). However, it is unclear whether 5-HTTLPR functionality is specific to any single domain of EF, or whether it is generally associated with EF performance. For example, a meta-analysis of youth with attention-deficit/hyperactivity disorder found an association between the L/L genotype and worse performance on measures of impulsivity, inattention, and working memory (Gizer, Ficks, & Waldman, Reference Gizer, Ficks and Waldman2009). Youth with the L/L genotype performed worse than non-L/L youth on EF tasks when their mothers endorsed high levels of depression symptoms, although they were also better than non-L/L youth on these tasks when their mothers endorsed few depression symptoms (Weikum et al., Reference Weikum, Brain, Chau, Grunau, Boyce, Diamond and Oberlander2013). Adults carrying the L/L genotype performed worse on a tasks of risky decision making and visual planning (Roiser, Rogers, Cook, & Sahakian, Reference Roiser, Rogers, Cook and Sahakian2006), set-shifting (Borg et al., Reference Borg, Henningsson, Saijo, Inoue, Bah, Westberg and Farde2009) and inhibition (Roiser et al., Reference Roiser, Rogers, Cook and Sahakian2006) compared to individuals without this genotype. Taken together, these findings suggest that allelic variation in 5-HTTLPR may also be associated with EF performance (Weikum et al., Reference Weikum, Brain, Chau, Grunau, Boyce, Diamond and Oberlander2013). However, more research is needed to disentangle the possibility of specific 5-HTTLPR effects as they relate to the various dimensions of EF.

Genetic influences for complex phenotypes are also widely believed to act in conjunction with environmental factors (i.e., gene-environment interaction; GxE), whereby genetic influences on a phenotype may be enhanced or attenuated as a function of the environment (or vice versa). An abundance of studies have examined GxE effects involving 5-HTTLPR and harsh or severe parenting, including for depression (Gibb, Uhrlass, Grassia, Benas, & McGeary, Reference Gibb, Uhrlass, Grassia, Benas and McGeary2009; Kaufman et al., Reference Kaufman, Yang, Douglas-Palumberi, Houshyar, Lipschitz, Krystal and Gelernter2004), aggression (Li & Lee, Reference Li and Lee2010; Reif et al., Reference Reif, Rösler, Freitag, Schneider, Eujen, Kissling and Retz2007), and attention-deficit/hyperactivity disorder (Retz et al., Reference Retz, Freitag, Retz-Junginger, Wenzler, Schneider, Kissling and Rösler2008). However, GxE studies for EF have yet to emerge. One particular environmental factor that may moderate the association between 5-HTTLPR and EF is parental supervision (i.e., knowledge of child’s whereabouts, availability). Parental supervision is a critical component of adolescent development, given its association with socioemotional (Li, Berk, & Lee, Reference Li, Berk and Lee2013; Wang, Pomerantz, & Chen, Reference Wang, Pomerantz and Chen2007), behavioral (Clark, Thatcher, & Maisto, Reference Clark, Thatcher and Maisto2005; Dishion & McMahon, Reference Dishion and McMahon1998), and academic achievement (e.g., Li, Walker, & Armstrong, Reference Li, Walker and Armstrong2014; Soenens, Vansteenkiste, Luyckx, & Goossens, Reference Soenens, Vansteenkiste, Luyckx and Goossens2006) outcomes. The extant literature on parental supervision and adolescent cognitive and academic achievement has been mixed, as although some studies have found an association between higher parental supervision and better performance (e.g., Rankin & Quane, 2002), others have found null or inverse associations with performance (e.g., Li et al., Reference Li, Walker and Armstrong2014; Weiss & Schwarz, Reference Weiss and Schwarz1996). Despite evidence suggesting a role of parenting on the development of EF and related phenotypes, studies regarding the potential interplay of 5-HTTLPR genotype and EF are lacking.

The aims of this study were to elucidate the latent architecture of EF and to investigate the interplay of 5-HTTLPR and parental supervision on EF in adolescents. A hierarchical three-factor structure for EF was predicted, characterized by dimensions corresponding to those reported by previous studies (i.e., inhibition, working memory, and set-shifting; Friedman et al., Reference Friedman, Miyake, Young, DeFries, Corley and Hewitt2008; Miyake et al., Reference Miyake, Friedman, Rettinger, Shah and Hegarty2001), as a well as a higher-order general factor that would account for the covariation among the dimensions. Youth exposed to low parental supervision were predicted to have worse EF performance compared to youth reporting comparably higher parental supervision. In line with recent GxE findings (e.g., Weikum et al., Reference Weikum, Brain, Chau, Grunau, Boyce, Diamond and Oberlander2013), it was also predicted that individuals carrying the L/L genotype would be more sensitive to environmental influences, such that youth carrying the L/L genotype would perform worse on EF in the presence of poor parental supervision compared to youth with the S/S or S/L genotypes.

Method

Participants

Adolescent participants (N=142; ages 12–15 years) were recruited from the Pittsburgh area. All participants were a representative sample stratified by year of birth, sex, and race-ethnicity. Among these participants, genotype data were available for 116. All descriptive data can also be found in Table 1. Adolescents were identified through a neighborhood-based targeted random dialing telephone procedure. Successfully contacted families were screened for eligibility by staff at the University Center for Social and Urban Research (UCSUR) at the University of Pittsburgh. Eligible participants and their parents completed informed consent, a psychological assessment, and DNA collection. Written informed consent was obtained in person from a parent and assent from the adolescent before conducting any of the study procedures. The study protocol was approved by the university’s Institutional Review Board.

Table 1. Demographic information and D-KEFS mean scores by 5-HTTLPR genotype

Note. Categorical variables were compared using Pearson’s chi-squared tests, continuous variables were compared using an independent samples t-test; VF=Verbal Fluency; CW=Color-Word.

* Genotypic information was not available on the full sample (n=116 out of 142).

Genotyping

We extracted DNA from saliva using a mouthwash protocol (King et al., Reference King, Satia-Abouta, Thornquist, Bigler, Patterson, Kristal and White2002). Samples were subjected to whole genome amplification using the genomiphi protocol (Dean et al., Reference Dean, Hosono, Fang, Wu, Faruqi, Bray-Ward and Lasken2002), quantified by the PicoGreen protocol, and diluted to 40 ng/μL for storage. A polymerase chain reaction protocol followed by double restriction endonuclease digestion was used to identify the 5-HTTLPR and rs25531 variants: S, La, and Lg (Wendland, Martin, Kruse, Lesch, & Murphy, Reference Wendland, Martin, Kruse, Lesch and Murphy2006). The primer sequences were: (forward) 5’-TCCTCCGCTTTGGCGCCTCTTCC-3’, and (reverse) 5’-TGGGGGTTGCAGGGGAGATCCTG-3’. The L allele was subtyped for rs25531. The A>G SNP of rs25531 was concurrently detected by digesting the amplified fragments with MspI (New England Biolabs, Beverly, MA), where the A>G substitution creates an additional MspI site. Amplification products were simultaneously resolved by electrophoresis on 3.5% agarose gels. The La variant (528 bp) has approximately three times the basal activity of the S promoter (484 bp) with the deletion (Lesch et al., 1996).

The genotype distribution for the available sample was: S/S (16.4%; n=19), S/Lg (10.3%; n=12), Lg/Lg (1.7%; n=2), (12.1%; n=14) S/La (35.3%; n=41), and La/La (24.1%; n=28). Because the rare Lg and S allele are functionally equivalent, we combined the rs24431 SNP and 5-HTTLPR polymorphism so that the variable had three levels: (1) “S/S,” which includes S/S and S/Lg genotypes, (2) “S/L,” which includes S/La and Lg/La genotypes, and (3) “L/L,” which includes the La/La genotype. Following empirical precedent (Greenberg et al., Reference Greenberg, Tolliver, Huang, Li, Bengel and Murphy1999; Little et al., Reference Little, McLaughlin, Zhang, Livermore, Dalack, McFinton and Cook1998), we dummy coded 5-HTTLPR genotype where individuals carrying at least one copy of the low transcription alleles (i.e., S/S and S/L) were coded 0 and individuals carrying zero low transcription alleles (i.e., L/L) were coded 1. Genotype frequencies did not deviate significantly from Hardy-Weinberg equilibrium (χ2=.17; df=1).

Measures

Delis-Kaplan Executive Function System (D-KEFS; Delis, Kaplan, & Kramer, Reference Delis, Kaplan and Kramer2001). The D-KEFS is a standardized neuropsychological assessment protocol with excellent psychometric properties. We used eight subtests of the D-KEFS: (1) Trail Making (attention, conceptual flexibility), (2) Verbal Fluency (processing speed, lexical organization), (3) Design Fluency (nonverbal processing speed), (4) Color-Word Interference (response inhibition, conceptual flexibility), (5), Sorting (conceptual flexibility), (6) Twenty Questions (deductive reasoning, working memory), (7) Word Context (deductive reasoning, conceptual flexibility, working memory), and (8) Tower (planning). Each test is described in greater detail in the D-KEFS manual (Delis et al., Reference Delis, Kaplan and Kramer2001). In line with previous studies and empirical precedent (i.e., Delis et al., Reference Delis, Kaplan and Kramer2001; Latzman & Markon, Reference Latzman and Markon2010), we used the D-KEFS Total Achievement Scaled scores (i.e., mean=10; SD=2) for our analyses. Means, standard deviations and effect sizes are presented in Table 1.

Loeber Youth Questionnaire, Supervision Subscale (LYQ; Jacob, Moser, Windle, Loeber, & Stouthamer-Loeber, Reference Jacob, Moser, Windle, Loeber and Stouthamer-Loeber2000). The 58-item LYQ was completed by the adolescent. We used the supervision subscale, which consists of four items including (1) whether parents know where and (2) with whom he/she is with when away from home, (3) when he/she will return, and (4) whether he/she would be able to contact the parents when the parents are away from home. Adolescents responded to these questions by selecting the frequency of these items: “almost never,” “sometimes,” “almost always,” and “does not apply.” Psychometric properties of the LYQ have been described elsewhere (Loeber, Farrington, Stouthamer-Loeber, & Van Kammen, Reference Loeber, Farrington, Stouthamer-Loeber and Van Kammen1998). The internal consistency (Cronbach’s alpha) of the scale in the current sample was adequate (.71).

Statistical Analyses

Analyses were conducted in Mplus 6.11 (Muthén & Muthén, 2010) using the full sample (N=142). In the first step, we established the optimal factor structure for the D-KEFS by conducting an exploratory factor analysis (EFA) with correlated factors (i.e., oblimin rotation) on the full correlation matrix using maximum likelihood estimation (see Satorra, Reference Satorra2003). A scree plot was examined for visual inspection of the best fitting factor structure. The Bayesian Information Criterion (BIC) was used to assess goodness-of-fit from models comprising of one to eight factors. In step 2, we fit a bifactor model using the best fitting factor model from the EFA. The bifactor model allows each item to have a positive loading on the general trait (which is assumed to underlie all items) as well as loadings on one or more “group” factors, which is assumed to be more conceptually narrow (Reise, Morizot, & Hays, Reference Reise, Morizot and Hays2007). Factor scores were derived based on the results of the bifactor model. In the final step, we conducted a hierarchical linear regression using the available genotypic sample (n=116) to model: (1) main effects of parental supervision and 5-HTTLPR genotype and (2) main effects plus the interaction of 5-HTTLPR genotype and parental supervision for bifactor-derived EF variables. In all models, child age, sex (1=male, 2=female), self-reported race-ethnicity (1=European-American, 2=African-American, 3=other), and parental education (1=GED, 2=partial college, 3=college graduate, 4=partial graduate school, 5=masters level degree, 6=doctoral level degree) were controlled.

Results

Factor Analysis and Factor Score Derivation

Factor loadings for the best fitting EFA model are shown in Table 2. Comparison of the BIC values for one through eight factor models indicated that the three-factor model was optimal (i.e., smallest BIC value). Results of the scree plot also suggested that the three factor solution provided the best fit to the data (i.e., based on number of factors with eigenvalues >1) (table and figure are available upon request). Our findings are almost entirely consistent with those reported by Latzman and Markon (Reference Latzman and Markon2010) among their 8- to 19-year-old subgroup. The Sorting tests, including Free Sort Correct (.96), Free Sort Description (.99), and Sort Recognition (.70), uniformly loaded onto a single dimension, which was labeled as “conceptual flexibility,” because these tests require flexibility in thinking and behavior, manipulation of both verbal and nonverbal processes, and the ability to initiate problem solving, among other abilities (Greve, Farrell, Besson, & Crouch, Reference Greve, Farrell, Besson and Crouch1995; Latzman & Markon, Reference Latzman and Markon2010). The second factor consisted of high factor loadings contributed by Trail Making (.63), Verbal Fluency Category Fluency (.42), Design Fluency (.56), Color-Word Inhibition (.74), and Color-Word Inhibition/Switching (.79). This domain was labeled “inhibition,” given that these tasks measure the ability to inhibit overlearned responses across a variety of visual-motor tasks (Latzman & Markon, Reference Latzman and Markon2010). Finally, the third factor was represented by two tasks: Verbal Fluency Category Switching (.99) and Verbal Fluency Accuracy (.78). In contrast to Latzman and Markon (Reference Latzman and Markon2010), factor loadings for Verbal Fluency Letter (−.04) and Category Fluency (.26) did not significantly load onto this dimension. We labeled this factor “fluency.”

Table 2. Factor analysis of D-KEFS

Note. EFA=exploratory factor analysis; g=general factor; VF=Verbal Fluency; CW=Color-Word.

Next, we fit a three-factor bifactor model, with the purpose of determining whether the D-KEFS tests could be represented by a single general factor, whereas each subdomain (i.e., conceptual flexibility, inhibition, and fluency) could be represented by unique group factors. Factor loadings from the bifactor analysis are shown in Table 2 and graphically represented in Figure 1. Factor loadings on the general factor were consistently high (i.e.,>.40) for most subtests of the D-KEFS, with the exceptions of Verbal Fluency Letter (.28), Category (.31), Twenty Questions (.29), and Tower (.19). As expected, factor loadings on the three group factors were relatively consistent with the three-factor EFA solution, although two subtests no longer loaded highly onto the inhibition domain: Verbal Fluency Category (.27) and Design Fluency (.38). The general factor accounted for 38% of the explained variance, whereas the conceptual flexibility, inhibition, and fluency group factors accounted for 24, 15, and 23% of the remaining variance, respectively. These findings indicate that a general factor is a significant contributor to subtest scores on the D-KEFS. Factor scores for the EF general factor, conceptual flexibility, inhibition and fluency were derived based on these results.

Fig. 1 Bifactor model and factor loadings. Factor loadings above >.40 are shown. TRA=Trail Making; VFL=Verbal Fluency Letters; VFC=Verbal Fluency Category; VFS=Verbal Fluency Switching; VFA=Verbal Fluency Accuracy; DES=Design Fluency; CWI=Color-Word Inhibition; CWS=Color-Word Switching; SCO=Sorting Correct; SDE=Sorting Description; SRE=Sorting Recognition; TWQ=Twenty Questions; WOC=Word Context; TOW=Tower.

Gene-Environment Interaction

The bifactor solution was used to regress the general factor and the group factors on 5-HTTLPR genotype, parental supervision, and their interaction within hierarchical linear regression models. In all models, race-ethnicity, sex, parental education, and child age were statistically controlled. Parameter estimates from these models are presented in Table 3. In the main effects models, we found a significant main effect for 5-HTTLPR L/L genotype (B=−.55; SE=.27; p=.05), but not for parental supervision (B=.15; SE=.14; p=.31) on the EF general factor. Specifically, individuals with the L/L genotype had lower scores on the EF general factor. No main effects for 5-HTTLPR or parental supervision were detected for conceptual flexibility, inhibition, or fluency. In the final (interaction) models, we detected a significant interactive effect of 5-HTTLPR and parental supervision for conceptual flexibility (B=−1.18; SE=.45; p<.01) (Figure 2). Post hoc analyses indicated that parental supervision was significantly associated with conceptual flexibility among carriers of the L/L genotype (B=.94; SE=.34; p<.01), but not among S/S or S/L individuals (B=−.18; SE=.30; p=.59). We then examined regions of significance using the Johnson-Neyman method (Preacher, Curran, & Bauer, Reference Preacher, Curran and Bauer2006), revealing that conceptual flexibility scores did not differ between L/L versus S/L and S/S genotype groups at parental supervision Z-scores greater than −1.51. In other words, despite the association with conceptual flexibility as a function of increasing parental supervision, the L/L genotype group had significantly lower scores on conceptual flexibility at very low self-reported levels of parental supervision compared to the S/L and S/S groups. No significant 5-HTTLPR by parental supervision interactions emerged for the general EF factor (B=−.38; SE=.25; p=.14) or inhibition (B=−.04; SE=.14; p=.78), although a marginally significant interaction effect was found for fluency (B=1.00; SE=.57; p=.08).

Fig. 2 5-HTTLPR genotype×parental supervision interaction.

Table 3. Hierarchical regression parameter estimates

Note. Covariates are not presented in the table but were modeled in both steps.

Discussion

As hypothesized, three factors of EF emerged that reflected domains related to conceptual flexibility, inhibition, and fluency. The covariation between EF factors was associated with a single general factor, evidence that EF may be comprised of both unitary and disparate components. There was a significant main effect of 5-HTTLPR genotype on the general EF factor, such that individuals with the L/L genotype had lower scores on this factor than individuals without this genotype. Additionally, a significant 5-HTTLPR genotype by parental supervision interaction emerged that was specific to conceptual flexibility, even after controlling for race-ethnicity, sex, parental education, and child age. Specifically, youth with the L/L genotype performed worse on conceptual flexibility given very low levels of parental supervision compared to youth with S/S or S/L genotypes.

The factor structure of EF is relatively consistent with previous factor analytic studies (e.g., Latzman & Markon, Reference Latzman and Markon2010; Lee et al., Reference Lee, Bull and Ho2013). During adolescence, distinct factors representing conceptual flexibility, inhibition, and fluency emerged in prior studies, including a general factor that largely accounted for the covariation between these dimensions. However, there is likely to be factorial variance outside of this developmental epoch, particularly in younger children where a two-factor structure has been reported (e.g., Huizinga et al., Reference Huizinga, Dolan and van der Molen2006; van der Sluis, de Jong, & van der Leij, Reference van der Sluis, de Jong and van der Leij2007). Over the course of development, particularly from childhood to young adulthood, different neural circuits and brain regions mature along distinct trajectories (Ernst, 2014); the PFC, in particular, is crucial in regulating EF process and its development typically follows a linear trajectory of maturation as a function of age, such that certain abilities and functions to do not fully come online until adolescence (Ernst, 2014). This may explain why adolescent and adult samples typically converge on three factors of EF, whereas younger samples typically converge on two factors. The PFC may be associated with the general factor of EF, regions within the PFC and other subcortical structures (e.g., striatum, amygdala) may regulate specific dimensions of EF (Ernst, 2014; Monchi, Petrides, Strafella, Worsley, & Doyon, Reference Monchi, Petrides, Strafella, Worsley and Doyon2006; Stuss & Alexander, Reference Stuss and Alexander2000; Taylor et al., Reference Taylor, Welsh, Wager, Luan Phan, Fitzgerald and Gehring2004). Inhibition, conceptual flexibility, and updating were preferentially activated in the posterior regions of the left superior parietal gyrus and right intraparietal sulcus in a neuroimaging study (Collette et al., Reference Collette, Van der Linden, Laureys, Delfiore, Degueldre, Luxen and Salmon2005). Conceptual flexibility was associated with activation in the inferior frontal gyrus (Hirschorn & Thompson-Schill, Reference Hirshorn and Thompson-Schill2006; Periáñez et al., Reference Periáñez, Maestú, Barceló, Fernández, Amo and Ortiz Alonso2004), whereas inhibition was associated with activation of the right orbitofrontal gyrus (Collette et al., Reference Collette, Van der Linden, Laureys, Delfiore, Degueldre, Luxen and Salmon2005).

We found a main effect of 5-HTTLPR genotype on the EF general factor, whereby individuals with the L/L genotype had lower scores on the EF general factor than individuals without this genotype, again suggesting that 5-HT regulation plays a generally important role in EF (Logue & Gould, Reference Logue and Gould2014). Studies have shown an inverse association between the L allele, which is more transcriptionally active in coding 5-HT transporter proteins compared to the S allele, and performance on conceptual flexibility tasks in humans (Borg et al., Reference Borg, Henningsson, Saijo, Inoue, Bah, Westberg and Farde2009; Jedema et al., Reference Jedema, Gianaros, Greer, Kerr, Liu, Higley and Bradberry2010), rodents (Birrell & Brown, Reference Birrell and Brown2000) and nonhuman primates (Clarke, Dalley, Crofts, Robbins, & Roberts, Reference Clarke, Dalley, Crofts, Robbins and Roberts2004; Lapiz-Bluhm et al., Reference Lapiz‐Bluhm, Bondi, Doyen, Rodriguez, Bédard‐Arana and Morilak2008). In addition, dimensions of EF may be influenced by different (and overlapping) neurochemical and genetic pathways in the PFC (Anderson, Northam, Hendy, & Wrenall, Reference Anderson, Northam, Hendy and Wrenall2001; Jurado & Roselli, Reference Jurado and Rosselli2007). Genes associated with dopamine receptors and transporters have been linked to performance in response inhibition (Ghahremani et al., Reference Ghahremani, Lee, Robertson, Tabibnia, Morgan, De Shetler and London2012; Krämer et al., Reference Krämer, Rojo, Schüle, Cunillera, Schöls, Marco-Pallarés and Münte2009) and working memory (Bertolino et al., Reference Bertolino, Blasi, Latorre, Rubino, Rampino, Sinibaldi and Dallapiccola2006; Blanchard, Chamberlain, Roiser, Robbins, & Müller, Reference Blanchard, Chamberlain, Roiser, Robbins and Müller2011). Furthermore, a functional polymorphism in the catechol-O-methyltransferase (COMT) gene was associated with sustained attention and conceptual flexibility (Logue & Gould, Reference Logue and Gould2014). These other genetic pathways, not examined here, also warrant consideration.

Previous genetic association studies on EF have largely ignored the potential contribution of environmental influences. We found that the association of 5-HTTLPR genotype was moderated by parental supervision for conceptual flexibility, but not for fluency or inhibition, and no longer for the EF general factor. Specifically, individuals with the L/L genotype may be more sensitive to parental influences in the context of their cognitive maturation trajectories (Ernst, 2014). Human neuroimaging studies suggest that these associations may be mediated by the distinct neural pathways, whereby environmental stressors may be increase the activation of the amygdala, which in turn relays signals to regulatory circuits in the PFC (see Caspi, Hariri, Holmes, Uher, & Moffitt, Reference Caspi, Hariri, Holmes, Uher and Moffitt2010; Hackman, Farah, & Meaney, Reference Hackman, Farah and Meaney2010). However, the fact that the L allele conveyed increased sensitivity to parental supervision for conceptual flexibility is in contrast to the prevailing GxE literature for 5-HTTLPR and psychopathology, which consistently show that S allele carriers are more sensitive to environmental influences for internalizing and externalizing phenotypes than individuals carrying the L allele (Gibb et al., Reference Gibb, Uhrlass, Grassia, Benas and McGeary2009; Kaufman et al., Reference Kaufman, Yang, Douglas-Palumberi, Houshyar, Lipschitz, Krystal and Gelernter2004; Li & Lee, Reference Li and Lee2010; Reif et al., Reference Reif, Rösler, Freitag, Schneider, Eujen, Kissling and Retz2007; Retz et al., Reference Retz, Freitag, Retz-Junginger, Wenzler, Schneider, Kissling and Rösler2008). One explanation is that certain genes are known to be pleiotropic (i.e., genes that effect multiple traits; Chesler et al., Reference Chesler, Lu, Shou, Qu, Gu, Wang and Williams2005) and their associations may differ depending on the phenotype. For example, the Val/Met polymorphism in the COMT gene was differentially associated with emotion-regulation versus cognitive phenotypes (Mier, Kirsch, & Meyer-Lindenberg, Reference Mier, Kirsch and Meyer-Lindenberg2010). Similarly, there may also be functional variation in 5-HTTLPR with respect to emotion versus cognition, such that S allele homozygotes performed better on cognitive tasks but were more vulnerable to depression and anxiety than L allele carriers (Gizer et al., Reference Gizer, Ficks and Waldman2009; Wiekum et al., Reference Weikum, Brain, Chau, Grunau, Boyce, Diamond and Oberlander2013). Allelic functionality may also diverge depending on the environment (Borg et al., Reference Borg, Henningsson, Saijo, Inoue, Bah, Westberg and Farde2009), where certain genotypes that were previously believed to confer risk in an adverse environment may also be simultaneously beneficial in the context of an enriched or supportive environment (Belsky & Pluess, Reference Belsky and Pluess2009). The phenotypic and genetic complexity of EF warrants additional study, as different genetic and environmental influences may be at play for specific dimensions of EF.

Although parental supervision has been well-studied across a variety of developmental phenotypes, including delinquency (Murray & Farrington, Reference Murray and Farrington2010) and substance use (Bogenschneider, Wu, Raffaelli, & Tsay, Reference Bogenschneider, Wu, Raffaelli and Tsay1998; Clark et al., Reference Clark, Thatcher and Maisto2004, Reference Clark, Thatcher and Maisto2005, Reference Clark, Kirisci, Mezzich and Chung2008), few studies have focused on parental supervision in the context of EF development. Previous empirical and meta-analytic studies have produced mixed results for parental supervision and academic achievement (Li et al., Reference Li, Walker and Armstrong2014; Stattin & Kerr, Reference Stattin and Kerr2000; Weiss & Schwarz, Reference Weiss and Schwarz1996;), which is robustly related to EF abilities (Best, Miller, & Naglieri, Reference Best, Miller and Naglieri2011; Clark, Prior, & Kinsella, Reference Clark, Prior and Kinsella2002). It is possible that the inconsistency in the literature is due to the relevance of parental influences on EF, which has been understudied. In addition, our findings suggest that parental influences continue to play a crucial role in the development of EF beyond childhood, which is in line with developmental theories (Galambos, Barker, & Almeida, Reference Galambos, Barker and Almeida2003; Steinberg & Silk, Reference Steinberg and Silk2002). Future studies should explore the association between EF development during adolescence and other aspects of parenting, including support, warmth, and involvement, given previous work showing that these factors are associated with socioemotional and brain development in young children (Conger, Ge, Elder, Lorenz, & Simons, Reference Conger, Ge, Elder, Lorenz and Simons1994; Tucker-Drob & Harden, Reference Tucker‐Drob and Harden2012).

Several study limitations should be noted. First, our investigation focused on a single aspect of parenting (i.e., parental supervision). Although the importance of parental supervision in relation to adolescent outcomes is well-established, other dimensions of parenting, such as parental warmth, support, and involvement, have also been shown to be associated with EF development in younger populations (Hughes & Ensor, Reference Hughes and Ensor2009) and may be relevant to cognitive development in adolescents as well. Second, cultural factors may have played a role in the GxE. Although race-ethnicity was statistically controlled in our analyses, 5-HTTLPR alleles may be nonrandomly distributed by race and ethnicity in much larger populations and may have affected the genetic associations in our study (Gelernter, Cubells, Kidd, Pakstis, & Kidd, Reference Gelernter, Cubells, Kidd, Pakstis and Kidd1999). Racial-ethnic differences may also have influenced the magnitude of the association between parental supervision and EF, as one study found that parental supervision was inversely related to academic achievement among Asian Americans students but not with Caucasian students (Mau, Reference Mau1997). Thus, racial-ethnic issues may be important to address in larger samples. Third, like most candidate gene studies, our sample was underpowered to detect genetic main effects. Genome-wide association studies (GWAS) of psychiatric and behavioral phenotypes have established that individual SNPs convey very small effects individually and account for only a fraction of the overall variance in the phenotype (Plomin, Haworth, & Davis, Reference Plomin, Haworth and Davis2009). Indeed, variation in 5-HTTLPR genotype may exert only a small effect on conceptual flexibility and EF in general; other genes may potentially be identified using GWAS, which have yet to be conducted for EF. We await future studies of EF that will use more powerful approaches for gene identification. Fourth, our study of EF was limited to measures assessed by the D-KEFS. This precluded us from investigating other salient aspects of EF, such as those that involve decision-making and risk-taking (i.e., “hot” EF; Kerr & Zelazo, 2004). These functions have been implicated in the orbitofrontal cortex (Kerr & Zelazo, 2004), a region in the brain that is also sensitive to variations in 5-HT and environmental stimuli (Kalin et al., Reference Kalin, Shelton, Fox, Rogers, Oakes and Davidson2008). Additionally, a wider array of measures for EF may potentially uncover a more heterogeneous factor structure for EF than we derived. Finally, the data presented in the current investigation were not assessed longitudinally. Previous longitudinal investigations of EF have established variability in the factor structure of EF as a function of age (Huizinga et al., Reference Huizinga, Dolan and van der Molen2006; Lee et al., Reference Lee, Bull and Ho2013; Prencipe et al., Reference Prencipe, Kesek, Cohen, Lamm, Lewis and Zelazo2011; Zelazo et al., Reference Zelazo, Craik and Booth2004). Using longitudinal strategies, such as latent growth curve modeling or structural equation modeling, may allow researchers to examine how genetic influences predict phenotypic patterns over time, while taking into account individual differences in initial status and trajectories. Longitudinal approaches should be prioritized in future investigations of EF.

The current study characterized the latent structure of EF in a typically developing adolescent population with evidence that 5-HTTLPR genotype interacted with parental supervision in the prediction of conceptual flexibility. Our findings illustrate the utility of using a latent variable framework in the study of complex phenotypes and suggest that the dimensions of EF may be characterized by different genetic and environment pathways. Furthermore, we anticipate that integrated models of EF that incorporate genetic and environmental influences may potentially facilitate the development and implementation of targeted interventions. There is emerging evidence that 5-HTTLPR genotype may confer differential sensitivity to parenting behaviors, such that genetically susceptible individuals may develop simultaneously better and worse outcomes in the context of positive and negative parenting conditions, respectively (Hankin et al., Reference Hankin, Nederhof, Oppenheimer, Jenness, Young, Abela and Oldehinkel2011; Li et al., Reference Li, Berk and Lee2013). Future studies that incorporate gene-environment models may potentially identify populations that are not only at greater risk for developing negative outcomes, but may also benefit the most from interventions (Jaffee & Price, Reference Jaffee and Price2007; Brody, Beach, Philibert, Chen, & Murry, Reference Brody, Beach, Philibert, Chen and Murry2009).

Acknowledgments

This work was supported by the National Institute on Alcohol Abuse and Alcoholism (R01 AA014357, K02AA018195, R21AA017128, R01AA13397, U01AA021690), National Institute on Drug Abuse (P50 DA005605) and the Commonwealth of Pennsylvania (PA-HEAL SPH00010). The first author (J.J.L.) was supported by the National Institute of Mental Health (T32MH20030-14). The authors disclose no conflicts of interest.

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Figure 0

Table 1. Demographic information and D-KEFS mean scores by 5-HTTLPR genotype

Figure 1

Table 2. Factor analysis of D-KEFS

Figure 2

Fig. 1 Bifactor model and factor loadings. Factor loadings above >.40 are shown. TRA=Trail Making; VFL=Verbal Fluency Letters; VFC=Verbal Fluency Category; VFS=Verbal Fluency Switching; VFA=Verbal Fluency Accuracy; DES=Design Fluency; CWI=Color-Word Inhibition; CWS=Color-Word Switching; SCO=Sorting Correct; SDE=Sorting Description; SRE=Sorting Recognition; TWQ=Twenty Questions; WOC=Word Context; TOW=Tower.

Figure 3

Fig. 2 5-HTTLPR genotype×parental supervision interaction.

Figure 4

Table 3. Hierarchical regression parameter estimates