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Genetic and environmental contributions to the link between synaesthesia and neurodevelopmental and psychiatric features: a twin study
Center of Neurodevelopmental Disorders at Karolinska Institutet (KIND), Department of Women’s and Children’s Health, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden; Swedish Collegium for Advanced Study, Uppsala, Sweden.
Tilburg School of Humanities and Digital Sciences, Department of Communication and Cognition, Tilburg University, Tilburg, the Netherlands; Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Gillberg Neuropsychiatry Centre, University of Gothenburg, Gothenburg, Sweden.
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2025 (English)In: Translational Psychiatry, E-ISSN 2158-3188, Vol. 15, no 1, article id 240Article in journal (Refereed) Published
Abstract [en]

Synaesthesia is a sensory phenomenon where specific inputs such as written letters or tastes automatically trigger additional sensations (for instance colours). The phenomenon is more common in people on the autism spectrum compared to the general population and seems also to be associated with other neurodevelopmental and psychiatric conditions and features. We assessed the associations between self-reported synaesthesia and eight psychiatric / neurodevelopment features in 18-year-old twins and estimated the genetic and environmental contributions to these associations using classical twin modelling. All of the neurodevelopmental / psychiatric features (related to autism, ADHD, obsessive-compulsive disorder, anxiety, depression, psychotic-like experiences, eating disorders, and (hypo-)mania) correlated positively with self-reported synaesthesia. The strongest association was found with obsessive-compulsive features (r = 0.28). Genetic factors explained more than 50% of most these associations. Environmental factors that are not shared by twins (non-shared environment) influenced the associations to different degrees, while the influence of environmental factors that are shared by twins was estimated to be negligible. Rather than being specifically linked to autism, synaesthesia seems to be associated with a wider range of neurodevelopmental / psychiatric features, and especially obsessive-compulsive features. Genetic factors play a predominant role in most of these associations, suggesting that synaesthesia might share part of its genetic causes with several neurodevelopmental / psychiatric conditions.

Place, publisher, year, edition, pages
Springer Nature, 2025. Vol. 15, no 1, article id 240
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Psychiatry
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URN: urn:nbn:se:oru:diva-122580DOI: 10.1038/s41398-025-03444-xISI: 001526615400001PubMedID: 40645923Scopus ID: 2-s2.0-105010599901OAI: oai:DiVA.org:oru-122580DiVA, id: diva2:1986137
Funder
Karolinska InstituteRiksbankens JubileumsfondSwedish Research Council, 2017-00641Available from: 2025-07-30 Created: 2025-07-30 Last updated: 2026-01-23Bibliographically approved

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