Using court-substantiated abuse/neglect cases (N=802 interviewed; 631 genotyped; final analyzed N=409 after excluding ambiguous genotypes), this prospective cohort compared abused/neglected individuals with matched controls followed to ~age 41. Among whites, the abuse effect on violent/antisocial behavior (VASB) was significant only in the low-MAOA group (juvenile beta=.39, p<.001; lifetime beta=.34, p<.01) and absent in the high-MAOA group (beta=.11, ns), with a significant juvenile GxE interaction (beta=-.16, p<.01) and a marginal lifetime interaction (beta=-.11, p=.07)
The non-white null result is the paper's most novel and under-discussed contribution. The authors honestly note effect magnitudes (non-white betas .06/-.01) were smaller than the white effects, arguing against a pure power explanation, and propose that the VNTR may be a poor expression proxy in non-white populations because MAOA-modulating polymorphisms differ in frequency across ancestries
Later meta-analyses confirmed a small but robust interaction for males across eight studies (difference in r \u2248 .17, 95% CI .09\u2013.24) and a 2014 synthesis of 27 studies (>18,400 participants) replicated the male-specific moderation. However, the non-white null was never definitively resolved: the 2007 meta-analysis restricted itself to male nonclinical populations and did not stratify by race.
Strengths: prospective design; court-documented (not retrospectively self-reported) maltreatment; matched controls; blinded interviewers; triangulated outcomes (arrests, self-reports, DIS-III-R diagnoses). Weaknesses: heavy attrition from 1,575 to 409 analyzed (~74% loss); exclusion of X-inactivation-ambiguous females (n=167) disproportionately dropped females, acknowledged by authors; the composite VASB mixes heterogeneous metrics; arrest records may reflect policing bias rather than underlying violence \u2014 which the authors themselves raise as a possible explanation for the racial divergence. The paper pre-dates GWAS-scale rigor and single-locus candidate-gene power considerations, but its honesty about population-specific caveats was unusually prescient.
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