- Demontis, Ditte;
- Walters, Raymond K;
- Rajagopal, Veera M;
- Waldman, Irwin D;
- Grove, Jakob;
- Als, Thomas D;
- Dalsgaard, Søren;
- Ribasés, Marta;
- Bybjerg-Grauholm, Jonas;
- Bækvad-Hansen, Maria;
- Werge, Thomas;
- Nordentoft, Merete;
- Mors, Ole;
- Mortensen, Preben Bo;
- Cormand, Bru;
- Hougaard, David M;
- Neale, Benjamin M;
- Franke, Barbara;
- Faraone, Stephen V;
- Børglum, Anders D
Attention-Deficit/Hyperactivity Disorder (ADHD) is a childhood psychiatric disorder often comorbid with disruptive behavior disorders (DBDs). Here, we report a GWAS meta-analysis of ADHD comorbid with DBDs (ADHD + DBDs) including 3802 cases and 31,305 controls. We identify three genome-wide significant loci on chromosomes 1, 7, and 11. A meta-analysis including a Chinese cohort supports that the locus on chromosome 11 is a strong risk locus for ADHD + DBDs across European and Chinese ancestries (rs7118422, P = 3.15×10-10, OR = 1.17). We find a higher SNP heritability for ADHD + DBDs (h2SNP = 0.34) when compared to ADHD without DBDs (h2SNP = 0.20), high genetic correlations between ADHD + DBDs and aggressive (rg = 0.81) and anti-social behaviors (rg = 0.82), and an increased burden (polygenic score) of variants associated with ADHD and aggression in ADHD + DBDs compared to ADHD without DBDs. Our results suggest an increased load of common risk variants in ADHD + DBDs compared to ADHD without DBDs, which in part can be explained by variants associated with aggressive behavior.