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女性神经性厌食症患者血小板单胺氧化酶活性降低。

Decreased platelet monoamine oxidase activity in female anorexia nervosa.

作者信息

Díaz-Marsá M, Carrasco J L, Hollander E, César J, Saiz-Ruiz J

机构信息

Department of Psychiatry, Fundación Jiménez Díaz Hospital, Madrid, Spain.

出版信息

Acta Psychiatr Scand. 2000 Mar;101(3):226-30.

PMID:10721871
Abstract

OBJECTIVE

To study if platelet MAO activity, previously described as a serotonergic index, is modified in a sample of pure restrictive anorectic patients.

METHOD

Twenty-five female patients with DSM-IV anorexia nervosa restricting type were studied and compared with 30 healthy female controls. Platelet MAO activity was measured by isotopic methods using C-14 benzylamine. Impulsive personality features were measured with specific rating scales and temperament studied with Cloninger's TCI.

RESULTS

Platelet MAO activity was significantly lower (4.3+2.7 nmol/h/ 108 platelets) in the anorectic patients than in the control group (6.7+2.8) (P<0.01). Platelet MAO was inversely correlated with scores on impulsivity scales and positively correlated with the dimension 'persistence' of Cloninger's TCI.

CONCLUSION

Platelet MAO activity is lowered in a group of patients with anorexia nervosa and might involve some dysfunction in the regulation of impulse control.

摘要

目的

研究在单纯性限制型神经性厌食症患者样本中,先前被描述为血清素能指标的血小板单胺氧化酶(MAO)活性是否发生改变。

方法

对25名患有DSM-IV神经性厌食症限制型的女性患者进行研究,并与30名健康女性对照者进行比较。采用同位素方法使用C-14苄胺测量血小板MAO活性。使用特定评分量表测量冲动性人格特征,并使用克隆宁格的气质性格问卷(TCI)研究气质。

结果

厌食症患者的血小板MAO活性(4.3 + 2.7纳摩尔/小时/10⁸血小板)显著低于对照组(6.7 + 2.8)(P < 0.01)。血小板MAO与冲动性量表得分呈负相关,与克隆宁格TCI的“坚持性”维度呈正相关。

结论

神经性厌食症患者组的血小板MAO活性降低,可能涉及冲动控制调节的某些功能障碍。

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