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急性应激状态下人类体内的神经肽Y、皮质醇与主观痛苦:既往报告的重复与扩展

Neuropeptide-Y, cortisol, and subjective distress in humans exposed to acute stress: replication and extension of previous report.

作者信息

Morgan Charles A, Rasmusson Ann M, Wang Sheila, Hoyt Gary, Hauger Richard L, Hazlett Gary

机构信息

National Center for PTSD, 116A, VA Connecticut Healthcare Systems, West Haven, Connecticut 06516, USA.

出版信息

Biol Psychiatry. 2002 Jul 15;52(2):136-42. doi: 10.1016/s0006-3223(02)01319-7.

Abstract

BACKGROUND

We previously reported that stress-related release of cortisol and neuropeptide-Y (NPY) were significantly and positively associated in U.S. Army soldiers participating in survival training. Furthermore, greater levels of NPY were observed in individuals exhibiting fewer psychologic symptoms of dissociation during stress. This study tested whether these findings would be replicated in a sample of U.S. Navy personnel participating in survival school training.

METHODS

Psychologic as well as salivary and plasma hormone indices were assessed in 25 active duty personnel before, during, and 24 hours after exposure to U.S. Navy survival school stress.

RESULTS

Cortisol and NPY were significantly and positively associated during stress and 24 hours after stress; NPY and norepinephrine (NE) were significantly and positively related during and 24 hours after stress. There was a significant, negative relationship between psychologic distress and NPY release during stress. Finally, psychologic symptoms of dissociation reported at baseline predicted significantly less NPY release during stress.

CONCLUSIONS

These data replicate our previous studies demonstrating that acute stress elicits NPY release and that this release is positively associated with cortisol and NE release. These data also replicate our previous finding that greater levels of NPY release are associated with less psychologic distress suggesting that NPY confers anxiolytic activity.

摘要

背景

我们之前报道过,在美国陆军士兵参加生存训练期间,与应激相关的皮质醇和神经肽Y(NPY)释放显著正相关。此外,在应激期间表现出较少解离心理症状的个体中观察到更高水平的NPY。本研究测试了这些发现是否会在美国海军人员参加生存学校训练的样本中得到重复。

方法

在25名现役人员暴露于美国海军生存学校应激之前、期间和之后24小时,评估其心理以及唾液和血浆激素指标。

结果

应激期间和应激后24小时,皮质醇和NPY显著正相关;应激期间和应激后24小时,NPY和去甲肾上腺素(NE)显著正相关。应激期间,心理困扰与NPY释放之间存在显著的负相关。最后,基线时报告的解离心理症状预测应激期间NPY释放显著减少。

结论

这些数据重复了我们之前的研究,表明急性应激会引发NPY释放,且这种释放与皮质醇和NE释放正相关。这些数据还重复了我们之前的发现,即更高水平的NPY释放与更少的心理困扰相关,表明NPY具有抗焦虑活性。

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