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早期家庭环境、当前逆境、血清素转运体启动子多态性与抑郁症状学

Early family environment, current adversity, the serotonin transporter promoter polymorphism, and depressive symptomatology.

作者信息

Taylor Shelley E, Way Baldwin M, Welch William T, Hilmert Clayton J, Lehman Barbara J, Eisenberger Naomi I

机构信息

Department of Psychology, University of California, Los Angeles, 90095, USA.

出版信息

Biol Psychiatry. 2006 Oct 1;60(7):671-6. doi: 10.1016/j.biopsych.2006.04.019. Epub 2006 Aug 24.

DOI:10.1016/j.biopsych.2006.04.019
PMID:16934775
Abstract

BACKGROUND

Mixed evidence has suggested that homozygous carriers of the short allele (s/s) of the serotonin transporter gene-linked polymorphic region (5-HTTLPR) may be at increased risk for depression, if they have also been exposed to early or current adversity/stress. We address this debate by examining the relation of a stressful early family environment, recent adversity/stress, and the 5-HTTLPR to depressive symptomatology in a normal sample.

METHODS

A nonclinical sample of 118 young adult men and women completed assessments of early family environment, recent stressful events, psychosocial resources, and psychological distress, including depressive symptomatology. The 5-HTTLPR was genotyped using a standard protocol with DNA extracted from oral fluid.

RESULTS

A stressful early family environment was significantly related to depressive symptomatology. In addition, gene-by-environment (GxE) interactions were observed between the 5-HTTLPR and both early family environment and current adversity/stress. Individuals homozygous for the short allele had greater depressive symptomatology if they had experienced early or recent adversity but significantly less depressive symptomatology if they reported a supportive early environment or recent positive experiences, compared with participants with the s/l or l/l genotype.

CONCLUSIONS

Early or current environment, in conjunction with the serotonin transporter polymorphism, predicts depressive symptomatology.

摘要

背景

有混合证据表明,血清素转运体基因连锁多态性区域(5-HTTLPR)短等位基因(s/s)的纯合携带者,如果同时暴露于早期或当前的逆境/压力中,可能患抑郁症的风险会增加。我们通过研究正常样本中早期家庭环境压力、近期逆境/压力以及5-HTTLPR与抑郁症状之间的关系来解决这一争议。

方法

118名年轻成年男女的非临床样本完成了对早期家庭环境、近期应激事件、心理社会资源以及心理困扰(包括抑郁症状)的评估。使用标准方案对从唾液中提取的DNA进行5-HTTLPR基因分型。

结果

早期家庭环境压力与抑郁症状显著相关。此外,观察到5-HTTLPR与早期家庭环境和当前逆境/压力之间存在基因-环境(GxE)相互作用。与s/l或l/l基因型的参与者相比,短等位基因纯合个体如果经历过早期或近期逆境,则抑郁症状更严重,但如果报告有支持性的早期环境或近期积极经历,则抑郁症状明显较轻。

结论

早期或当前环境,结合血清素转运体多态性,可预测抑郁症状。

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