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多巴胺风险及父亲的多动症症状与四岁半男孩的多动症症状相关。

Dopamine risk and paternal ADHD symptomatology associated with ADHD symptoms in four and a half-year-old boys.

作者信息

Auerbach Judith G, Atzaba-Poria Naama, Berger Andrea, Landau Rivka, Arbelle Shoshana, Raz Yael, Ebstein Richard

机构信息

Department of Psychology, Ben-Gurion University, Beer-Sheva, Israel.

出版信息

Psychiatr Genet. 2010 Aug;20(4):160-5. doi: 10.1097/YPG.0b013e32833a1f27.

Abstract

OBJECTIVE

This study examined the influence of allelic variation in two dopamine genes, the dopamine receptor D4 (DRD4) gene and the dopamine transporter D1 (DAT1) gene, and paternal attention-deficit hyperactivity disorder (ADHD) symptomatology on the level of ADHD symptoms in 96 four and a half-year-old boys.

METHOD

DNA was collected by means of a buccal swab and genotyped for DRD4 and DAT1. Mothers completed the Dupaul ADHD checklist on their sons. ADHD symptomatology ratings for fathers were based on a summed father self-reported and spouse-reported symptoms (Conners Adult ADHD Rating Scale).

RESULTS

There were main effects for DAT1 and father symptomatology for the child Total ADHD and Hyperactivity-Impulsivity scores. The main effects for DRD4 were limited to the child Hyperactivity-Impulsivity scores. Child Inattentive scores were influenced only by father symptomatology. Interaction effects between DAT1 and DRD4 and between DAT1 and the father ADHD risk group were found for child Hyperactivity-Impulsivity scores. Boys with the highest level of symptomatology were those with the 10/10 DAT1 genotype and the DRD4-7 genotype or fathers with high symptomatology.

CONCLUSION

The findings of this study indicate that the risk for ADHD, particularly hyperactivity-impulsivity, is exacerbated in the presence of dopamine risk genes and paternal ADHD symptomatology. This study adds to the growing literature on the efficacy of including multiple genetic and environmental risk factors in studies related to the development of psychopathology.

摘要

目的

本研究考察了多巴胺受体D4(DRD4)基因和多巴胺转运体D1(DAT1)基因的等位基因变异以及父亲的注意力缺陷多动障碍(ADHD)症状对96名4岁半男孩ADHD症状水平的影响。

方法

通过口腔拭子收集DNA,并对DRD4和DAT1进行基因分型。母亲们完成了关于儿子的杜保罗ADHD检查表。父亲的ADHD症状评分基于父亲自我报告和配偶报告的症状总和(康纳斯成人ADHD评定量表)。

结果

DAT1和父亲症状对儿童ADHD总分及多动冲动得分有主效应。DRD4的主效应仅限于儿童多动冲动得分。儿童注意力不集中得分仅受父亲症状的影响。在儿童多动冲动得分方面,发现了DAT1与DRD4之间以及DAT1与父亲ADHD风险组之间的交互效应。症状水平最高的男孩是那些具有10/10 DAT1基因型和DRD4 - 7基因型的男孩,或者是父亲症状严重的男孩。

结论

本研究结果表明,在存在多巴胺风险基因和父亲ADHD症状的情况下,ADHD的风险,尤其是多动冲动,会加剧。本研究为越来越多关于在与精神病理学发展相关的研究中纳入多种遗传和环境风险因素的功效的文献增添了内容。

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