Clinical Neuroscience and Psychopharmacology Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, United States.
Psychiatry Res. 2010 Jul 30;178(2):443-5. doi: 10.1016/j.psychres.2010.03.018. Epub 2010 May 18.
Previous study suggests a role for post-synaptic alpha(2)-noradrenergic receptor sensitivity in irritability and/or aggression and impulsivity. In this study, we conducted intravenous challenges with the alpha(2)-noradrenergic agonist, clonidine, to assess the relationship between measures of impulsive aggression and post-synaptic alpha(2)-noradrenergic receptor sensitivity in human subjects. Subjects included 38 individuals with personality disorder and 28 healthy volunteer controls. Measures included the Irritability score and the Total Assault score from the Buss-Durkee Hostility Inventory (BDHI), Aggression score from Life History of Aggression (LHA) assessment, and Impulsivity scores from the Barratt Impulsivity Scale (BIS-11) and Eysenck Personality Questionnaire-II (EPQ-II). The Log of Peak DeltaGH[CLON] response was used as the index of post-synaptic alpha(2)-noradrenergic receptor sensitivity. No significant correlations were found between the Log of Peak DeltaGH[CLON] response and any measure used in this study. Unlike a previous investigation, this study provides little support for a role of post-synaptic alpha(2)-noradrenergic receptor sensitivity in aggression in healthy or personality disordered subjects.
先前的研究表明,突触后α2-去甲肾上腺素能受体敏感性在易激惹和/或攻击性和冲动性中起作用。在这项研究中,我们对α2-去甲肾上腺素能激动剂可乐定进行了静脉挑战,以评估冲动性攻击的测量值与人类受试者突触后α2-去甲肾上腺素能受体敏感性之间的关系。受试者包括 38 名人格障碍患者和 28 名健康志愿者对照。测量包括 Buss-Durkee 敌意量表(BDHI)中的易怒评分和总攻击评分、生活史攻击性评估中的攻击性评分、Barratt 冲动量表(BIS-11)和艾森克人格问卷-II(EPQ-II)中的冲动评分。Log Peak DeltaGH[CLON]反应被用作突触后α2-去甲肾上腺素能受体敏感性的指标。Log Peak DeltaGH[CLON]反应与本研究中使用的任何测量值之间均无显著相关性。与之前的研究不同,这项研究几乎没有为突触后α2-去甲肾上腺素能受体敏感性在健康或人格障碍受试者的攻击性中的作用提供支持。