Grah Majda, Mihanović Mate, Svrdlin Pero, Pisk Sandra Vuk, Restek-Petrović Branka
Sveti Ivan Psychiatric Hospital, Zagreb, Croatia.
Coll Antropol. 2010 Dec;34(4):1433-9.
Post-traumatic stress disorder (PTSD) frequently occurs in commorbidity with different mental disorders, including suicidal behaviour. Group of biological factors, including serotonergic system, HPA axis and some genetic factors, are being studied as potential markers, able to differentiate suicidal and non-suicidal behaviour across the group of PTSD patients. This study is examining statistical relation between platelet serotonine concentration and serum cortisole concentration, within the group of PTSD patients with and without attempted suicide, treated at "Sveti Ivan" Psychiatric Hospital in Zagreb. The hypothesis of this study is that periferal biochemical markers are different across the groups of PTSD patients with and without attempted suicide and the group of healthy controls. Our results have shown significantly lower platelet serotonine concentration in PTSD patients with and without suicide behaviour, compared to healthy controls. There are no statistically significant differences of the serum cortisole concentration across observed groups. Our results correspond with those reported by other authors in this area of research, suggesting that platelet serotonine level might be used as potential periferal marker to detect risk of suicidal behaviour in PTSD patients.
创伤后应激障碍(PTSD)常与包括自杀行为在内的不同精神障碍合并出现。包括血清素能系统、下丘脑-垂体-肾上腺(HPA)轴和一些遗传因素在内的一组生物学因素正在作为潜在标志物进行研究,这些标志物能够区分PTSD患者群体中的自杀行为和非自杀行为。本研究正在萨格勒布“圣伊万”精神病院接受治疗的有过自杀未遂和没有自杀未遂的PTSD患者群体中,检验血小板血清素浓度与血清皮质醇浓度之间的统计关系。本研究的假设是,有过自杀未遂和没有自杀未遂的PTSD患者群体与健康对照组的外周生化标志物存在差异。我们的结果显示,与健康对照组相比,有自杀行为和没有自杀行为的PTSD患者的血小板血清素浓度显著降低。各观察组的血清皮质醇浓度没有统计学上的显著差异。我们的结果与该研究领域其他作者报告的结果一致,表明血小板血清素水平可能作为检测PTSD患者自杀行为风险的潜在外周标志物。