Rogeness G A, Javors M A, Maas J W, Macedo C A
Department of Psychiatry, University of Texas Health Science Center, San Antonio 78284-7792.
J Am Acad Child Adolesc Psychiatry. 1990 Mar;29(2):234-41. doi: 10.1097/00004583-199003000-00012.
Theoretically, noradrenergic (NA) function may be lower in subjects with undersocialized conduct disorder (CDU) and higher in subjects with anxiety/depressive disorder. To test this hypothesis, diagnostic and 24-hour urine catecholamine measures were compared between subjects with plasma dopamine-beta-hydroxylase (D beta H) activities less than 6 mumoles/min/L (low D beta H group) and greater than 15 mumoles/min/L (high D beta H group). Several measures relating to norepinephrine metabolism were lower in the low D beta H group, and the low D beta H group had more diagnoses of CDU and fewer anxiety and depressive disorder diagnoses. Comparisons between clinical and biological measures within each of the D beta H groups were also consistent with the hypothesized relationship between NA function, CDU, and anxiety/depressive disorder.
理论上,社交不足的品行障碍(CDU)患者的去甲肾上腺素能(NA)功能可能较低,而焦虑/抑郁障碍患者的该功能可能较高。为验证这一假设,对血浆多巴胺-β-羟化酶(DβH)活性低于6微摩尔/分钟/升(低DβH组)和高于15微摩尔/分钟/升(高DβH组)的受试者进行了诊断和24小时尿儿茶酚胺测量比较。低DβH组中与去甲肾上腺素代谢相关的多项测量值较低,且低DβH组中CDU的诊断更多,焦虑和抑郁障碍的诊断更少。每个DβH组内临床和生物学测量之间的比较也与NA功能、CDU和焦虑/抑郁障碍之间的假设关系一致。