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不良生活事件和精神分裂症-1 基因(DISC1)多态性对精神分裂症急性症状的影响。

Effects of the adverse life events and Disrupted in Schizophrenia-1 (DISC1) gene polymorphisms on acute symptoms of schizophrenia.

机构信息

Department of Psychiatry, Medical Faculty, Gazi University, Ankara, Turkey.

出版信息

DNA Cell Biol. 2013 Feb;32(2):73-80. doi: 10.1089/dna.2012.1894.

Abstract

The aim of this study was to evaluate the effects of traumatic childhood events and recent adverse life events, as well as the Disrupted in Schizophrenia-1 (DISC1) gene polymorphisms on types of last acute symptoms of patients with schizophrenia. Hundred patients with schizophrenia were given the Childhood Trauma Questionnaire, the Social Readjustment Rating Scale, Scale for Assessment of Positive Symptoms (SAPS), Scale for Assessment of Negative Symptoms (SANS), Brief Psychiatric Rating Scale (BPRS), and Calgary Depression Scale for Schizophrenia (CDSS). The patients' and healthy controls' DISC1 gene was evaluated for the -274G>C, c.791G>A, and c.2110A>T polymorphisms. There was no statistically significant difference with regard to the DISC1 gene polymorphisms between patient and healthy control groups. No significant relationship was found between the -274G>C, c.791G>A, and c.2110A>T haplotypes and development of different acute symptoms of schizophrenia. Having a recent stressful life event significantly affected SAPS (95% confidence interval [CI]=-67.547, -21.473; p=0.00) and BPRS-1 scores (95% CI=-51.405, -6.885; p=0.01), whereas emotional abuse at childhood significantly affected SANS scores (95% CI=-37.300, -10.401; p=0.00). This study shows that features of acute symptoms in schizophrenia are not influenced by the polymorphisms on the DISC1 gene, but are influenced by recent adverse life events and emotional abuse at childhood.

摘要

本研究旨在评估创伤性童年事件和近期不良生活事件,以及精神分裂症-1 号基因(DISC1)基因多态性对精神分裂症患者急性症状类型的影响。对 100 名精神分裂症患者进行了童年创伤问卷、社会再适应评定量表、阳性症状评定量表(SAPS)、阴性症状评定量表(SANS)、简明精神病评定量表(BPRS)和精神分裂症卡尔加里抑郁量表(CDSS)评估。对患者和健康对照组的 DISC1 基因进行了-274G>C、c.791G>A 和 c.2110A>T 多态性评估。患者组和健康对照组之间的 DISC1 基因多态性无统计学差异。-274G>C、c.791G>A 和 c.2110A>T 单倍型与精神分裂症不同急性症状的发展之间未发现显著关系。近期有应激性生活事件显著影响 SAPS(95%置信区间[CI]=-67.547,-21.473;p=0.00)和 BPRS-1 评分(95%置信区间[CI]=-51.405,-6.885;p=0.01),而童年期情绪虐待显著影响 SANS 评分(95%置信区间[CI]=-37.300,-10.401;p=0.00)。本研究表明,精神分裂症急性症状的特征不受 DISC1 基因多态性的影响,而是受近期不良生活事件和童年期情绪虐待的影响。

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