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社会环境对老年人孤独感的影响:CRHR1 多态性的调节作用。

Influence of social environment on loneliness in older adults: Moderation by polymorphism in the CRHR1.

机构信息

Department of Asian & Policy Studies, The Hong Kong Institute of Education, Hong Kong, SAR.

Department of Psychology, University of Chicago, Chicago, IL.

出版信息

Am J Geriatr Psychiatry. 2014 May;22(5):510-8. doi: 10.1016/j.jagp.2012.11.002. Epub 2013 Apr 6.

DOI:10.1016/j.jagp.2012.11.002
PMID:23933425
Abstract

OBJECTIVE

Both adverse social environments and genetic factors contribute to loneliness in old age. Mixed findings between older adults' social relations with their children and their levels of loneliness suggested that a gene × social environment interaction may be operating. We examine whether the effects of infrequent contact with children and low levels of perceived social support from children on loneliness in older adults are moderated by two candidate single nucleotide polymorphisms (i.e., rs1876831 and rs242938) in the corticotrophin releasing hormone receptor 1 (CRHR1) gene.

DESIGN

This was a longitudinal observational study.

SETTING

and

PARTICIPANTS

A population-based sub-sample of 1,374 community-dwelling older adults aged 65 years and older was examined from both the 2003-2004 and 2006-2007 English Longitudinal Study of Aging assessments.

MEASUREMENTS

Our main outcome measure is loneliness, which was assessed by four items extracted from the ULCA loneliness scale.

RESULTS

Compared with older adults carrying the CT/TT genotypes, individuals homozygous for the C allele of rs1876831 reported higher levels of loneliness in the context of infrequent social contact with children and lower levels of perceived social support from children. No gene × social environment interactions were found for loneliness between rs242938 and an adverse social environment related to children.

CONCLUSIONS

This study provides the first evidence in humans that the CRHR1 gene interacts with exposure to a negative social environment to predict loneliness in older adults.

摘要

目的

负面的社会环境和遗传因素都会导致老年人感到孤独。老年人与子女的社会关系与其孤独感之间的关系存在混合结果,这表明可能存在基因与社会环境的相互作用。我们研究了两个候选单核苷酸多态性(即 rs1876831 和 rs242938)在促肾上腺皮质激素释放激素受体 1(CRHR1)基因中,是否调节了与子女接触不频繁和子女感知社会支持程度低对老年人孤独感的影响。

设计

这是一项纵向观察性研究。

地点和参与者

从 2003-2004 年和 2006-2007 年英国老龄化纵向研究的评估中,对 1374 名年龄在 65 岁及以上的、基于人群的社区居住老年人进行了抽样。

测量

我们的主要结局指标是孤独感,它是通过 ULCA 孤独量表中的四个项目来评估的。

结果

与携带 CT/TT 基因型的老年人相比,rs1876831 中 C 等位基因纯合的个体在与子女社会接触不频繁和子女感知社会支持程度较低的情况下,报告的孤独感水平更高。rs242938 与与子女有关的负面社会环境之间的孤独感没有发现基因与社会环境的相互作用。

结论

本研究首次在人类中提供了证据,表明 CRHR1 基因与暴露于负面社会环境相互作用,可预测老年人的孤独感。

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