Verhoeven Josine E, van Oppen Patricia, Puterman Eli, Elzinga Bernet, Penninx Brenda W J H
From the Department of Psychiatry and EMGO Institute for Health and Care Research (Verhoeven, Oppen, Penninx), VU University Medical Centre, Amsterdam, the Netherlands; Department of Psychiatry (Puterman), School of Medicine, University of California, San Francisco, San Francisco, California; and Institute of Psychology (Elzinga), Leiden University, Leiden, Netherlands & Leiden Institute for Brain and Cognition (LIBC), Leiden, Netherlands.
Psychosom Med. 2015 Oct;77(8):882-91. doi: 10.1097/PSY.0000000000000226.
Chronic exposure to psychosocial stressors is related to worse somatic health. This association applies both to stressors early in life, such as childhood adversities, and more recent life stress, such as stressful life events. This study examined whether accelerated telomere shortening, as an indicator of cellular aging, might be an explanatory mechanism.
We examined whether childhood adversities and recent stressful life events were associated with shorter telomeres in 2936 participants (mean [standard deviation] age = 41.8 [13.1] years, 66% women, 57% current depression) of the Netherlands Study of Depression and Anxiety. Telomeres are specialized nucleic acid-protein complexes at the ends of linear DNA that shorten with age; telomere length (TL) was measured with quantitative polymerase chain reaction.
Childhood life events (β = .004, p = .805) and childhood trauma (β = -.023, p = .205) were not related to shorter TL. However, we found negative associations between recent stressful life events and TL. Persons had shorter telomeres if they reported more stressful life events in the past year (β = -.039, p = .028) and 1 to 5 years ago (β = -.042, p = .018, adjusted for sociodemographics). The relationship between stressful life events and TL became borderline significant when further adjusted for smoking status. No associations with TL were found when stressful life events occurred more than 6 years ago (p > .10).
Results show that recent stressful life events are associated with shorter TL. This association is not observed for psychosocial stressors that occur earlier in life. Whether these results are indicative of physiological resiliency remains to be explored by future longitudinal research.
长期暴露于心理社会压力源与较差的躯体健康状况相关。这种关联既适用于生命早期的压力源,如童年逆境,也适用于近期的生活压力,如应激性生活事件。本研究探讨作为细胞衰老指标的端粒加速缩短是否可能是一种解释机制。
我们在荷兰抑郁与焦虑研究的2936名参与者(平均[标准差]年龄 = 41.8 [13.1]岁,66%为女性,57%目前患有抑郁症)中,研究童年逆境和近期应激性生活事件是否与较短的端粒相关。端粒是线性DNA末端的特殊核酸 - 蛋白质复合物,会随着年龄增长而缩短;端粒长度(TL)通过定量聚合酶链反应进行测量。
童年生活事件(β = 0.004,p = 0.805)和童年创伤(β = -0.023,p = 0.205)与较短的TL无关。然而,我们发现近期应激性生活事件与TL之间存在负相关。在过去一年中报告有更多应激性生活事件的人(β = -0.039,p = 0.028)以及1至5年前报告有更多应激性生活事件的人(β = -0.042,p = 0.018,经社会人口统计学因素调整),其端粒较短。在进一步根据吸烟状况进行调整后,应激性生活事件与TL之间的关系变得接近显著。当应激性生活事件发生在6年多以前时,未发现与TL的关联(p > 0.10)。
结果表明近期应激性生活事件与较短的TL相关。对于生命早期发生的心理社会压力源,未观察到这种关联。这些结果是否表明生理弹性仍有待未来的纵向研究进行探索。