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抑郁和非抑郁个体中皮质醇与情感状态的时间动态变化。

The temporal dynamics of cortisol and affective states in depressed and non-depressed individuals.

作者信息

Booij Sanne H, Bos Elisabeth H, de Jonge Peter, Oldehinkel Albertine J

机构信息

Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Department of Psychiatry, University of Groningen, University Medical Center Groningen, CC72, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.

出版信息

Psychoneuroendocrinology. 2016 Jul;69:16-25. doi: 10.1016/j.psyneuen.2016.03.012. Epub 2016 Mar 18.

Abstract

OBJECTIVES

Cortisol levels have been related to mood disorders at the group level, but not much is known about how cortisol relates to affective states within individuals over time. We examined the temporal dynamics of cortisol and affective states in depressed and non-depressed individuals in daily life. Specifically, we addressed the direction and timing of the effects, as well as individual differences.

METHODS

Thirty depressed and non-depressed participants (aged 20-50 years) filled out questionnaires regarding their affect and sampled saliva three times a day for 30 days in their natural environment. They were pair-matched on age, gender, smoking behavior and body mass index. The multivariate time series (T=90) of every participant were analyzed using vector autoregressive (VAR) modeling to assess lagged effects of cortisol on affect, and vice versa. Contemporaneous effects were assessed using the residuals of the VAR models. Impulse response function analysis was used to examine the timing of effects.

RESULTS

For 29 out of 30 participants, a VAR model could be constructed. A significant relationship between cortisol and positive or negative affect was found for the majority of the participants, but the direction, sign, and timing of the relationship varied among individuals.

CONCLUSION

This approach proves to be a valuable addition to traditional group designs, because our results showed that daily life fluctuations in cortisol can influence affective states, and vice versa, but not in all individuals and in varying ways. Future studies may examine whether these individual differences relate to susceptibility for or progression of mood disorders.

摘要

目的

在群体水平上,皮质醇水平已被证明与情绪障碍有关,但对于皮质醇如何随时间在个体内部与情感状态相关联,我们所知甚少。我们研究了抑郁症患者和非抑郁症患者在日常生活中皮质醇和情感状态的时间动态变化。具体而言,我们探讨了这种影响的方向和时间,以及个体差异。

方法

30名抑郁症患者和非抑郁症患者(年龄在20 - 50岁之间)在自然环境中填写了关于其情感的问卷,并连续30天每天采集三次唾液样本。他们在年龄、性别、吸烟行为和体重指数方面进行了配对。使用向量自回归(VAR)模型分析每个参与者的多元时间序列(T = 90),以评估皮质醇对情感的滞后影响,反之亦然。使用VAR模型的残差评估同期效应。脉冲响应函数分析用于检验影响的时间。

结果

30名参与者中有29名可以构建VAR模型。大多数参与者的皮质醇与积极或消极情感之间存在显著关系,但这种关系的方向、符号和时间在个体之间各不相同。

结论

这种方法被证明是对传统群体设计的一个有价值的补充,因为我们的结果表明,皮质醇在日常生活中的波动可以影响情感状态,反之亦然,但并非在所有个体中都如此,且方式各异。未来的研究可以探讨这些个体差异是否与情绪障碍的易感性或病情进展有关。

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