Szarmach Joanna, Cubała Wiesław-Jerzy, Landowski Jerzy, Chrzanowska Anna
Department of Psychiatry, Medical University of Gdańsk, Gdańsk, Poland.
Radiometer Sp. z o.o., Warsaw, Poland.
J Clin Exp Dent. 2017 Apr 1;9(4):e527-e530. doi: 10.4317/jced.53631. eCollection 2017 Apr.
Salivary α-amylase (sAA) activity alternations are observed in major depressive disorder (MDD) being associated with depression severity and its specific psychopathological dimensions with anxiety being attributed to distress. No data is available on sAA in MDD according to Hamilton Rating Scale for Depression (HAMD-17) and State-Trait Anxiety Inventory (STAI). The exploratory study examines whether and to what extent baseline sAA level is interrelated to the psychopathological features including severity of symptoms and specific psychopathological dimensions.
The basal, non-stimulated sAA activity was studied in 20 non-late-life adult, treatment-naïve MDD patients with short-illness-duration and in 20 age- and sex-matched healthy controls along with psychometric assessments with Hamilton Rating Scale for Depression (HAMD-17) and Spielberger State-Trait Anxiety Inventory (STAI).
Significantly lower (=0.011) sAA activity was observed in MDD as compared to controls. No significant correlations were observed between sAA activity and the total HAMD-17 score as well as with regard to the specific core depression, insomnia, anxiety and somatic HAM-D psychopathological dimensions. No significant correlations were also found between sAA and STAIX-1 and STAIX-2 scores.
Low baseline sAA levels in MDD with no correlations between sAA and psychopathological features including severity of symptoms and specific psychopathological dimensions was found. Salivary alpha-amylase, major depressive disorder, Spielberger State-Trait Anxiety Inventory, Hamilton Rating Scale for Depression.
在重度抑郁症(MDD)中观察到唾液α-淀粉酶(sAA)活性变化,其与抑郁严重程度及其特定的精神病理维度相关,焦虑被认为是由痛苦引起的。目前尚无根据汉密尔顿抑郁量表(HAMD - 17)和状态 - 特质焦虑量表(STAI)对MDD患者sAA的相关数据。本探索性研究旨在检验基线sAA水平是否以及在多大程度上与精神病理特征相关,包括症状严重程度和特定的精神病理维度。
对20例未接受过治疗、病程短的非老年成年MDD患者及20例年龄和性别匹配的健康对照者进行基础非刺激状态下的sAA活性研究,并采用汉密尔顿抑郁量表(HAMD - 17)和斯皮尔伯格状态 - 特质焦虑量表(STAI)进行心理测量评估。
与对照组相比,MDD患者的sAA活性显著降低(=0.011)。未观察到sAA活性与HAMD - 17总分以及特定的核心抑郁、失眠、焦虑和躯体HAM - D精神病理维度之间存在显著相关性。sAA与STAIX - 1和STAIX - 2评分之间也未发现显著相关性。
发现MDD患者基线sAA水平较低,且sAA与包括症状严重程度和特定精神病理维度在内的精神病理特征之间无相关性。唾液α-淀粉酶、重度抑郁症、斯皮尔伯格状态 - 特质焦虑量表、汉密尔顿抑郁量表