Li Zongchang, He Ying, Wang Dong, Tang Jingsong, Chen Xiaogang
Mental Health Institute of the Second Xiangya Hospital, Central South University, Chinese National Clinical Research Center on Mental Disorders (Xiangya), Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China; The State Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan 410078, China.
Mental Health Institute of the Second Xiangya Hospital, Central South University, Chinese National Clinical Research Center on Mental Disorders (Xiangya), Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China.
J Psychiatr Res. 2017 Oct;93:64-71. doi: 10.1016/j.jpsychires.2017.06.002. Epub 2017 Jun 3.
Childhood trauma has long-term sequelae on health status and contributes to numbers of somatic and mental disorders in later life. Findings from experimental studies in animals suggest that telomere erosion may be a mediator of this relationship. However, results from human studies are heterogeneous. To address these inconsistencies, we performed a meta-analysis regarding the association between childhood trauma and telomere length in adulthood.
Articles were identified by systematically searching the Medline, EMBASE and Web of Science databases. Twenty four studies, which include twenty six sample sets and 30,919 participants, met the inclusion criteria for meta-analyses.
This meta-analyses revealed that individuals experienced childhood trauma have accelerated telomere erosion in adulthood, with a small effect size (r = -0.05, 95% CI = -0.08-0.03, p < 0.001). Subgroup analyses by type of childhood trauma revealed a trend in difference between groups (Q = 5.24, p = 0.07). Analyses for individual trauma types revealed a significant association between childhood separation and telomere erosion (r = -0.09, p < 0.001), but not for physical abuse, sexual abuse and loss of a parent.
This meta-analysis demonstrated a significant association between childhood trauma and accelerated telomere erosion in adulthood, and further revealed that different trauma types have various impacts on telomere. Additional research on the mechanism that links the individual types of childhood trauma with telomere is needed in the future.
童年创伤对健康状况有长期影响,并会导致成年后出现多种躯体和精神障碍。动物实验研究结果表明,端粒缩短可能是这种关系的一个介导因素。然而,人类研究的结果并不一致。为了解决这些矛盾之处,我们对童年创伤与成年后端粒长度之间的关联进行了一项荟萃分析。
通过系统检索Medline、EMBASE和科学引文索引数据库来识别文章。24项研究符合荟萃分析的纳入标准,这些研究包括26个样本集和30919名参与者。
该荟萃分析显示,经历过童年创伤的个体在成年后端粒缩短加速,效应量较小(r = -0.05,95%置信区间 = -0.08 - 0.03,p < 0.001)。按童年创伤类型进行的亚组分析显示,各组之间存在差异趋势(Q = 5.24,p = 0.07)。对个体创伤类型的分析显示,童年时期与亲人分离和端粒缩短之间存在显著关联(r = -0.09,p < 0.001),但身体虐待、性虐待和父母一方去世则不然。
该荟萃分析表明,童年创伤与成年后端粒加速缩短之间存在显著关联,并进一步揭示了不同类型的创伤对端粒有不同影响。未来需要对将童年创伤的个体类型与端粒联系起来的机制进行更多研究。