Research Centre, Military Mental Healthcare, Utrecht, The Netherlands; Brain Center Rudolf Magnus, Department of Psychiatry, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Research Centre, Military Mental Healthcare, Utrecht, The Netherlands; Brain Center Rudolf Magnus, Department of Psychiatry, University Medical Center Utrecht, Utrecht, The Netherlands.
J Psychiatr Res. 2017 Nov;94:88-95. doi: 10.1016/j.jpsychires.2017.06.010. Epub 2017 Jun 28.
In an attempt to decrease the risk of developing mental health problems after military deployment, it is important to find biological markers to identify those at risk. Oxytocin (OT) and arginine vasopressin (AVP) are potential biomarkers for the development of posttraumatic stress disorder (PTSD) because they are involved in the regulation of stress and anxiety. Therefore, the aim was to examine whether plasma OT (pOT) and AVP (pAVP) levels before and after deployment are biomarkers for the development of posttraumatic stress symptoms over time in addition to other known risk factors. This study is part of a large prospective cohort study on candidate markers for stress-related mental health symptoms and resiliency after deployment to a combat zone; Prospective Research in Stress-related Military Operations (PRISMO; N = 907). Data was collected prior to deployment and follow-ups were performed at 1 and 6 months, and 1, 2, and 5 years post-deployment. Blood samples were collected in the first three assessments. The levels of pOT and pAVP were not significantly related to the development of PTSD symptoms over time. The results confirm that age, the experience of early life trauma, combat-related stressors and the presence of depressive symptoms are predictive for the development of PTSD symptoms over time. These findings showed that peripherally measured OT and AVP currently do not qualify as useful susceptibility biomarkers for the development of PTSD symptoms over time in military men after combat.
为了降低军事部署后出现心理健康问题的风险,寻找能够识别风险人群的生物学标志物非常重要。催产素(OT)和血管加压素(AVP)是创伤后应激障碍(PTSD)发展的潜在生物标志物,因为它们参与了应激和焦虑的调节。因此,本研究旨在检验在部署前后的血浆 OT(pOT)和 AVP(pAVP)水平是否是 PTSD 症状随时间发展的生物标志物,除了其他已知的风险因素。这项研究是一项关于候选应激相关心理健康症状和部署到战区后的恢复力标志物的大型前瞻性队列研究的一部分;部署后应激相关军事行动的前瞻性研究(PRISMO;N=907)。在部署前收集数据,并在部署后 1、6 个月以及 1、2 和 5 年进行随访。在前三项评估中采集血样。pOT 和 pAVP 的水平与 PTSD 症状随时间的发展没有显著关系。结果证实,年龄、早期生活创伤经历、与战斗相关的应激源以及抑郁症状的存在是 PTSD 症状随时间发展的预测因素。这些发现表明,外周测量的 OT 和 AVP 目前不能作为在战斗后军人中随时间发展 PTSD 症状的有用易感性生物标志物。