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I型双相情感障碍患者三代家系研究

Genealogy Study of Three Generations of Patients with Bipolar Mood Disorder Type I.

作者信息

Salehi Bahman, Khoz Sara, Sadeghi Bahman, Amanat Manouchehr, Salehi Mona

机构信息

Department of Psychiatry, Arak University of Medical Sciences, Arak, Iran.

Department of Social Medicine, Arak University of Medical Sciences, Arak, Iran.

出版信息

Indian J Psychol Med. 2017 Jul-Aug;39(4):475-480. doi: 10.4103/IJPSYM.IJPSYM_300_16.

Abstract

INTRODUCTION

The purpose of this research is genealogy examination of three generation of bipolar mood disorder Type I patients.

METHODS

Patients selected using Poisson sampling method from 100 patients with bipolar mood disorder Type I, referring to a psychiatric center of Amir Kabir Hospital of Arak, Iran. Examine issues such as physical ailments, psychological review of living and deceased family members of each patient, drawn family pedigree using pedigree chart, check the relationship of the different pattern of the autosomal dominant and recessive disease, sex-linked dominant and recessive and linked to Y chromosome have been performed on patients. Different methods used in this study are pedigree chart and young mania rating scale and SPSS and Pearson's correlation test for analyzing the data collected.

RESULTS

Among the studied inheritance patterns, the most common inheritance pattern was autosomal recessive. There was a significant relationship between age, number of generation, and inheritance patterns with physical ailments in families of patients with bipolar mood disorder ( < 0.05), but there was no significant association with mental illness ( > 0.05). Furthermore, there was a significant relation between generation and skin, gastrointestinal, ovarian, lung, coronary heart disease, diabetes mellitus, hypertension, Cerebrovascular accident (CVA), hyperlipidemia, cardiomyopathy, hypothyroidism, and kidney disease in patients with bipolar affective disorder Type I ( < 0.05).

CONCLUSION

The results showed that autosomal recessive was the most pattern of inheritance and there is a significant relationship between generation and some physical disorders in patients with bipolar mood disorder Type I.

摘要

引言

本研究的目的是对三代I型双相情感障碍患者进行谱系检查。

方法

采用泊松抽样法从伊朗阿拉克阿米尔卡比尔医院精神病中心的100例I型双相情感障碍患者中选取患者。检查诸如身体疾病等问题,对每位患者的在世和已故家庭成员进行心理评估,使用谱系图绘制家族谱系,检查患者中常染色体显性和隐性疾病、性连锁显性和隐性以及与Y染色体连锁的不同模式之间的关系。本研究中使用的不同方法有谱系图、青年躁狂评定量表、SPSS以及用于分析所收集数据的皮尔逊相关性检验。

结果

在所研究的遗传模式中,最常见的遗传模式是常染色体隐性遗传。双相情感障碍患者家庭中,年龄、代数和遗传模式与身体疾病之间存在显著关系(<0.05),但与精神疾病无显著关联(>0.05)。此外,I型双相情感障碍患者的代数与皮肤、胃肠道、卵巢、肺部、冠心病、糖尿病、高血压、脑血管意外(CVA)、高脂血症、心肌病、甲状腺功能减退和肾脏疾病之间存在显著关系(<0.05)。

结论

结果表明,常染色体隐性遗传是最主要的遗传模式,且I型双相情感障碍患者的代数与某些身体疾病之间存在显著关系。

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