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白细胞介素 6 浓度较高——可能是重度抑郁症与儿童期虐待之间的联系。

Higher concentration of interleukin 6 - A possible link between major depressive disorder and childhood abuse.

机构信息

Institute of Mental Health, Belgrade, Serbia.

Institute of Mental Health, Belgrade, Serbia; Department of Psychiatry, School of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Psychiatry Res. 2018 Jun;264:26-30. doi: 10.1016/j.psychres.2018.03.072. Epub 2018 Mar 28.

Abstract

Little is known about the correlation between IL-6 and childhood abuse and neglect which may be risk factors for the development of affective disorders in adulthood. The aim of this study was to analyze differences in serum concentrations of IL-6 between patients with major depressive disorder and healthy controls, and to investigate possible correlations with adverse childhood experiences. Peripheral venous blood samples were obtained from 64 patients who fulfilled DSM-IV-R criteria for a current major depressive episode without psychotic symptoms (MDD) and 53 healthy controls, matched for age and gender. Participants were assessed by the Beck Depression Inventory (BDI), Childhood Trauma Questionnaire (CTQ), Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS). The concentration of IL-6 was significantly higher in patients with major depressive disorder compared to healthy controls. The total score of childhood trauma questionnaire highly statistically significantly correlated with IL-6 levels in patient group. Persons who were physically abused, physically neglected and emotionally abused had higher levels of IL-6. Interleukin 6 as a pro-inflammatory immune marker could be an important developmental mediator linking physical and emotional abuse in early life with the development of depressive disorder in adulthood.

摘要

目前对于白细胞介素 6(IL-6)与儿童期虐待和忽视之间的相关性知之甚少,而后者可能是成年后患情感障碍的风险因素。本研究旨在分析患有重性抑郁症患者与健康对照组之间血清 IL-6 浓度的差异,并探讨其与不良童年经历之间的可能相关性。采集 64 名符合 DSM-IV-R 标准的当前无精神病性症状的重性抑郁发作(MDD)患者和 53 名年龄和性别相匹配的健康对照组的外周静脉血样。采用贝克抑郁量表(BDI)、童年创伤问卷(CTQ)、汉密尔顿抑郁量表(HDRS)和汉密尔顿焦虑量表(HARS)对参与者进行评估。与健康对照组相比,重性抑郁症患者的 IL-6 浓度显著升高。在患者组中,童年创伤问卷的总分与 IL-6 水平高度显著相关。遭受身体虐待、身体忽视和情感虐待的人 IL-6 水平更高。作为促炎免疫标志物的白细胞介素 6 可能是一个重要的发育性中介物,将生命早期的身体和情感虐待与成年后抑郁障碍的发展联系起来。

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