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儿童逆境、心理健康和氧化应激:一项初步研究。

Childhood adversity, mental health, and oxidative stress: A pilot study.

机构信息

University of Oregon, Department of Psychology, University of Oregon, Eugene, OR, United States of America.

University of Oregon, College of Education, University of Oregon, Eugene, OR, United States of America.

出版信息

PLoS One. 2019 Apr 26;14(4):e0215085. doi: 10.1371/journal.pone.0215085. eCollection 2019.

Abstract

Childhood adversity is a potent risk factor for mental health conditions via disruptions to stress response systems. Dysregulations in oxidative stress systems have been associated with both childhood adversity and several psychological disorders (e.g., major depressive disorder) in adult populations. However, few studies have examined associations between childhood adversity, oxidative stress, and mental health in pediatric populations. Childhood adversity (Adverse Childhood Events [ACE]), oxidative stress [F2t-isoprostanes (IsoPs)], and mental health pathology were assessed in 50 adolescent females recruited primarily through the Department of Youth Services. Standard ordinary least squares regression models were run co-varying for age, race/ethnicity, adolescent nicotine use, study condition, and parent history of ACEs. Adolescents who reported experiencing four or more ACEs had significantly elevated IsoP levels. Further, internalizing symptom scores across diagnoses were significantly associated with elevated IsoPs, whereas no externalizing symptoms scores, except Attention Deficit Hyperactivity Disorder, were related to altered oxidative stress. Results indicate that IsoPs may be a global marker of childhood adversity and mental health symptomatology, particularly within internalizing symptom domains. A limitation is that body mass index was not collected for this sample. Future studies are needed to replicate and extend these findings in larger, more diverse samples.

摘要

童年逆境是心理健康状况的一个强大风险因素,会破坏压力反应系统。氧化应激系统的失调与童年逆境以及成年人群体中的几种心理障碍(例如,重度抑郁症)有关。然而,很少有研究调查儿童逆境、氧化应激和儿科人群心理健康之间的关联。在通过青年服务部主要招募的 50 名青春期女性中评估了童年逆境(不良童年事件 [ACE])、氧化应激[F2t-异前列腺素(IsoPs)]和心理健康病理。运行了标准普通最小二乘回归模型,同时考虑了年龄、种族/民族、青少年尼古丁使用、研究条件和父母 ACE 病史。报告经历过 4 次或更多 ACE 的青少年 IsoP 水平显著升高。此外,跨诊断的内化症状评分与升高的 IsoPs 显著相关,而除了注意力缺陷多动障碍外,没有外化症状评分与氧化应激改变相关。结果表明,IsoPs 可能是童年逆境和心理健康症状的一个整体标志物,特别是在内化症状领域。一个限制是该样本未收集体重指数。需要进一步的研究来在更大、更多样化的样本中复制和扩展这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac86/6485615/1ca802b97502/pone.0215085.g001.jpg

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