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血清脑源性神经营养因子水平与围产期产妇抑郁的关系:综述:“情感障碍的转化神经科学研究”专题编辑,Maria Nobile 医学博士,哲学博士。

Association between serum BDNF levels and maternal perinatal depression: A review: Special Section on "Translational and Neuroscience Studies in Affective Disorders" Section Editor, Maria Nobile MD, PhD.

机构信息

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Neurosciences and Mental Health, Milan, Italy; University of Milan, Department of Pathophysiology and Transplantation, Milan, Italy.

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Neurosciences and Mental Health, Milan, Italy.

出版信息

J Affect Disord. 2020 Jan 15;261:271-276. doi: 10.1016/j.jad.2019.08.007. Epub 2019 Aug 7.

DOI:10.1016/j.jad.2019.08.007
PMID:31416610
Abstract

INTRODUCTION

A large amount of studies demonstrated reduced serum Brain-Derived Neurotrophic Factor (BDNF) levels in stress-related and depressive disorders. However, it is still unclear if a similar deficit in BDNF concentrations might also characterize maternal perinatal depression.

METHODS

We performed a bibliographic search on PUBMED of all the studies investigating the association between maternal BDNF levels and perinatal depression. The inclusion criteria were met by thirteen studies.

RESULTS

Overall, the majority of the studies reported a significant reduction in serum BDNF levels among depressed mothers compared to healthy mothers either during pregnancy or in the postpartum period. Moreover, some studies also demonstrated that the BDNF reduction could be more evident in those depressed mothers with perinatal stressful life events and suicide risk.

LIMITATIONS

BDNF were collected at different time points across the studies. Potential confounding factors, including the clinical characteristics of the samples employed by the original studies, might have influenced the results.

CONCLUSIONS

So far, the evidences suggested the presence of decreased BDNF concentrations in perinatal depressive disorders. However, further studies are needed in order to confirm the role of BDNF in this disorder.

摘要

简介

大量研究表明,与应激相关和抑郁障碍相关的血清脑源性神经营养因子(BDNF)水平降低。然而,BDNF 浓度是否也存在类似的缺陷,也可能是围产期抑郁的特征,目前尚不清楚。

方法

我们在 PUBMED 上对所有研究进行了文献检索,这些研究调查了母体 BDNF 水平与围产期抑郁之间的关系。符合纳入标准的有 13 项研究。

结果

总的来说,大多数研究报告称,与健康母亲相比,抑郁母亲在怀孕期间或产后的血清 BDNF 水平显著降低。此外,一些研究还表明,BDNF 的减少在那些有围产期应激性生活事件和自杀风险的抑郁母亲中更为明显。

局限性

BDNF 是在不同的时间点在研究中收集的。潜在的混杂因素,包括原始研究中使用的样本的临床特征,可能影响了结果。

结论

到目前为止,有证据表明围产期抑郁障碍存在 BDNF 浓度降低。然而,还需要进一步的研究来证实 BDNF 在这种疾病中的作用。

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