Department of Biopsychology, TU Dresden, Dresden, Germany.
Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland.
World J Biol Psychiatry. 2021 Apr;22(4):288-300. doi: 10.1080/15622975.2020.1795253. Epub 2020 Jul 27.
The association between depressive symptomatology and endogenous testosterone levels is inconclusive. Large inter- and intra-individual testosterone differences suggest point measurements from saliva or serum to be inadequate to map basal testosterone concentrations highlighting the potential for long-term integrated testosterone levels from hair.
Using data from a prospective cohort study, a total of 578 participants (74% female) provided complete data on depressive symptomatology, clinical features, and hair samples for quantification of testosterone concentrations at baseline. Available data of three annual follow-up examinations were used for longitudinal analyses.
Correlation analysis showed in both, men and women, hair testosterone across all the four time points not to be significantly related to depressive symptoms. Examined clinical features were not associated with testosterone levels, except for having a current diagnosis of a psychological disorder, which was associated with reduced testosterone levels in men, but not in women. Acceptable model fit for an autoregressive cross-lagged panel analysis emerged only for the female subsample suggesting inverse cross-relations for the prediction of testosterone by depressive symptomatology and vice versa.
Findings from this study add to the literature by showing no association between long-term integrated testosterone in hair and depressive symptomatology in men and women.
抑郁症状与内源性睾酮水平之间的关系尚无定论。个体内和个体间的睾酮差异很大,这表明唾液或血清中的点测量值不足以描绘基础睾酮浓度,突出了毛发中长期综合睾酮水平的潜力。
使用前瞻性队列研究的数据,共有 578 名参与者(74%为女性)提供了完整的抑郁症状、临床特征和毛发样本数据,以在基线时定量检测睾酮浓度。使用了三次年度随访检查的现有数据进行纵向分析。
相关性分析表明,在男性和女性中,所有四个时间点的毛发睾酮与抑郁症状均无显著相关性。除了当前被诊断为心理障碍外,检查的临床特征与睾酮水平无关,但这仅与男性有关,而与女性无关。仅在女性亚组中出现了可接受的自回归交叉滞后面板分析模型拟合度,表明女性中抑郁症状对睾酮的预测与睾酮对抑郁症状的预测之间存在反向交叉关系。
本研究的结果表明,男性和女性毛发中的长期综合睾酮与抑郁症状之间没有关联,这为文献增添了新内容。