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成纤维细胞生长因子 2 与儿童焦虑和抑郁症状有关。

Fibroblast Growth Factor 2 Implicated in Childhood Anxiety and Depression Symptoms.

机构信息

Child Study Center, Yale School of Medicine, New Haven, CT, 06510, USA; Anxiety and Mood Disorders Program, Yale School of Medicine, New Haven, CT, 06510, USA.

Department of Neuroscience, Carleton University, Ottawa, Ontario, K1S 5B6, Canada.

出版信息

J Affect Disord. 2021 Mar 1;282:611-616. doi: 10.1016/j.jad.2020.12.055. Epub 2021 Jan 11.

Abstract

BACKGROUND

Research links fibroblast growth factor 2 (FGF2) to anxiety and depression in rodents and human adults. Our study is the first to examine FGF2 levels in a pediatric population.

METHODS

We assayed serum FGF2 in 163 children with a broad range of anxiety and depressive symptoms; 111 were clinic-referred anxious and depressed children; 52 were non-referred children. We examined associations between FGF2 and anxiety and depression symptoms, and between each of the three facets of behavioral activation (Reward-Responsiveness, Drive, Fun-Seeking) and behavioral avoidance. We used confirmatory factor analysis (CFA) to determine the relative contribution of anxiety and depression indicators and of FGF2 to a latent variable of Anxiety/Depression. We also examined stability of FGF2 levels.

RESULTS

FGF2 levels in clinic-referred children were significantly lower compared with non-referred children. Bivariate correlations and CFA showed negative associations between FGF2 and anxiety, depression and behavioral avoidance. FGF2 levels were positively correlated with the Reward-Responsiveness facet of behavioral activation, implicated in depression. FGF2 levels were stable over six months.

LIMITATIONS

We did not have data on behavioral avoidance and stability of FGF2 in the entire sample.

CONCLUSIONS

Our results implicate FGF2 in anxiety and depression in children, providing an important first step in showing FGF2 may serve as a stable biomarker for these prevalent and impairing problems.

摘要

背景

研究表明成纤维细胞生长因子 2(FGF2)与啮齿动物和成年人类的焦虑和抑郁有关。我们的研究首次在儿科人群中检测了 FGF2 水平。

方法

我们对 163 名患有广泛焦虑和抑郁症状的儿童进行了血清 FGF2 检测;111 名是经临床转诊的焦虑和抑郁儿童;52 名是非转诊儿童。我们检查了 FGF2 与焦虑和抑郁症状之间的关系,以及行为激活的三个方面(奖励反应性、驱力、寻求乐趣)和行为回避之间的关系。我们使用验证性因子分析(CFA)来确定焦虑和抑郁指标以及 FGF2 对焦虑/抑郁潜在变量的相对贡献。我们还检查了 FGF2 水平的稳定性。

结果

与非转诊儿童相比,临床转诊儿童的 FGF2 水平显著降低。双变量相关性和 CFA 显示 FGF2 与焦虑、抑郁和行为回避呈负相关。FGF2 水平与行为激活的奖励反应性方面呈正相关,这与抑郁有关。FGF2 水平在六个月内稳定。

局限性

我们没有关于整个样本中行为回避和 FGF2 稳定性的数据。

结论

我们的研究结果表明 FGF2 与儿童的焦虑和抑郁有关,这是首次表明 FGF2 可能作为这些普遍存在和致残问题的稳定生物标志物的重要一步。

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