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惊恐障碍患者血浆催产素与临床及激素参数的相关性

Correlations of plasma oxytocin with clinical and hormonal parameters in panic disorder.

作者信息

Masdrakis Vasilios G, Papageorgiou Charalambos, Markianos Manolis

机构信息

First Department of Psychiatry, School of Medicine, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Nord J Psychiatry. 2023 Apr;77(3):221-226. doi: 10.1080/08039488.2022.2083675. Epub 2022 Jun 17.

Abstract

AIMS

The potential association between oxytocin (OXT) plasma levels and clinical and hormonal parameters in panic disorder (PD) especially in its acute phase - has not been investigated as yet. This was the aim of this article.

METHOD

Twenty-four consecutively-referred, acutely-ill, medication-free PD patients with (PDA,  = 21) or without agoraphobia, moreover without comorbidities, completed the following clinical measures: Hamilton Anxiety Rating Scale (HARS); Agoraphobic Cognitions Questionnaire (ACQ); Mobility Inventory-Alone subscale (MI-alone); and number of panic attacks during last 21 d (PA21d). Plasma levels of OXT, adrenocorticotropic hormone (ACTH) and cortisol were evaluated.

RESULTS

OXT levels were significantly, negatively associated with the HARS scores (= -0.59 =.002) and weakly, negatively correlated with the ACQ scores ( = -0.403 =.051). No significant correlations were traced between OXT levels and PA21d, MI-alone, ACTH, and cortisol.

CONCLUSION

In acutely-ill, medication-free PD patients, OXT plasma levels may be relevant to the severity of their 'general' anxiety symptoms, but not to the 'specific' panic psychopathology.

摘要

目的

目前尚未研究过恐慌症(PD)尤其是急性期患者血浆中催产素(OXT)水平与临床及激素参数之间的潜在关联。本文旨在对此进行研究。

方法

连续纳入24例急性发病、未服用药物的PD患者,其中伴有广场恐惧症(PDA,n = 21)或不伴有广场恐惧症,且无合并症,完成以下临床测量:汉密尔顿焦虑量表(HARS);广场恐惧症认知问卷(ACQ);活动量表-独自分量表(MI-独自);以及过去21天内的恐慌发作次数(PA21d)。评估血浆中OXT、促肾上腺皮质激素(ACTH)和皮质醇的水平。

结果

OXT水平与HARS评分显著负相关(r = -0.59,P = 0.002),与ACQ评分呈弱负相关(r = -0.403,P = 0.051)。OXT水平与PA21d、MI-独自、ACTH和皮质醇之间未发现显著相关性。

结论

在急性发病、未服用药物的PD患者中,血浆OXT水平可能与“一般性”焦虑症状的严重程度相关,但与“特异性”恐慌心理病理学无关。

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