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遗传关联与潜在创伤事件的韧性和社会支持的优势敏感性。

Genetic associations with resilience to potentially traumatic events and vantage sensitivity to social support.

机构信息

School of Nursing & Health Studies, University of Washington Bothell, Mailing Address: 17927 113th Ave NE, Bothell, WA 98011, USA.

University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

Arch Psychiatr Nurs. 2022 Oct;40:147-157. doi: 10.1016/j.apnu.2022.07.013. Epub 2022 Jul 6.

Abstract

INTRODUCTION

Stress responses and mental health outcomes greatly vary when individuals are exposed to potentially traumatic events (PTEs). The Differential Susceptibility Model (DSM) (Pluess, 2015) suggests individual differences in stress responses are influenced by gene-environment interactions, with genes conferring reactivity. While individuals can be resilient (or vulnerable) to PTEs, they can also have vantage sensitivity (or resistance) to social support. This study examined whether selected genotypes moderated the effect of PTEs and social support on mental health.

METHODS

This cross-sectional candidate gene study included 450 college students (M age = 20.4, 79.3 % women) who provided buccal cells for genotyping and completed measures of psychosocial variables. DNA was genotyped for 12 genetic variants.

RESULTS

Hierarchical regression revealed that the Mental Health Inventory (MHI) was associated with the Trauma History Questionnaire (THQ), rs1800795 in IL-6, and THQ × rs1800795 [R = 0.10, F(3, 418) = 15.68, p < .01]. The MHI was associated with the Social Support Survey (SSS), rs4680 in COMT, and SSS × rs4680 [R = 0.24, F(3, 429) = 44.19, p < .01]. Only THQ and SSS survived multiple testing corrections.

DISCUSSION

Findings partially support the DSM that the G/G genotype of rs1800795 in IL-6 is associated with resilience to PTEs, and the Met/Met genotype of rs4680 in COMT is associated with vantage sensitivity to social support. Limitations include cross-sectional design, limited PTE measurement, small convenience sample, and noncorrection for multiple significance test. Clinicians need to view resilience holistically and understand resilience is associated with psychosocial and genetic factors.

摘要

简介

当个体暴露于潜在创伤性事件 (PTE) 时,应激反应和心理健康结果会有很大差异。差异易感性模型 (DSM)(Pluess,2015)表明,应激反应的个体差异受基因-环境相互作用的影响,基因赋予反应性。虽然个体可以对 PTE 具有弹性(或脆弱性),但他们也可以对社会支持具有优势敏感性(或抵抗力)。本研究检验了选择的基因型是否调节了 PTE 和社会支持对心理健康的影响。

方法

本横断面候选基因研究包括 450 名大学生(平均年龄 20.4 岁,79.3%为女性),他们提供了口腔细胞进行基因分型,并完成了心理社会变量的测量。对 12 个遗传变异进行了 DNA 基因分型。

结果

分层回归显示,心理健康量表 (MHI) 与创伤史问卷 (THQ)、IL-6 中的 rs1800795 以及 THQ×rs1800795 相关 [R=0.10,F(3, 418)=15.68,p<0.01]。MHI 与社会支持调查 (SSS)、COMT 中的 rs4680 以及 SSS×rs4680 相关 [R=0.24,F(3, 429)=44.19,p<0.01]。只有 THQ 和 SSS 经过了多重测试校正。

讨论

研究结果部分支持 DSM,即 IL-6 中的 rs1800795 的 G/G 基因型与 PTE 的弹性相关,而 COMT 中的 rs4680 的 Met/Met 基因型与社会支持的优势敏感性相关。局限性包括横断面设计、有限的 PTE 测量、小的便利样本以及未对多个显著性检验进行校正。临床医生需要全面看待弹性,并理解弹性与心理社会和遗传因素有关。

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