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社区居住老年人血清催产素水平与抑郁状态的关联:一项横断面研究。

Association between serum oxytocin levels and depressive state in community-dwelling older adults: A cross-sectional study.

作者信息

Orihashi Ryuzo, Imamura Yoshiomi, Yamada Shigeto, Monji Akira, Mizoguchi Yoshito

机构信息

School of Nursing, Faculty of Medicine, Oita University Oita Japan.

Department of Psychiatry Faculty of Medicine, Saga University Saga Japan.

出版信息

PCN Rep. 2023 May 25;2(2):e97. doi: 10.1002/pcn5.97. eCollection 2023 Jun.

Abstract

AIM

Identifying peripheral biomarkers related to the prevention or modification of unhealthy mental conditions in older adults would be extremely beneficial. This study aimed to evaluate serum oxytocin levels in older adults living in a rural community and their association with cognitive function, anxiety, depressive state, and well-being.

METHODS

This survey was conducted between November 2016 and September 2017 in Kurokawa-cho, Imari, Saga Prefecture, Japan, among people aged ≥65 years. Blood samples were collected from the participants for serum oxytocin level analysis, which was performed using peptide enzyme immunoassay. Participants underwent neuropsychological assessments, including the Mini-Mental State Examination, Clinical Dementia Rating, Frontal Assessment Battery, State-Trait Anxiety Inventory, 15-item Geriatric Depression Scale, and 17-item Philadelphia Geriatric Center Morale Scale. We examined the association between serum oxytocin levels and neuropsychological assessment results.

RESULTS

Out of 94 participants, 25 were men and 69 were women, with mean ages of 78.24 ± 3.85 years and 78.10 ± 5.43 years, respectively. Serum oxytocin levels were negatively associated with 15-item Geriatric Depression Scale scores. Additionally, nondepressive state/depressive state was classified by the 15-item Geriatric Depression Scale (cut-off 5/6). Logistic regression analysis showed that higher serum oxytocin levels tended to be associated with a less depressive state at that time.

CONCLUSIONS

Serum oxytocin levels may be associated with depressive state in adults aged ≥65 years.

摘要

目的

识别与预防或改善老年人不良心理状况相关的外周生物标志物将非常有益。本研究旨在评估居住在农村社区的老年人血清催产素水平及其与认知功能、焦虑、抑郁状态和幸福感的关联。

方法

2016年11月至2017年9月在日本佐贺县伊万里市黑川町对65岁及以上人群进行了此项调查。采集参与者的血样进行血清催产素水平分析,采用肽酶免疫测定法进行检测。参与者接受了神经心理学评估,包括简易精神状态检查表、临床痴呆评定量表、额叶评估量表、状态-特质焦虑量表、15项老年抑郁量表和17项费城老年中心士气量表。我们研究了血清催产素水平与神经心理学评估结果之间的关联。

结果

94名参与者中,男性25名,女性69名,平均年龄分别为78.24±3.85岁和78.10±5.43岁。血清催产素水平与15项老年抑郁量表得分呈负相关。此外,根据15项老年抑郁量表(临界值5/6)对非抑郁状态/抑郁状态进行分类。逻辑回归分析表明,较高的血清催产素水平当时往往与较低的抑郁状态相关。

结论

血清催产素水平可能与65岁及以上成年人的抑郁状态有关。

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