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一种量化对内源性卵巢激素情感敏感性的新方法。

A novel method for quantifying affective sensitivity to endogenous ovarian hormones.

作者信息

Andersen Elizabeth H, Nagpal Anisha, Eisenlohr-Moul Tory A, Gordon Jennifer L

机构信息

Department of Psychiatry, Faculty of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.

出版信息

Psychoneuroendocrinology. 2024 Sep;167:107095. doi: 10.1016/j.psyneuen.2024.107095. Epub 2024 Jun 6.

DOI:10.1016/j.psyneuen.2024.107095
PMID:38896987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11960723/
Abstract

Increased sensitivity to ovarian hormone changes is implicated in the etiology of reproductive mood disorders across the female lifespan, including menstrually-related mood disorders, perinatal mood disorders, and perimenopausal depression. Developing a method to accurately quantify sensitivity to endogenous hormone fluctuations may therefore facilitate the prediction and prevention of these mental health conditions. Here, we propose one such method applying a synchrony analysis to compute time-lagged cross-correlations between repeated assessments of endogenous hormone levels and self-reported affect. We apply this method to a dataset containing frequent repeated assessments of affective symptoms and the urinary metabolites of estradiol (E2) and progesterone (P4) in 94 perimenopausal females. These preliminary findings suggest that, with further refinement and validation, the proposed method holds promise as a diagnostic tool to be used in clinical practice and to advance research investigating the etiology of reproductive mood disorders.

摘要

对卵巢激素变化的敏感性增加与女性一生中生殖情绪障碍的病因有关,包括与月经相关的情绪障碍、围产期情绪障碍和围绝经期抑郁症。因此,开发一种准确量化对内源性激素波动敏感性的方法可能有助于预测和预防这些心理健康状况。在这里,我们提出了一种这样的方法,应用同步分析来计算内源性激素水平的重复评估与自我报告的情绪之间的时间滞后互相关。我们将此方法应用于一个数据集,该数据集包含对94名围绝经期女性的情感症状以及雌二醇(E2)和孕酮(P4)的尿液代谢物的频繁重复评估。这些初步结果表明,经过进一步完善和验证,所提出的方法有望成为一种用于临床实践的诊断工具,并推动对生殖情绪障碍病因的研究。

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本文引用的文献

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Validation of urinary reproductive hormone measurements using a novel smartphone connected reader.利用新型智能手机连接读取器对尿液生殖激素测量进行验证。
Sci Rep. 2023 Jun 7;13(1):9227. doi: 10.1038/s41598-023-36539-w.
2
At-home urine estrone-3-glucuronide quantification predicts oocyte retrieval outcomes comparably with serum estradiol.在家进行尿雌酮-3-葡萄糖醛酸苷定量检测预测卵母细胞取卵结果与血清雌二醇相当。
F S Rep. 2023 Jan 28;4(1):43-48. doi: 10.1016/j.xfre.2023.01.006. eCollection 2023 Mar.
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Effects of acute estradiol and progesterone on perimenstrual exacerbation of suicidal ideation and related symptoms: a crossover randomized controlled trial.
雌二醇和孕酮对经前期自杀意念及相关症状恶化的影响:一项交叉随机对照试验。
Transl Psychiatry. 2022 Dec 30;12(1):528. doi: 10.1038/s41398-022-02294-1.
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Premenstrual exacerbation of mental health disorders: a systematic review of prospective studies.经前心理健康障碍的加重:前瞻性研究的系统评价
Arch Womens Ment Health. 2022 Oct;25(5):831-852. doi: 10.1007/s00737-022-01246-4. Epub 2022 Jul 22.
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Methods for characterizing ovarian and adrenal hormone variability and mood relationships in peripubertal females.描述青春期前女性卵巢和肾上腺激素变化与情绪关系的方法。
Psychoneuroendocrinology. 2022 Jul;141:105747. doi: 10.1016/j.psyneuen.2022.105747. Epub 2022 Mar 25.
6
The role of estradiol fluctuation in the pathophysiology of perimenopausal depression: A hypothesis paper.绝经期抑郁症发病生理机制中雌二醇波动的作用:假说论文。
Psychoneuroendocrinology. 2021 Nov;133:105418. doi: 10.1016/j.psyneuen.2021.105418. Epub 2021 Sep 13.
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Connectivity and Neuronal Synchrony during Seizures.发作期间的连通性和神经元同步
J Neurosci. 2021 Sep 8;41(36):7623-7635. doi: 10.1523/JNEUROSCI.0669-21.2021. Epub 2021 Jul 29.
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Endocrine and psychosocial moderators of mindfulness-based stress reduction for the prevention of perimenopausal depressive symptoms: A randomized controlled trial.基于正念减压的预防围绝经期抑郁症状的内分泌和心理社会调节因素:一项随机对照试验。
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10
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Psychol Med. 2021 Jul;51(10):1733-1741. doi: 10.1017/S0033291720000483. Epub 2020 Mar 11.