Kaynar Tuba Bilbay, Karayağmurlu Ali, Uncu Gökçe Sultan, Vural Pervin, Soylu Nusret
Department of Child and Adolescent Psychiatry, Mus State Hospital, Muş, Turkey.
Department of Child and Adolescent Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Noro Psikiyatr Ars. 2024 Aug 9;67(3):221-227. doi: 10.29399/npa.28345. eCollection 2024.
It has been suggested that inhibin B (InhB), Anti-Müllerian hormone (Müllerian-inhibiting substance, AMH) levels, and 2D/4D finger length ratios are related to sex differences in neurodevelopmental disorders. The aim of this study is to investigate the role of InhB, AMH levels, and 2D/4D finger length ratios in male children with specific learning disorder (SLD).
The study included 38 male children diagnosed with SLD and 38 males of similar ages without SLD as the control group. Tests used in the evaluation were the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version, Specific learning disorder clinical observation battery, Wechsler Intelligence Scale for Children-Revised (WISC-R), and Conners' Parent Rating Scale.
Short Form. Serum AMH, InhB, and Testosterone levels were measured using an enzyme-linked immunosorbent assay.
Male children diagnosed with SLD demonstrated significantly higher levels of serum InhB compared to controls (t= 2.59 p=0.009); both groups had similar levels of serum testosterone and AMH. The 2D/4D finger ratios in the SLD group were found to be lower than those in the control group (t= 2.92 p= 0.005). Serum InhB levels were positively correlated with WISC-R verbal scores (p= 0.003).
Our findings suggest that serum InhB levels and the 2D/4D ratio, which is an indicator of prenatal testosterone exposure, may play a role in the male predominance of SLD.
有人提出,抑制素B(InhB)、抗苗勒管激素(苗勒管抑制物质,AMH)水平以及2D/4D指长比与神经发育障碍中的性别差异有关。本研究的目的是探讨InhB、AMH水平和2D/4D指长比在患有特定学习障碍(SLD)的男性儿童中的作用。
该研究纳入了38名被诊断为SLD的男性儿童和38名年龄相仿、无SLD的男性作为对照组。评估中使用的测试包括《儿童情感障碍和精神分裂症量表-学龄儿童版(目前和终生)》、特定学习障碍临床观察量表、韦氏儿童智力量表修订版(WISC-R)和康纳斯父母评定量表。
简表。采用酶联免疫吸附测定法测量血清AMH、InhB和睾酮水平。
与对照组相比,被诊断为SLD的男性儿童血清InhB水平显著更高(t=2.59,p=0.009);两组的血清睾酮和AMH水平相似。发现SLD组的2D/4D指比低于对照组(t=2.92,p=0.005)。血清InhB水平与WISC-R语言分数呈正相关(p=0.003)。
我们的研究结果表明,血清InhB水平和作为产前睾酮暴露指标的2D/4D比值可能在SLD的男性优势中起作用。