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血液中不饱和脂肪酸与创伤后应激障碍(PTSD)关联的纵向研究。

A Longitudinal Study of the Association of Blood Unsaturated Fatty Acids With Posttraumatic Stress Disorder (PTSD).

作者信息

Inoue Tomoko, Ogawa Shintaro, Narita Zui, Sekiguchi Masayuki, Asari Yasushi, Kataoka Yuichi, Hattori Jun, Hori Hiroaki, Kim Yoshiharu, Inada Ken

机构信息

Department of Psychiatry, Kitasato University, School of Medicine, Sagamihara, Kanagawa, Japan.

Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.

出版信息

Neuropsychopharmacol Rep. 2025 Mar;45(1):e12522. doi: 10.1002/npr2.12522.

Abstract

AIM

This study aimed to investigate the association between blood fatty acid fractions and posttraumatic stress disorder (PTSD) judgment in individuals who have experienced physical trauma.

METHODS

Patients admitted to the emergency department for trauma, excluding those with brain damage or serious psychiatric disorders, were enrolled. Blood samples were collected on admission, and PTSD symptoms were assessed using a questionnaire 1 and 3 months after the injury. Multiple regression analysis was used to evaluate the association between fatty acids and Posttraumatic Diagnostic Scale severity scores, adjusting for age, sex, the Childhood Trauma Questionnaire (CTQ), and the use of psychotropic medications.

RESULTS

A significant association was observed between certain fatty acids and PTSD judgment. Mann-Whitney U test results revealed that arachidonic acid was associated with PTSD judgment at 1 month and palmitic acid, stearic acid, oleic acid, linoleic acid, linolenic acid, eicosenoic acid, and eicosadiene acid with PTSD judgment at 3 months. Multiple regression analysis revealed that stearic acid, linoleic acid, arachidic acid, docosatetraenoic acid, lignoceric acid, docosahexaenoic acid, and total omega-6 fatty acids (ω6) were associated with PTSD judgment after 1 month after trauma. In contrast, only linoleic acid and total ω6 were associated with PTSD judgment 3 months after trauma.

CONCLUSIONS

This study is the first to enroll patients with general physical trauma and examine the relationship between fatty acids and PTSD. The findings suggest a potential relationship between blood fatty acid fractions and the development of PTSD symptoms in individuals who have experienced physical trauma. However, further research is needed to confirm and expand on these findings.

摘要

目的

本研究旨在调查经历身体创伤的个体血液脂肪酸组分与创伤后应激障碍(PTSD)判断之间的关联。

方法

纳入因创伤入住急诊科的患者,排除脑损伤或严重精神障碍患者。入院时采集血样,并在受伤后1个月和3个月使用问卷评估PTSD症状。采用多元回归分析评估脂肪酸与创伤后诊断量表严重程度评分之间的关联,并对年龄、性别、儿童创伤问卷(CTQ)和精神药物使用情况进行校正。

结果

观察到某些脂肪酸与PTSD判断之间存在显著关联。曼-惠特尼U检验结果显示,花生四烯酸与1个月时的PTSD判断相关,棕榈酸、硬脂酸、油酸、亚油酸、亚麻酸、二十碳烯酸和二十碳二烯酸与3个月时的PTSD判断相关。多元回归分析显示,创伤后1个月,硬脂酸、亚油酸、花生酸、二十二碳四烯酸、木蜡酸、二十二碳六烯酸和总ω-6脂肪酸(ω6)与PTSD判断相关。相比之下,创伤后3个月,只有亚油酸和总ω6与PTSD判断相关。

结论

本研究首次纳入一般身体创伤患者并研究脂肪酸与PTSD之间的关系。研究结果表明,经历身体创伤的个体血液脂肪酸组分与PTSD症状的发生之间可能存在关联。然而,需要进一步研究来证实和扩展这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee7/11833162/9a54c7dc6b8e/NPR2-45-e12522-g001.jpg

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