在法医精神病学范围内的诊断访谈之外,是否存在创伤后应激障碍的遗传标记?

Sertaç Ak, Lale Şatıroğlu Tufan, Esen Ağaoğu, Ebru Turgut Şenel, Şeref Can Gürel, Aysun Balseven Odabaşı, Gürol Cantürk
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引用次数: 0

摘要

研究目的本研究旨在调查两个候选多态性对改善法医精神病学环境中创伤后应激障碍(PTSD)诊断的作用:方法:研究对象包括因交通事故后出现创伤后应激障碍症状而到我科就诊的患者。对照组由经历过类似事故但没有任何症状的人组成。对患者和对照组应用社会人口学数据表、汉密尔顿抑郁量表和焦虑敏感指数-3(ASI 3),并调查 RORA 基因 rs8042149 多态等位基因和 rs717947 多态等位基因(4p15)的频率:结果:共纳入 103 人(54 例病例,49 例对照)。各组之间的多态性比率没有差异。教育水平越高,创伤后应激障碍的发病率越低,而 ASI 社会分量表的得分越高,创伤后应激障碍的发病率越高:结论:所评估的多态性无助于区分当前样本中的群体。ASI-3社交分量表在预测创伤后应激障碍发生率方面的潜力应在纵向设计中进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Candidate Genetic Markers for Post Traumatic Stress Disorder Within the Scope of Forensic Psychiatry

Objective: This study was conducted to investigate the role of two candidate polymorphisms to improve the diagnosis of Post-Traumatic StressDisorder (PTSD) in forensic psychiatry settings.

Methods: Individuals who applied to our unit with PTSD symptoms following a traffic accident were included. The control group consisted of people who had experienced a similar accident without any symptoms. Sociodemographic data-form, Hamilton Depression Rating Scale and Anxiety Sensitivity Index-3 (ASI 3) were applied to the patients and controls, and the frequencies of the rs8042149 polymorphic allele of the RORA gene and the rs717947 polymorphic allele (4p15) were investigated.

Results: A total of 103 people were included (54 case, 49 control). The rates of polymorphisms were not different between the groups. Higher education levels were associated with lower PTSD incidence while higher scores in the Social Subscale of ASI strongly predicted the occurrence of PTSD.

Conclusion: The polymorphisms assessed did not help to differentiate the groups in the current sample. The potential of the Social Subscale of ASI-3 in predicting the occurrence of PTSD following a trauma should be evaluated in a longitudinal design.

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