[Depression comorbid to ischemic heart disease: a psychometric and molecular-genetic study]
V E Golimbet1, B A Volel2, G I Korovaitseva1
1Mental Health Research Center, Moscow.
Insights
Depression linked to ischemic heart disease (IHD) shows distinct apathy without anxiety or guilt. This psychometric profile correlates with specific genetic markers, including serotonin transporter and receptor genes.
Area of Science:
- Cardiology
- Psychiatry
- Genetics
Background:
- Depression is a common comorbidity in patients with ischemic heart disease (IHD).
- Differentiating depression etiologies in IHD patients is crucial for targeted treatment.
- Psychogenic factors can also precipitate depression in individuals with IHD.
Purpose of the Study:
- To compare the psychometric profiles of depression associated with IHD versus depression caused by other psychogenic factors in IHD patients.
- To identify the molecular-genetic characteristics associated with depression specifically linked to IHD.
Main Methods:
- A cohort of 135 patients with depression comorbid to IHD was analyzed.
- Patients were divided into two groups: depression associated with IHD (n=71) and depression due to other psychogenic factors (n=64).
- Depressive symptoms were assessed using the HAMD-21 scale.
Main Results:
- Patients with IHD-associated depression exhibited a unique psychometric profile characterized by significant apathy.
- This apathy was not accompanied by pronounced hypothymia, guilt, or anxiety, distinguishing them from the other group.
- A specific molecular-genetic correlate was identified, involving alleles S (5-HTTLPR) and G (A-1438G), and genotype ValVal (Val66Met).
Conclusions:
- Depression in the context of IHD presents a distinct psychometric phenotype, primarily marked by apathy.
- This specific depressive profile in IHD patients is associated with a unique combination of genetic variations in serotonin transporter, serotonin receptor type 2A, and brain-derived neurotrophic factor genes.
Objective:
To compare psychometric and molecular-genetic characteristics of depression caused by ischemic heart disease (IHD) and depression in patients with IHD caused by other psychogenic factors.
Material And Methods:
One hundred and thirty-five patients with depression comorbid to ischemic heart disease (IHD) were examined. Depression was associated with IHD in 71 patients (group 1). In 64 patients, depression was caused by other psychogenic factors (group 2). The HAMD-21 scale was used to measure depressive symptoms.
Results And Conclusion:
The comparative analysis of the core symptoms of depression demonstrated that group 1 had a peculiar psychometric profile with marked apathy, which was not accompanied by marked hypothymia, guilt feelings or anxiety, compared to group 2. The molecular-genetic correlate of this profile was found. It included a combination of an allele S (5-HTTLPR) of the serotonin transporter gene, an allele G (A-1438G) of the serotonin receptor type 2A gene and the genotype ValVal (Val66Met) of the brain-derived neurotrophic factor gene.
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