儿童和青少年的阴道中介心率变化和抑郁症 - 一个元分析更新
Luise Baumeister-Lingens1, Roxana Rothe1, Lena Wolff1
1University of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Cologne, Germany.
Journal of affective disorders
|July 12, 2023
概括
阴道活动 (vmHRV) 在抑郁儿童和青少年中较低,支持其作为生物标志物的使用. 然而,vmHRV与此年龄段的抑郁症严重程度没有显著的关联.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
背景情况:
- 抑郁症是全球残疾的主要原因之一.
- 在成年人中,抑郁症与阴道活动 (vmHRV) 的降低有关.
- 以前的合成表明,抑郁症儿童的vmHRV下降,但没有症状关联.
研究的目的:
- 更新以前对儿童和青少年患有抑郁症的vmHRV的元分析.
- 为了检查临床抑郁症与健康年轻人的vmHRV.
- 评估vmHRV与抑郁症严重程度之间的关联.
主要方法:
- 系统的文献搜索,更新先前的审查.
- 包括比较抑郁和非抑郁儿童/青少年vmHRV的研究.
- 包括报告vmHRV和抑郁症严重程度相关性的研究.
主要成果:
- 九项研究 (n=608) 在抑郁的年轻人中发现了较低的静止状态vmHRV (SMD=-0.593).
- 二十一项研究 (n=4224) 没有发现vmHRV与抑郁症严重程度有显著的关联 (r=-0.053).
- 超回归表明性别影响vmHRV与抑郁症严重程度的关系.
结论:
- 抑郁症儿童/青少年的较低vmHRV支持其生物标志物潜力.
- 目前的数据缺乏纵向关联洞察力.
- 观察到高样本异质性.
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