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Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
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Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
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Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
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The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
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缺血性中风与五种精神障碍之间的双向因果关系.

Yingying Ji1, Zhiqiang Du1, Kai Zheng1

  • 1Wuxi Mental Health Center, Nanjing Medical University, Wuxi, China.

Acta psychiatrica Scandinavica
|September 5, 2023
PubMed
概括

遗传分析显示,缺血性中风与抑郁症风险增加之间存在因果关系. 积极的中风干预可以帮助预防抑郁症.

关键词:
焦虑是一种焦虑.抑郁 抑郁症 抑郁症 抑郁症 是一种失眠是因为失眠.缺血性中风 中风精神分裂症是一种精神分裂症.

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科学领域:

  • 神经科学是一个神经科学.
  • 遗传学 遗传学 是一个
  • 精神病学是一个精神病学.

背景情况:

  • 缺血性中风和精神障碍有着复杂的关系.
  • 了解因果方向对于有效治疗至关重要.
  • 遗传方法提供了对双向关联的见解.

研究的目的:

  • 使用遗传数据调查缺血性中风和五种精神障碍之间的双向因果关系.
  • 采用双样本门德尔随机化 (TSMR) 进行强大的因果推理.
  • 为了确定神经和精神疾病之间的潜在遗传联系.

主要方法:

  • 使用全基因组关联研究 (GWAS) 对仪器变量 (IVs) 的数据.
  • 使用逆方差加权 (IVW),加权中位数和MR Egger方法进行TSMR分析.
  • 为了结果验证,进行异质性,性和灵敏性分析.

主要成果:

  • 在缺血性中风和抑郁症之间发现了显著的积极因果关系 (OR=1.002,P=0.023).
  • 在缺血性中风和精神分裂症,双相情感障碍,失眠或焦虑之间没有观察到显著的因果关系.
  • 反向TSMR分析表明,这些精神障碍对缺血性中风没有因果关系.

结论:

  • 在遗传上,缺血性中风与抑郁症的风险增加有关.
  • 这一发现表明,中风管理在缓解抑郁症方面具有潜在的预防作用.
  • 强调在中风治疗中考虑心理健康的重要性,反之亦然.