常见的精神障碍和自发性流产或复发性自发性流产的风险:一个双样本的门德尔随机化研究
Yunan He1, Lu Wang1, Ruonan Tang2
1Reproductive Medicine Center, Department of Gynecology and Obstetrics, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China; Clinical Research Center for Reproductive Medicine and Gynecological Endocrine Diseases of Shaanxi Province, Xi'an 710038, China.
Journal of affective disorders
|March 14, 2024
概括
常见的心理健康状况,如焦虑,主要抑郁症 (MDD),双相情感障碍和失眠可能会增加自发流产的风险. 需要进一步的研究来证实这些联系,并探索与复发性自发性流产 (RSA) 的联系.
科学领域:
- 生殖健康 生殖健康
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
背景情况:
- 常见的心理健康障碍与不良妊娠结果 (如流产和复发性自发性流产) 之间的因果关系在很大程度上仍未确定.
- 研究这些关系对于理解与心理健康相关的生殖健康风险至关重要.
研究的目的:
- 采用门德尔的随机化来研究几个常见的精神障碍和自发流产或RSA之间的直接因果关系.
- 识别可能对早期怀孕构成风险的特定心理健康状况.
主要方法:
- 利用大规模的全基因组关联研究 (GWAS) 对欧洲祖先个体的元分析.
- 应用逆方差加权 (IVW) 方法作为主要分析技术.
- 使用MR-Egger和MR-PRESSO统计方法评估异质性和水平形性.
主要成果:
- 在焦虑障碍,主要抑郁障碍 (MDD),双相情感障碍和失眠与自发流产之间发现了显著的因果关系.
- 没有观察到广泛的抑郁症和自发流产之间的显著因果关系.
- 确定五种常见的精神障碍中没有一个与反复性自发性流产 (RSA) 有因果关系.
结论:
- 焦虑障碍,MDD,双相情感障碍和失眠是导致自发流产的潜在因素.
- 强调重视孕妇心理和睡眠健康的重要性.
- 建议未来的研究探索精神障碍对RSA的直接因果关系,特别是无法解释的病例.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Psychological and Sociocultural Causes of Schizophrenia
85
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
85
Disorders of the Female Reproductive System
357
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
357
Meiosis vs. Mitosis
55.5K
Cell division is necessary for growth and reproduction in organisms. Mitosis aids cell growth and development by dividing somatic cells. In contrast, meiosis causes the division of germ cells and plays an essential role in sexual reproduction. Due to their unique functional requirements, mitosis and meiosis differ from each other in multiple aspects.
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
55.5K
Biological Causes of Schizophrenia
57
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
57
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K


