精神疾病与男性和女性不孕不育之间的双向因果关系研究
Xiangyu Chen1, Xuexue Hao1, Lijun Xie1
1Department of Urology, Tianjin Medical University General Hospital, Tianjin, China.
Frontiers in psychiatry
|May 3, 2024
概括
这项研究表明,包括情绪障碍和多动症在内的几种精神障碍与男性不孕症有关. 对于女性来说,神经性厌食症,多动症和严重抑郁症会增加不孕症的风险,而女性不孕症与双相情感障碍有关.
科学领域:
- 遗传学和生殖健康
- 精神病学和流行病学 精神病学和流行病学
背景情况:
- 精神障碍和不孕不育之间的双向关系是复杂的,并未完全理解.
- 以前的研究已经产生了关于与不孕症相关的特定精神障碍的有争议的发现.
研究的目的:
- 使用孟德尔随机化研究15种精神障碍与男性和女性不孕症之间的因果关系.
- 探索精神障碍和不孕不育之间的双向因果关系.
主要方法:
- 利用全基因组关联研究 (GWAS) 对精神障碍,男性不孕症和女性不孕症的数据.
- 采用逆方差加权 (IVW) 方法作为主要的分析方法.
- 使用MR-Egger,Cochran's Q,辐射MR和MR-PRESSO测试进行了敏感性分析,以确保稳定性.
主要成果:
- 情绪障碍和注意力缺陷多动症 (ADHD) 与男性不孕症有积极的相关性.
- 强迫症与男性不孕症有负面关联.
- 神经性厌食症,多动症和严重抑郁症与女性不孕症风险增加有关.
- 女性不孕症与双相情感障碍的发病率增加有关.
结论:
- 在男性和女性中建立了五种特定精神障碍和不孕不育之间的联系.
- 证明了女性不孕不育和患精神疾病风险增加之间的联系.
- 强调需要进一步的流行病学研究来验证这些发现.
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