在抑郁症中,格雷林与在夜间禁食后心情升高有关
Rauda Fahed1, Corinna Schulz1, Johannes Klaus2
1Department of Psychiatry and Psychotherapy, Tübingen Center for Mental Health, University of Tübingen, Tübingen, Germany.
Journal of psychiatric research
|May 17, 2024
概括
较高的乙格林水平与主要抑郁障碍 (MDD) 患者的情绪改善相关,这表明禁食干预和忧郁MDD治疗的潜在益处.
科学领域:
- 神经内分泌学神经内分泌学
- 代谢精神病学 代谢精神病学
背景情况:
- 大型抑郁障碍 (MDD) 有忧郁和非典型等亚型,在食欲和情绪反应等症状上有所不同.
- 改变的能量代谢与MDD有关,但肠道衍生的神经在症状调节中的作用尚不清楚.
研究的目的:
- 调查MDD患者的循环格林水平和情绪/代谢状态之间的关联.
- 探索MDD亚型之间的这些关联中的潜在差异.
主要方法:
- 在52名MDD患者和51名健康对照者 (HCP) 中,在过夜禁食后测量了和脱格林的血水平.
- 参与者通过视觉模拟尺度 (VAS) 和完成的症状问卷 (STAI-T) 报告了情绪和代谢状态.
- 乙格林水平以体重指数 (BMI) 进行了校正.
主要成果:
- 非典型的MDD患者报告的负面影响比忧郁型MDD患者少.
- 较高的乙格林水平 (BMI校正) 与MDD患者的情绪改善有显著的关联.
- 格雷林与情绪的相关性并不特定于某些情绪症状,并且比与负面情感特征的相关性更强.
- 在MDD患者中,格林林水平与增加的饥饿或食欲变化无关.
结论:
- 禁食者表现出 ghrelin 的情绪提升作用,超过了代谢状态相关性.
- 这些发现表明格林在禁食的抗抑郁作用中的作用以及其作为忧郁型MDD补充治疗的潜力.
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