与心脏自主功能障碍相关的精神疾病的多基因风险在未经药物治疗的精神分裂症患者中
Alexander Refisch1, Sergi Papiol2,3, Andy Schumann4
1Department of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, 07743, Jena, Germany. alexander.refisch@med.uni-jena.de.
心脏自主功能障碍 (CADF) 与精神分裂症 (SCZ) 有关. 虽然怀疑是遗传因素,但这项研究发现SCZ多基因风险得分和CADF之间没有直接联系,这表明其他因素也参与其中.
科学领域:
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 心脏自主功能障碍 (CADF),以心率和可变性改变为标志,在精神分裂症 (SCZ) 中普遍存在,并与较高的心血管死亡率有关.
- 遗传因素,生活方式和药物是SCZ中CADF的潜在贡献者,但SCZ遗传风险的作用尚不清楚.
研究的目的:
- 调查精神分裂症的多基因风险评分 (PRS) 与未经药物治疗的SCZ患者和健康对照者的心脏自主功能之间的关联.
主要方法:
- 评估了使用时间/频率域和压缩的心脏自主功能,在83名未经药物治疗的SCZ患者和96名对照中进行了评估.
- 使用SCZ PRS作为预测因素和诊断,年龄,性别,BMI和吸烟状况作为共变量的线性回归模型.
主要成果:
- 在组合样本中,SCZ PRS与平均心率有显著的关联,但在考虑到诊断后,这并不显著.
- 诊断状态显著预测了所有三个CADF参数,解释了平均心率 (16%) 的变异性比SCZ PRS (4%) 更多.
结论:
- 该研究没有发现证据支持SCZ的多基因负担与诊断状态之外的心脏自主功能之间的关联.
- 与精神分裂症相关的其他未测量特征可能会导致心脏自主功能障碍.
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