抑郁的时间与卵巢癌的风险有关
Andrea L Roberts1, Mary K Townsend2,3, Lori B Chibnik4,5
1Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
Journal of the National Cancer Institute
|January 2, 2025
概括
在癌症诊断前长达14年的抑郁症与卵巢癌风险增加有关. 这表明抑郁症可能会在前体病变进展期间促进卵巢癌的发展.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 之前的研究表明,抑郁症与卵巢癌风险之间存在联系.
- 与癌症发展相关的抑郁症的具体时间尚不清楚.
- 这项研究调查了卵巢癌前体病变发展的关键时期的抑郁症.
研究的目的:
- 检查癌症诊断前在不同时间点发生的抑郁症与卵巢癌风险之间的联系.
- 为了确定卵巢癌特定临床前阶段的抑郁是否会影响疾病的发展.
主要方法:
- 利用了来自于1992年至2015年两个前性队伍的数据.
- 分析了癌症诊断前18年发生的抑郁症,每次增加2年.
- 采用了考克斯的比例危险模型,根据人口,健康和行为因素进行调整.
主要成果:
- 在癌症诊断前10年的抑郁症与卵巢癌的风险增加30%有关.
- 在完全调整后,关联仍然显著 (HR=1.27).
- 观察到抑郁症的风险升高至14年前,确定了特定的显著时期 (HR范围为1.20-1.36).
结论:
- 在卵巢癌诊断前长达14年的抑郁症与患卵巢癌的风险增加有关.
- 这种时间关联表明,抑郁症可能在前体病变进展期间起到促进癌症的作用.
- 研究结果强调了心理健康在卵巢癌病因学中的潜在作用.
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