甲状腺激素在暴露于热浪和抑郁症严重程度之间的关联中的调解作用
Jingxiao Shang1, Jiayu Xu2, Tianqin Xie3
1School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Environment international
|May 20, 2025
概括
热浪显著加重抑郁症的严重程度,增加严重病例的风险. 甲状腺激素可能会调解这种效应,某些患者群体更容易受到热的影响.
科学领域:
- 环境健康 环境健康
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
背景情况:
- 高温暴露与抑郁症和住院病例有关.
- 热浪对抑郁症严重程度和潜在机制的具体影响需要进一步研究.
研究的目的:
- 评估热浪与住院患者抑郁症严重程度之间的关联.
- 探索甲状腺激素在这种关系中的调解作用.
主要方法:
- 从安精神卫生中心 (2020-2023) 对5978名患有抑郁症的住院患者进行了回顾性研究.
- 混合效应物流回归分析热浪对抑郁症严重性的影响 (值和持续时间).
- 零碎结构方程建模以量化甲状腺激素调解 (T3,FT3,T4,FT4/FT3比率).
- 按性别,年龄,BMI和COVID-19流行病进行分层分析.
主要成果:
- 热浪暴露 (≥95百分位数,≥3天) 增加了12.4%的更严重抑郁症的风险.
- 甲状腺激素 (T3,FT3,T4,FT4/FT3比率) 的调节效应在7.7%至23.3%之间.
- 男性,年轻/中年,超重患者和COVID-19大流行期间的患者对热浪更敏感.
结论:
- 热浪与抑郁症严重程度的增加有显著的相关性.
- 甲状腺激素在热浪和抑郁症之间的关联中发挥着潜在的调解作用.
- 对热浪的脆弱性因人口和时间因素而异,包括COVID-19大流行.
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