多基因风险和暴露严重程度预测PTSD的轨迹:一个前性队列研究
Frank D Mann1,2, Monika A Waszczuk3, Sean A P Clouston4
1Program in Public Health and Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA. frank.mann@stonybrookmedicine.edu.
Molecular psychiatry
|September 19, 2025
概括
识别遗传和暴露风险因素是理解慢性创伤后应激障碍 (PTSD) 的关键. 这项研究发现,多基因风险和创伤严重程度预测了世界贸易中心响应者的长期PTSD轨迹.
科学领域:
- 精神病学和遗传学 精神病学和遗传学
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 可以长期存在,因此诊断慢性风险因素对于临床研究至关重要.
- 创伤暴露严重程度和多基因责任是PTSD发作和严重程度的已知预测因素,但它们的长期影响不太了解.
研究的目的:
- 调查创伤暴露严重程度和PTSD症状的多基因风险是否独立预测长期PTSD症状轨迹.
- 为了分析世界贸易中心响应者的20年PTSD轨迹.
主要方法:
- 展望纵向队列研究,从5,687名世界贸易中心受访者 (2002-2022) 中进行了49,402次观察.
- 确定了最适合20年PTSD轨迹的模型.
- 包括多基因风险得分和创伤性暴露总得分作为预测初始PTSD水平和变化速率的预测指标,调整为共变量.
主要成果:
- 多基因风险评分显著预测了创伤后应激障碍症状变化率,表明与更的弧形轨迹相关的风险更高.
- 创伤暴露的严重程度预测了最初的PTSD症状水平和变化率,对最初的水平的影响更大.
- 结果独立于最初的PTSD症状水平 (截图).
结论:
- 多基因责任和创伤暴露严重程度是长期PTSD预后的重要预测因素.
- 这些因素可以为未来的临床研究和创伤暴露人群的风险分层提供信息.
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