电网膜功能障碍,胰岛素耐药性和早期精神病的童年创伤:一个病例控制探索性研究
Erik Velez-Perez1,2,3,4,5, Nicolas Raymond3,4, Chelsea Kiely3,4
1School of Medicine, Ponce Health Sciences University, Ponce, PR, United States.
概括
早期精神病患者表现出电网膜学功能障碍,胰岛素抵抗增加和童年创伤. 这些因素可以作为精神病风险和进展的关键生物标志物.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 精神病学是一个精神病学.
背景情况:
- 电网膜学功能障碍是精神病的一个已知的特征.
- 胰岛素抵抗 (IR) 和童年创伤 (CT) 与精神病谱系障碍有关.
- 人们对早期精神病 (EP) 中的电网膜学功能障碍知之甚少.
研究的目的:
- 在早期精神病 (EP) 中调查电网膜学功能障碍.
- 探索EP中电网膜功能障碍,胰岛素抵抗 (IR) 和儿童创伤 (CT) 之间的关系.
主要方法:
- 病例控制研究比较EP个体 (n=14) 和健康对照 (n=13).
- 使用光学和光学闪电电网红学 (fERG),血液检测IR,以及童年创伤问卷 (CTQ).
- 统计分析包括ANCOVA,费舍尔,曼-惠特尼,部分相关性和回归模型.
主要成果:
- 与对照组相比,EP参与者显示光学a波和b波振幅降低.
- 在EP患者中,IR的几率更高,CTQ分数也更高.
- 红外线与较高的CTQ得分和较低的P2b振幅相关;CT与较低的P2b振幅相关.
结论:
- 较低的光学a波/b波振幅,IR和CT是EP的潜在解释性标记.
- 通过脑下垂体 - 脑下垂体 - 上腺轴的失调,CT可能会影响精神病的风险.
- 红外线可能是一种精神病生物标志物,有助于电网膜学功能障碍和状细胞神经退行.
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