Interaction between PTSD-PRS and trauma affects PTSD likelihood in women victims of sexual assault.

IF 3.6 3区 医学 Q1 PSYCHIATRY Revista Brasileira de Psiquiatria Pub Date : 2024-03-11 DOI:10.47626/1516-4446-2023-3335
Amanda Victória Gomes Bugiga, Carolina Muniz Carvalho, Adrielle Martins Oliveira, Bruno Messina Coimbra, Samar Nasser Chehimi, Evelin Aline Zanardo, Leslie Domenici Kulikowski, Andrea Feijó Mello, Vanessa Kiyomi Ota, Marcelo Feijo Mello, Sintia Iole Belangero
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Abstract

Objective: Post-traumatic stress disorder (PTSD) is triggered by traumatic events, but genetic vulnerability and a history of childhood trauma are additional factors that may increase the risk of PTSD. Thus, our study focused on exploring the interaction between genetic susceptibility, as assessed by polygenic risk score (PRS), and traumatic events.

Methods: We evaluated 68 women with PTSD who had been sexually assaulted and 63 healthy controls without a history of sexual assault. DNA was genotyped using the Infinium Global Screening Array (Illumina), and PRS analysis was performed using PRSice. Furthermore, logistic regression models were employed to examine the interaction between childhood trauma, traumatic life events, and PTSD-PRS and how they contribute to the risk of developing PTSD.

Results: We found a significant association between PRS, childhood trauma (p = 0.03; OR = 1.241), and PTSD. Additionally, an interaction was observed between PRS, traumatic life events, and childhood trauma, particularly relating to physical and emotional neglect (p = 0.028; OR = 1.010). When examining neglect separately, we found a modest association between emotional neglect and PTSD (p = 0.014; OR = 1.086).

Conclusions: Our findings highlight the importance of considering genetic vulnerability and traumatic experiences in understanding the etiology of PTSD.

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创伤后应激障碍-PRS 与创伤之间的相互作用会影响性侵犯女性受害者患创伤后应激障碍的可能性。
目的:创伤后应激障碍(PTSD创伤后应激障碍(PTSD)是由创伤事件引发的,但遗传易感性和童年创伤史是可能增加创伤后应激障碍风险的额外因素。因此,我们的研究重点是探讨多基因风险评分(PRS)评估的遗传易感性与创伤事件之间的相互作用:我们对 68 名曾遭受性侵犯的创伤后应激障碍女性患者和 63 名无性侵犯史的健康对照者进行了评估。使用 Infinium 全球筛查阵列(Illumina)对 DNA 进行了基因分型,并使用 PRSice 进行了 PRS 分析。此外,我们还采用了逻辑回归模型来研究童年创伤、创伤性生活事件和创伤后应激障碍-PRS之间的相互作用,以及它们如何导致创伤后应激障碍的发病风险:我们发现,PRS、童年创伤(p = 0.03;OR = 1.241)和创伤后应激障碍之间存在明显的关联。此外,我们还观察到 PRS、创伤性生活事件和童年创伤之间的交互作用,尤其是与身体和情感忽视有关的交互作用(p = 0.028; OR = 1.010)。在单独研究忽视时,我们发现情感忽视与创伤后应激障碍之间存在一定的关联(p = 0.014; OR = 1.086):我们的研究结果强调了在了解创伤后应激障碍的病因时考虑遗传易感性和创伤经历的重要性。
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来源期刊
Revista Brasileira de Psiquiatria
Revista Brasileira de Psiquiatria 医学-精神病学
CiteScore
6.60
自引率
0.00%
发文量
83
审稿时长
6-12 weeks
期刊介绍: The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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