抑郁症与躯体疾病的遗传共病性:使用多基因风险评分的人群队列研究设计原理

A. O. Kibitov, G. E. Mazo, E. D. Kasyanov, A. P. Gorbunova, G. V. Rukavishnikov, N. Neznanov
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引用次数: 0

摘要

背景:抑郁症在人群中普遍存在,是导致残疾、预期寿命缩短和死亡的主要原因之一。之所以有如此重大的影响,是因为抑郁症与严重的慢性躯体疾病并发的频率很高。遗传学研究可以提供工具,在人群中识别合并这些疾病的遗传风险较高的群体,以便及早进行特定预防。这篇综述文章旨在论证抑郁症和慢性躯体疾病在遗传合并症方面相互关联的联合遗传风险标记的研究方法和设计。出版物、患者和方法:使用国际临床和心理测量工具对抑郁症患者进行人群队列研究。这项研究将有助于1)评估抑郁症患者人群罹患慢性躯体疾病的风险;2)评估人群样本中躯体疾病多基因风险评分对抑郁症状和躯体疾病的预测能力;3)使用现代临床和心理测量工具,在定性描述的患者样本中验证抑郁症和躯体疾病遗传共病的多基因风险评分。结论:该研究的方法和结果可用于身心健康领域的循证预防方法。
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Genetic Comorbidity of Depression and Somatic Diseases: Rationale Study Design in a Population Cohort Using Polygenic Risk Scores
Background: depression is widespread in the population, and one of the leading causes of disability, reduced life expectancy and mortality. Such a significant effect is based on the high frequency of comorbidity of depression with severe chronic somatic diseases. Genetic studies can provide tools to identify groups with a high level of genetic risk of comorbidity of these diseases in a population for their early specific prevention. The aim of review article was to justify the methodology and design of research directed for joint genetic risk markers for depression and chronic somatic diseases linked with each other in terms of genetic comorbidity. Publication, patients and methods: population cohort of depressive patients examined using international clinical and psychometric instruments. The study will allow: 1) to evaluate the risks of developing chronic somatic diseases in a population of patients with depression; 2) to assess the predictive power of polygenic risk scores of somatic diseases for symptoms of depression and somatic diseases in a population sample; 3) to validate polygenic risk scores for genetic comorbidity of depression and somatic diseases in a qualitatively described sample of patients using modern clinical and psychometric tools. Conclusion: the methodology and results of the study can be used for an evidence-based preventive approach in the field of mental and physical health.
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