社区老年人血清催产素水平与抑郁状态之间的关系:一项横断面研究

PCN reports : psychiatry and clinical neurosciences Pub Date : 2023-05-25 eCollection Date: 2023-06-01 DOI:10.1002/pcn5.97
Ryuzo Orihashi, Yoshiomi Imamura, Shigeto Yamada, Akira Monji, Yoshito Mizoguchi
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摘要

目的:确定与预防或改变老年人不健康心理状况相关的外周生物标志物将大有裨益。本研究旨在评估生活在农村社区的老年人的血清催产素水平及其与认知功能、焦虑、抑郁状态和幸福感的关系:这项调查于 2016 年 11 月至 2017 年 9 月期间在日本佐贺县伊万里市黑川町对年龄≥65 岁的人群进行。研究人员采集了参与者的血样,使用肽酶免疫分析法进行血清催产素水平分析。参与者还接受了神经心理学评估,包括迷你精神状态检查、临床痴呆评级、额叶评估电池、状态-特质焦虑量表、15 项老年抑郁量表和 17 项费城老年医学中心士气量表。我们研究了血清催产素水平与神经心理学评估结果之间的关联:在 94 名参与者中,男性 25 人,女性 69 人,平均年龄分别为(78.24±3.85)岁和(78.10±5.43)岁。血清催产素水平与 15 项老年抑郁量表评分呈负相关。此外,非抑郁状态/抑郁状态由 15 项老年抑郁量表(5/6 分界点)划分。逻辑回归分析表明,血清催产素水平越高,当时的抑郁状态越轻:结论:血清催产素水平可能与年龄≥65 岁的成年人的抑郁状态有关。
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Association between serum oxytocin levels and depressive state in community-dwelling older adults: A cross-sectional study.

Aim: Identifying peripheral biomarkers related to the prevention or modification of unhealthy mental conditions in older adults would be extremely beneficial. This study aimed to evaluate serum oxytocin levels in older adults living in a rural community and their association with cognitive function, anxiety, depressive state, and well-being.

Methods: This survey was conducted between November 2016 and September 2017 in Kurokawa-cho, Imari, Saga Prefecture, Japan, among people aged ≥65 years. Blood samples were collected from the participants for serum oxytocin level analysis, which was performed using peptide enzyme immunoassay. Participants underwent neuropsychological assessments, including the Mini-Mental State Examination, Clinical Dementia Rating, Frontal Assessment Battery, State-Trait Anxiety Inventory, 15-item Geriatric Depression Scale, and 17-item Philadelphia Geriatric Center Morale Scale. We examined the association between serum oxytocin levels and neuropsychological assessment results.

Results: Out of 94 participants, 25 were men and 69 were women, with mean ages of 78.24 ± 3.85 years and 78.10 ± 5.43 years, respectively. Serum oxytocin levels were negatively associated with 15-item Geriatric Depression Scale scores. Additionally, nondepressive state/depressive state was classified by the 15-item Geriatric Depression Scale (cut-off 5/6). Logistic regression analysis showed that higher serum oxytocin levels tended to be associated with a less depressive state at that time.

Conclusions: Serum oxytocin levels may be associated with depressive state in adults aged ≥65 years.

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