期刊
PSYCHOSOMATIC MEDICINE
卷 73, 期 8, 页码 656-663出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PSY.0b013e31822fc277
关键词
pregnancy; depression; trauma; proinflammatory cytokines
资金
- National Institute of Mental Health [K23MH080290, MH073019]
- National Alliance for Research on Schizophrenia and Depression
- Clinical Research Center from the National Center for Research Resources, National Institutes of Health (NIH) [UL1 RR 024160]
- NIH Roadmap for Medical Research
Objective: Clinical studies suggest that psychiatric symptoms, particularly depression, anxiety, and trauma, may be associated with inflammation, as indexed by proinflammatory cytokines. Such a link may be especially significant in pregnancy and may shed additional light on the etiology of perinatal mood disorders. Methods: We prospectively observed 145 women selected from a community obstetric clinic serving a primarily low-income, high-psychosocial risk population. Women without evidence of medical high-risk pregnancies were screened (including psychiatric and trauma histories) and then assessed in detail (e. g., mood symptoms) at approximately 18 and 32 weeks' gestation. Blood was drawn to measure key proinflammatory markers, interleukin 6 and tumor necrosis factor alpha (TNF-alpha). Data on pregnancy and obstetric outcome were derived from medical records. Results: There was considerable stability of cytokine levels within individuals and a significant mean increase across pregnancy observed for interleukin 6 (p < .001) and TNF-alpha (p < .001). History of trauma was associated with significantly elevated TNF-alpha levels (F(1,135) = 4.43, p < .05), controlling for psychosocial and obstetric covariates. In contrast, elevated measures of depression and anxiety were unrelated to proinflammatory cytokines (p > .1). Exploratory analyses indicated that neither psychiatric symptoms nor proinflammatory cytokines predicted birth weight, gestational age, or obstetric complications. Conclusions: These findings suggest that antecedent trauma may be associated with persistently elevated TNF-alpha levels during pregnancy. The evidence that a generalized proinflammatory state was associated with symptoms of depression or anxiety in pregnant women was not found.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据