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弓形虫感染与产后忧郁症之间的关联。

The association between Toxoplasma gondii infection and postpartum blues.

机构信息

Center for Parasitic Organisms, State Key Laboratory of Biocontrol, School of Life Sciences, and Key Laboratory of Tropical Disease Control of the Ministry of Education, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou 510275, China.

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

出版信息

J Affect Disord. 2019 May 1;250:404-409. doi: 10.1016/j.jad.2019.03.013. Epub 2019 Mar 5.

Abstract

INTRODUCTION AND AIM

Toxoplasma gondii is an intracellular protozoan parasite infecting approximately 30% of the global human population. It has often been suggested that chronic infection with T. gondii is related to personality changes and various mental disorders including depression. It is not known whether this includes post-partum blues or depression. In this study, we test the hypothesis that there is a relationship between T. gondii infection and post-partum blues by measuring the association between infection and postpartum blues.

METHODS

A total of 475 Chinese women who have just given birth were detected serology for Toxoplasma IgG and IgM antibodies, and evaluated the degree of depression by Hamilton Depression Scale (HAMD) score. Data were analyzed by Chi-square or Fisher's Exact tests using SPSS software.

RESULTS

We found an overall Toxoplasma seroprevalence of 5.68% (27/475; 95% CI: 3.59-7.77) which was broken down into a prevalence of 6.60% (7/106; 95% CI: 1.80-11.41) in mothers with post-partum blues and 5.42% (20/369; 95% CI: 3.10-7.74) in non-affected mothers. There was no significant association between infection and post-partum blues (p = 0.64).

CONCLUSION

The results suggest that there is no relationship between T. gondii infection and postpartum blues, at least in this sample of patients from China.

摘要

介绍和目的

刚地弓形虫是一种感染全球约 30%人口的细胞内原生动物寄生虫。慢性感染刚地弓形虫常与人格改变和各种精神障碍有关,包括抑郁症。目前尚不清楚这是否包括产后忧郁症或抑郁症。在这项研究中,我们通过测量感染与产后忧郁症之间的关联来检验刚地弓形虫感染与产后忧郁症之间存在关系的假设。

方法

共检测了 475 名中国刚分娩的妇女的弓形虫 IgG 和 IgM 抗体血清学,并使用汉密尔顿抑郁量表(HAMD)评分评估抑郁程度。使用 SPSS 软件通过卡方检验或 Fisher 精确检验对数据进行分析。

结果

我们发现总体弓形虫血清阳性率为 5.68%(27/475;95%CI:3.59-7.77),其中产后忧郁症母亲的阳性率为 6.60%(7/106;95%CI:1.80-11.41),非忧郁症母亲的阳性率为 5.42%(20/369)。感染与产后忧郁症之间无显著关联(p=0.64)。

结论

结果表明,在中国的这组患者中,刚地弓形虫感染与产后忧郁症之间没有关系。

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