Grasping Post-Traumatic Stress Disorder (PTSD) from the Perspective of Psychoneuroimmunoendocrinology (PNIE): Etiopathogenic Mechanisms and Relevance for the Integrative Management DOI Creative Commons
Oscar Fraile‐Martínez, Cielo García‐Montero, Miguel Ángel Alvarez-Mon

et al.

Biological Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Transcutaneous Cervical Vagal Nerve Stimulation in Patients with Posttraumatic Stress Disorder (PTSD): A Pilot Study of Effects on PTSD Symptoms and Interleukin-6 Response to Stress DOI Creative Commons
J. Douglas Bremner, Matthew T. Wittbrodt, Nil Z. Gurel

et al.

Journal of Affective Disorders Reports, Journal Year: 2021, Volume and Issue: 6, P. 100190 - 100190

Published: July 10, 2021

Posttraumatic stress disorder (PTSD) is a highly disabling condition associated with alterations in multiple neurobiological systems, including increases inflammatory and sympathetic function, responsible for maintenance of symptoms. Treatment options medications psychotherapies have limitations. We previously showed that transcutaneous Vagus Nerve Stimulation (tcVNS) blocks (interleukin (IL)-6) responses to PTSD. The purpose this study was assess the effects tcVNS on PTSD symptoms stress. Twenty patients were randomized double blind active (N=9) or sham (N=11) stimulation conjunction exposure personalized traumatic scripts immediately followed by measurement IL-6 other biomarkers inflammation. Patients then self administered twice daily three months. measured Checklist (PCL) Clinician Administered Scale (CAPS), clinical improvement Clinical Global Index (CGI) anxiety Hamilton Anxiety (Ham-A) at baseline one-month intervals repeat scripts. After months treated open label another assessment CGI. Traumatic increased patients, an effect blocked (p<.05). Active treatment resulted 31% greater reduction compared as PCL (p=0.013) well hyperarousal somatic Ham-A p<0.05). from but not tcVNS. Open improvements CGI period These preliminary results suggest reduces stress, which may part underlie beneficial

Language: Английский

Citations

30

Post-traumatic stress disorder: a psychiatric disorder requiring urgent attention DOI Creative Commons
Jun Du,

Huapeng Diao,

Xiaojuan Zhou

et al.

Medical Review, Journal Year: 2022, Volume and Issue: 2(3), P. 219 - 243

Published: June 1, 2022

Abstract Post-traumatic stress disorder (PTSD) is a severe and heterogenous psychiatric that was first defined as mental in 1980. Currently, the Diagnostic Statistical Manual of Mental Disorders Fifth Edition (DSM-5) International Classification Diseases 11th (ICD-11) offer most widely accepted diagnostic guidelines for PTSD. In both categories, experiencing traumatic event (TE) necessary criterion diagnosing The TEs described DSM-5 include actual or threatened death, serious injury, sexual violence, other extreme stressors, either directly indirectly. More than 70% adults worldwide are exposed to TE at least once their lifetime, approximately 10% individuals develop PTSD after TE. important features intrusion re-experiencing fear memories, pervasive sense threat, active avoidance, hyperarousal symptoms, negative alterations cognition mood. Individuals with have high comorbidities diseases, including major depressive disorder, generalized anxiety substance use disorder. Multiple lines evidence suggest pathophysiology complex, involving abnormal neural circuits, molecular mechanisms, genetic mechanisms. A combination psychotherapy pharmacotherapy used treat PTSD, but has limited efficacy patients refractory Because prevalence, heavy burden, treatments, requires urgent attention. this review, we summarize discuss diagnosis, TEs, pathophysiology, treatments draw attention its prevention.

Language: Английский

Citations

21

Genetic Associations Between Stress-Related Disorders and Autoimmune Disease DOI
Yu Zeng,

Chen Suo,

Shuyang Yao

et al.

American Journal of Psychiatry, Journal Year: 2023, Volume and Issue: 180(4), P. 294 - 304

Published: April 1, 2023

Objective: Emerging evidence supports a bidirectional phenotypic association between stress-related disorders and autoimmune disease. However, the biological underpinnings remain unclear. Here, authors examined whether how shared genetics contribute to observed associations. Methods: Based on data from 4,123,631 individuals identified Swedish nationwide registers, familial coaggregation of (any disorder or posttraumatic stress [PTSD]) disease were initially estimated in seven cohorts with different degrees kinship. Polygenic risk score (PRS) analyses then performed individual-level genotyping 376,871 participants UK Biobank study. Finally, genetic correlation enrichment genome-wide study (GWAS) summary statistics. Results: Familial revealed decreasing odds concurrence descending kinship relatedness pairs relatives; adjusted ratios 1.51 (95% CI=1.09–2.07), 1.28 CI=0.97–1.68), 1.16 CI=1.14–1.18), 1.01 CI=0.98–1.03) for monozygotic twins, dizygotic full siblings, half cousins, respectively. Statistically significant positive associations PRSs disease, as well disorders. GWAS statistics 0.26 CI=0.14–0.38) these two phenotypes 10 common genes five functional modules, including one module related G-protein–coupled receptor pathways. Similar PTSD specific diseases (e.g., thyroid disease) largely recapitulated results main analyses. Conclusions: This demonstrated coaggregation, correlation, pathways

Language: Английский

Citations

12

Physiology mechanisms of exercise for PTSD: a narrative review DOI Creative Commons

Hongding Dong,

Zhiyi Lin

Frontiers in Psychology, Journal Year: 2025, Volume and Issue: 16

Published: Jan. 27, 2025

In at-risk societies, the population of post-traumatic stress disorder (PTSD) incidence is gradually expanding from veterans to general public. face high PTSD, exercise therapy, as an economical and maneuverable treatment, has not received attention it deserves. this paper, literature on PTSD symptom improvement through comb-climbing interventions found that performing long-term can achieve significant in symptoms by modulating central nervous system, autonomic immune system at physiological level. Aerobic (running, walking) beneficial system; anaerobic positively affects including resistance or strength endurance training; yoga, which focuses flexibility balance training, a positive effect system. Future research should explore neutral negative effects mechanisms interventions. Expand more empirical studies special occupational populations. And implement longitudinal intervention with patients gain in-depth understanding effects.

Language: Английский

Citations

0

Grasping Post-Traumatic Stress Disorder (PTSD) from the Perspective of Psychoneuroimmunoendocrinology (PNIE): Etiopathogenic Mechanisms and Relevance for the Integrative Management DOI Creative Commons
Oscar Fraile‐Martínez, Cielo García‐Montero, Miguel Ángel Alvarez-Mon

et al.

Biological Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0