Friday Factoids: Study Identifies Two Genes that Boost the Risk for Post-Traumatic Stress Disorder

 

How much do you know about Post-Traumatic Stress Disorder? By now, it would appear that the general population has heard of this disorder and are aware of what it is at least on a fairly rudimentary level.

 

PTSD currently affects approximately 7 % of the population of the United States and has become a pressing health issue for veterans of war. Have you ever wondered about such variables as the threshold for what will cause PTSD? For instance, two people could experience the same motor vehicle collision, yet only one of them may develop PTSD symptoms. Why is that? Researchers from the University of California, Los Angeles (UCLA) have recently linked two gene variants to PTSD. This suggests that hereditary factors can influence an individual’s risk of developing PTSD. These new findings could provide a biologically based approach for diagnosing and treating PTSD more effectively. 

 

Dr. Armen Goenjian and his team discovered two genes, COMT and TPH-2, which are linked to PTSD. These two genes play important roles in brain function. COMT is an enzyme that degrades dopamine, a neurotransmitter that assists in regulating thinking, mood, attention, and behavior, as well as controlling the brain’s pleasure and reward centers. TPH-2 controls the production of serotonin, a brain hormone that regulates mood, alertness, and sleep–all areas that are disrupted by PTSD. Dr. Goenjian and his team found significant associations between variants of COMT and TPH-2 with symptoms of PTSD. This may be indicative that these genes contribute to both the onset and the persistence of PTSD.

 

The results yielded from the study suggest that individuals that carry the genetic variants of COMT and TPH-2 may be at a higher risk of developing PTSD after a traumatic event. Now that scientists have begun to develop new ways of assessing risk factors for PTSD, what benefits do you believe can come from it? Would examination of these two genes play a role in recruitment criteria for the armed forces? Let me know what you think.

 

References
Goenijian, A., Noble, E., Stenberg, A., Walling, D., Stepanyan, S., Dandekar, S., and Bailey, J. (2015). Association of COMT and TPH-2 genes with DSM-5 based PTSD symptoms. Journal of Affective Disorders, 172.

 

University of California, Los Angeles (UCLA), Health Sciences. (2015, January 9). Study identifies two genes that boost risk for post-traumatic stress disorder. ScienceDaily. Retrieved January 12, 2015 from www.sciencedaily.com/releases/2015/01/150109123321.htm

 

Faisal Roberts, MA
WKPIC Doctoral Intern

 

Friday Factoids: A Look At “When Spring Brings You Down” by Linda Andrews

 

 

Spring time is in the air, woohoo! Finally! With the cold weather behind us and the polar vortex no longer a significant threat, it is time to peel off the long winter coat and open the window blinds in your office to let the sun in [given there are windows in your office]. With the spring comes many perks, such as viewing the beautiful landscape of the soft Kentucky bluegrass, the green leaves hanging on the oak trees, colorful flowers, and the fresh smell of daffodils.

 

Sounds fantastic, right!

 

Well, not so fast.

 

In her article, When Spring Brings You Down, Andrews (2012) writes about two issues that are not so welcoming with the change of season. She mentions “seasonal allergies and reverse seasonal affective disorder (SAD).”  Seasonal allergy sufferers are vulnerable to inflammation and infection. As a result, Andrews states that the molecule, cytokines, forms clusters around the infected area (Mandal, n.d.), which has been linked to depression and in severe cases, suicide. An additional reading source by David Dobbs, entitled, Clues in the Cycle of Suicide, provides more information about suicide rates during the spring and into the summer months.

 

Interestingly, Andrews further talks about SAD and the possibility that it is not specific to the winter months, but to the summer as well.  As the DSM-5 begins to take center stage, SAD will no longer be a separate diagnosis. Rather, SAD will take the form of several specifiers for major depressive disorder, recurrent and bipolar I and II disorders (DSM-5; pgs153-154; 187-188).

 

Yes, you may have already noticed that specifiers rule in DSM-5.

 

In the end, however, the spring air, filled with its freshness and good spirits, may not be a time of optimism for some individuals.

 

References:

 

American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5).

 

 

Andrews, L. (2012). When spring brings you down. Retrieved from
http://www.psychologytoday.com/blog/minding-the-body/201203/when-spring-brings-you-  down.

 

 

 

Dobbs, D. (2013).  Clues in the cycle of suicide. Retrieved from http://well.blogs.nytimes.com/2013/06/24/clues-in-the-cycle-of-suicide/?_php=true&_type=blogs&_r=0.

 

 

Mandal, A. (n.d.). What are cytokines? Retrieved from http://www.news-       medical.net/health/What-are-Cytokines.aspx.

 

 

 

David Wright, MA, MSW

WKPIC Doctoral Intern

Friday Factoids: Open Your DSM-5!

 

 

If you have been avoidant of opening your new DSM-5 and reviewing the changes, there is one reason to go ahead to check it out. The DSM-5 includes screening questionnaires in Section III of the book, which are also found on the DSM-5 website (http://www.psychiatry.org/practice/dsm/dsm5/online-assessment-measures) with additional measures not found in the book.

 

The assessments include adult, child, collateral informant, and clinician ratings, depending on the measure. There are general measures, disorder/area specific measures, severity measures, personality measures, measures for level of disability impairment, and cultural measures. These measures can be used to aid in diagnostic clarification, as well as to track changes across therapy sessions. The best part is they are free to use and conveniently available online.

 

Have a client receiving treatment for panic disorder? There is a symptom specific measure that can be given each session and compared to previous administrations to track changes, as well as provide a tangible example for the client showing his or her progress over time. Don’t forget to check out the DSM-5 website (www.dsm5.org) for updates to the manual. There is already a handful of updates available with changes to codes and errors in wording.

 

 

Danielle McNeill, M.S., M.A.
WKPIC Doctoral Intern