Evidence map›Paper›PMID 38890689›Full record

ArticleBMC women's health2024

Psychological distress and uterine fibroids: a bidirectional two-sample mendelian randomization study.

Xinyu Han, Tian Qiang Wu, Yuanyuan Bian, Lu Chen, Xiaoling Feng

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Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xinyu HanDepartment of First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin, China.
Tian Qiang WuDepartment of First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin, China.
Yuanyuan BianDepartment of First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin, China.
Lu ChenDepartment of Gynecology, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, No. 26, Heping Road, Xiang-fang District, Harbin, Heilongjiang Province, China.
Xiaoling FengDepartment of Gynecology, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, No. 26, Heping Road, Xiang-fang District, Harbin, Heilongjiang Province, China. Doctorfxl@163.com.

Funding

Doctoral Innovation Fund of Heilongjiang University of Traditional Chinese Medicine 2018bs07National Natural Science Foundation of China 81973894Youth Innovation Talent Training Program for Higher Education Institutions in Heilongjiang Province UNPYSCT-2020, 234
6 · The paper itself

Abstract

backgroundObservational data indicates a connection between emotional discomfort, such as anxiety and depression, and uterine fibroids (UFs). However, additional investigation is required to establish the causal relationship between them. Hence, we assessed the reciprocal causality between four psychological disorders and UFs utilizing two-sample Mendelian randomization (MR).

methodsTo evaluate the causal relationship between four types of psychological distress (depressive symptoms, severe depression, anxiety or panic attacks, mood swings) and UFs, bidirectional two-sample MR was employed, utilizing single nucleotide polymorphisms (SNPs) associated with these conditions. Both univariate MR (UVMR) and multivariate MR (MVMR) primarily applied inverse variance weighted (IVW) as the method for estimating potential causal effects. Complementary approaches such as MR Egger, weighted median, simple mode, and weighted mode were utilized to validate the findings. To assess the robustness of our MR results, we conducted sensitivity analyses using Cochran's Q-test and the MR Egger intercept test.

resultsThe results of our UVMR analysis suggest that genetic predispositions to depressive symptoms (Odds Ratio [OR] = 1.563, 95% Confidence Interval [CI] = 1.209-2.021, P = 0.001) and major depressive disorder (MDD) (OR = 1.176, 95% CI = 1.044-1.324, P = 0.007) are associated with an increased risk of UFs. Moreover, the IVW model showed a nominally significant positive correlation between mood swings (OR: 1.578; 95% CI: 1.062-2.345; P = 0.024) and UFs risk. However, our analysis did not establish a causal relationship between UFs and the four types of psychological distress. Even after adjusting for confounders like body mass index (BMI), smoking, alcohol consumption, and number of live births in the MVMR, the causal link between MDD and UFs remained significant (OR = 1.217, 95% CI = 1.039-1.425, P = 0.015).

conclusionsOur study presents evidence supporting the causal relationship between genetic susceptibility to MDD and the incidence of UFs. These findings highlight the significance of addressing psychological health issues, particularly depression, in both the prevention and treatment of UFs.

Indexed as

DepressionLeiomyomaMendelian Randomization AnalysisPolymorphism, Single NucleotideAnxietyCausalityFemaleGenetic Predisposition to DiseaseHumansPanic DisorderPsychological DistressUterine NeoplasmsAnxiety or panic attacksCausalityMajor depressive disorderMendelian randomizationMood swingsUFs

Identifiers

PMID38890689
PMCPMC11184690

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.