Objective: The objective of this study was to evaluate an association between PTSD and altered immunity. We examined peripheral T lymphocyte subsets, natural killer cells(NK cells) cytotoxicity(NKCC) and plasma hormones using flow cytometry in North Korean defectors with and without PTSD.
Methods: 24 North Korean defectors with PTSD and 22 controls were recruited from the North Korean defectors’ training center in South Korea. Peripheral T lymphocytes, NK cells, NKCC and plasma hormones (ACTH and cortisol) were obtained from all subjects. We also applied the Hamilton Rating Scale for Depression (HAM-D) and Hamilton Rating Scale for Anxiety (HAM-A) for all subjects.
Results: We found NK cell activity is relatively lower than number of NK cells in North Korean defectors with PTSD. Subjects with PTSD had higher HAM-D and HAM-A scores than controls. There were no statistical differences in ACTH, cortisol, CD3, CD4, CD8, CD4/CD8 ratio, CD19 and CD56 between the two subjects.
Conclusion: These findings suggest North Korean defectors with PTSD who are in the training center show higher levels of depression, anxiety and impaired or weak immune function in NK cells.
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