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The MAO-A genetic variants are linked to an increased risk of aggressive behavior in men exposed to childhood trauma.[ref] One study found that low MAO-A levels combined with childhood trauma, increased the risk of higher aggression scores in men.[ref] Stress, Cortisol, and MAO-A: Stress, whether physical, social, or mental, causes cortisol to be released from the adrenal glands

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Given that mental health is influenced by multiple interconnected biological and behavioral factors, future research should adopt a multi-dimensional approach that integrates diet, exercise, and psychological interventions to maximize therapeutic outcomes

The independent samples t -test was used for between-group comparisons of normally distributed continuous variables, the MannWhitney U test for non-normally distributed continuous variables, and the chi-square test for categorical variables