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Severity of psychosis syndrome and change of metabolic abnormality in chronic schizophrenia patients: Severe negative syndrome may be related to a distinct lipid pathophysiology

Published online by Cambridge University Press:  15 April 2020

S.-F. Chen ,
T.-M. Hu ,
T.-H. Lan ,
H.-J. Chiu ,
L.-Y. Sheen  and
E.-W. Loh
S.-F. Chen
Affiliation:
Institute of Food Science and Technology, National Taiwan University, Taipei, Taiwan Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli County, Taiwan
T.-M. Hu
Affiliation:
Yu-Li Veterans Hospital, Yu-Li Town, Hualian County, Taiwan
T.-H. Lan
Affiliation:
Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli County, Taiwan Faculty of Medicine, National Yang Ming University, Taipei, Taiwan Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan
H.-J. Chiu
Affiliation:
Faculty of Medicine, National Yang Ming University, Taipei, Taiwan Chung Hwa University of Medical Technology, Tainan, Taiwan Jianan Mental Hospital, Tainan, Taiwan
L.-Y. Sheen*
Affiliation:
Institute of Food Science and Technology, National Taiwan University, Taipei, Taiwan
E.-W. Loh*
Affiliation:
Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli County, Taiwan Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan
*
*Corresponding author. Institute of Food Science and Technology, National Taiwan University, Roosevelt Road Section 4, Taipei, Taiwan. Tel.: +886 2 3366 4129; fax: +886 2 2362 0849. E-mail addresses:lysheen@ntu.edu.tw (L.-Y. Sheen)
**Corresponding author. Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, No.130, Kaisyuan 2nd Rd., Lingya Dist., Kaohsiung City 80276, Taiwan (R.O.C.). Tel: +886 7 751 3171; fax: +886 7 771 2494. E-mail addresses:lohelwui@yahoo.com.tw (E.-W. Loh).
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Abstract

Background:

Metabolic abnormality is common among schizophrenia patients. Some metabolic traits were found associated with subgroups of schizophrenia patients.

Objectives:

We examined a possible relationship between metabolic abnormality and psychosis profile in schizophrenia patients.

Method:

Three hundred and seventy-two chronic schizophrenia patients treated with antipsychotics for more than 2 years were assessed with the Positive and Negative Syndrome Scale. A set of metabolic traits was measured at scheduled checkpoints between October 2004 and September 2006.

Results:

Multiple regressions adjusted for sex showed negative correlations between body mass index (BMI) and total score and all subscales; triglycerides (TG) was negatively correlated with total score and negative syndrome, while HDLC was positively correlated with negative syndrome. When sex interaction was concerned, total score was negatively correlated with BMI but not with others; negative syndrome was negatively correlated with BMI and positively with HDLC. No metabolic traits were correlated with positive syndrome or general psychopathology.

Conclusions:

Loss of body weight is a serious health problem in schizophrenia patients with severe psychosis syndrome, especially the negative syndrome. Schizophrenia patients with severe negative syndrome may have a distinct lipid pathophysiology in comparison with those who were less severe in the domain.

Keywords

SchizophreniaPsychosisMetabolismLipidGlucose
Type
Original article
Information
European Psychiatry , Volume 29 , Issue 3 , March 2014 , pp. 167 - 171
Copyright
Copyright © European Psychiatric Association 2014

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