首发精神分裂症患者血清脑源性神经营养因子水平与抗精神病药物早期反应的关系。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Tong Zhao, SuFang Tang, XiaoLei Gao, Juan Li, Ran Hao, HaiZhi Chen, GuangBiao Huang
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引用次数: 0

摘要

研究目的方法:招募89名精神分裂症患者和90名健康对照者,根据精神分裂症患者阳性和阴性症状量表(PANSS)总分的改善情况,在2周后将精神分裂症患者分为早期应答组和早期无应答组。所有患者均接受利培酮治疗2周,比较基线时和治疗2周后的血清BDNF水平:结果:我们发现,与对照组相比,患者在基线时的 BDNF 水平较低。利培酮治疗2周后,早期反应组的BDNF水平明显升高,精神症状减轻。相关分析表明,治疗后 BDNF 水平的变化与 PANSS 总分的变化相关。进一步的回归分析表明,BDNF水平的变化是精神病症状改善的独立预测因素:我们的研究结果表明,首发精神分裂症患者的BDNF水平较低,而且血清BDNF水平的变化可能对精神病症状在头两周的早期改善有预测作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Association of serum brain-derived neurotrophic factor level and early response to antipsychotic drug in first-episode patients with schizophrenia

Association of serum brain-derived neurotrophic factor level and early response to antipsychotic drug in first-episode patients with schizophrenia

Objectives

To investigate the role of Brain derived neurotrophic factor (BDNF) in the psychotic symptoms in first-episode patients with schizophrenia and whether BDNF levels were associated with the improvement of psychotic symptoms after risperidone treatment.

Methods

89 schizophrenia patients and 90 healthy controls were recruited, the schizophrenia patients were assigned into early response or early non-response groups at 2 weeks based on improvement in the positive and negative symptoms scale (PANSS) total score. All patients were treated with risperidone for 2 weeks, their serum BDNF levels were compared at baseline and after 2 weeks treatment.

Results

We found that patients had lower BDNF levels, compared to controls at baseline. After 2 weeks of treatment of risperidone, BDNF levels were significantly increased and psychotic symptoms were decreased in early response group. Correlation analysis showed that the change of BDNF levels after treatment was correlated with the change of PANSS total score. Further regression analysis showed that the change in BDNF levels was an independent predictor for the improvement in psychotic symptoms.

Conclusions

Our findings reveal that the level of BDNF was lower in first-episode schizophrenic patients, moreover, the changes in serum BDNF levels may have a predictive effect on the early improvement in psychotic symptoms in the first 2 weeks.

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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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