Correlations of cognitive function with serum levels of homocysteine, sex hormone binding globulin, and leptin in patients with schizophrenia.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pakistan Journal of Medical Sciences Pub Date : 2024-11-01 DOI:10.12669/pjms.40.10.8923
Yunqiang Xu, Xiulian Qian, Minqiao Zhang, Ming Liang
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Abstract

Objective: To investigate the correlations of cognitive function with serum levels of homocysteine (Hcy), sex hormone binding globulin (SHBG), and leptin in patients with schizophrenia.

Methods: This was retrospective study. This study included 58 patients with schizophrenia (SCZ) as observation group and 60 clinically healthy individuals as control group admitted to Xiangshan County Hospital of Traditional Chinese Medicine Medical and Health Group Third Hospital from March 2022 to June 2023. Serum levels of Hcy, SHBG, and leptin in the two groups were measured, and Pearson correlation analysis was conducted to investigate the correlations between the Hcy, SHBG, and leptin levels and the psychiatric symptoms and cognitive function in the observation group.

Results: The Hcy and SHBG levels in the observation group were significantly higher than those in the control group (p<0.05, respectively), and the leptin level was lower than that in the control group (p<0.05). The observation group scored significantly lower than the control group for each dimension of the MCCB (p<0.05, respectively). In the observation group, Hcy was positively correlated with negative symptoms and the PANSS total score (p<0.05, respectively) and was negatively correlated with scores for the leptin was negatively correlated with negative symptoms and the PANSS total score (p<0.05, respectively) and was positively correlated with scores for speed of processing (SOP), WMS-III, BVMT, and MSCEIT (p<0.05, respectively).

Conclusions: Increased levels of Hcy and SHBG and decreased leptin are strongly associated with the occurrence of cognitive impairment in SCZ cases. Therefore, clinical observation and monitoring of these markers can help identify changes in patient conditions.

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精神分裂症患者认知功能与血清中同型半胱氨酸、性激素结合球蛋白和瘦素水平的相关性。
目的研究精神分裂症患者认知功能与血清同型半胱氨酸(Hcy)、性激素结合球蛋白(SHBG)和瘦素水平的相关性:本研究为回顾性研究。研究对象包括2022年3月至2023年6月在象山县中医医疗卫生集团第三医院住院的58名精神分裂症(SCZ)患者作为观察组,60名临床健康人作为对照组。测定两组患者的血清Hcy、SHBG和瘦素水平,并进行Pearson相关分析,探讨Hcy、SHBG和瘦素水平与观察组精神症状和认知功能的相关性:结果:观察组的Hcy和SHBG水平明显高于对照组(P0.05),瘦素水平低于对照组(P0.05)。观察组在 MCCB 各维度的得分均明显低于对照组(P0.05)。在观察组中,Hcy与阴性症状和PANSS总分呈正相关(分别为P0.05),与瘦素评分呈负相关(分别为P0.05),与处理速度(SOP)、WMS-III、BVMT和MSCEIT评分呈正相关(分别为P0.05):结论:Hcy和SHBG水平的升高以及瘦素水平的降低与SCZ病例认知障碍的发生密切相关。因此,对这些指标进行临床观察和监测有助于发现患者病情的变化。
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来源期刊
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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