Prevalence and clinical profile of abnormal glucose in first-episode and drug-naive patients with major depressive disorder with comorbid abnormal thyroid function: a large-scale cross-sectional study
文献类型：期刊论文
| 作者 | Huang, Xiao1; Sun, Yuan2; Wu, Anshi1; Zhang, Xiang-Yang3,4,5
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| 刊名 | BMC PSYCHIATRY
 |
| 出版日期 | 2023-05-24 |
| 卷号 | 23期号:1页码:9 |
| 关键词 | Depression Glucose metabolism Thyroid function Prevalence |
| DOI | 10.1186/s12888-023-04842-5 |
| 通讯作者 | Zhang, Xiang-Yang(zhangxy@psych.ac.cn) |
| 英文摘要 | BackgroundThe associated factors of abnormal glucose in patients with major depressive disorder (MDD) with comorbid abnormal thyroid function (ATF) remain unclear. To the best of our knowledge, this is the first study with a large sample size that examines the risk factors of abnormal glucose in first-episode drug-naive (FEDN) MDD patients comorbid with ATF and includes clinical correlates and thyroid hormone levels.MethodsA total of 1718 FEDN MDD patients were recruited. The Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), and Positive and Negative Syndrome Scale (PANSS) positive subscale were used to evaluate the symptoms of patients. Fasting blood glucose concentration and thyroid hormone levels were measured.ResultsThe prevalence of abnormal glucose in MDD patients with comorbid ATF was 47.3%, which was 4.25 times higher than that in MDD patients without ATF (17.4%). Compared to those ATF patients without abnormal glucose, ATF patients with abnormal glucose scored higher on HAMD, HAMA and PANSS positive subscale, had a higher rate of suicide attempts, severe anxiety and psychotic symptoms, and had higher levels of thyroid-stimulating hormone (TSH), and thyroid peroxidases antibody (TPOAb) which were also correlated with abnormal glucose in MDD patients comorbid ATF (all P < 0.05). The combination of HAMD score and TSH could differentiate abnormal glucose from ATF. Further, TSH was independence-related with the concentration of fasting blood glucose in MDD patients with comorbid ATF.ConclusionOur results demonstrate a high prevalence of abnormal glucose in MDD patients with comorbid ATF. Some clinical and thyroid function-related variables may be associated with abnormal glucose in MDD patients with comorbid ATF. |
| 收录类别 | SCI |
| WOS关键词 | TYPE-2 DIABETES-MELLITUS ; INSULIN-RESISTANCE ; METABOLIC SYNDROME ; SYMPTOMS ; ANXIETY ; METAANALYSIS ; ASSOCIATION ; TOLERANCE ; PREGNANCY ; CHILDREN |
| WOS研究方向 | Psychiatry |
| 语种 | 英语 |
| WOS记录号 | WOS:000994645700004 |
| 出版者 | BMC |
| 源URL | [http://ir.psych.ac.cn/handle/311026/45562]  |
| 专题 | 心理研究所_中国科学院心理健康重点实验室 |
| 通讯作者 | Zhang, Xiang-Yang |
| 作者单位 | 1.Capital Med Univ, Beijing Chao Yang Hosp, Dept Anesthesiol, 8 Workers Stadium South Rd, Beijing 100020, Peoples R China 2.Capital Med Univ, Beijing Chao Yang Hosp, Dept Pharm, 8 Workers Stadium South Rd, Beijing 100020, Peoples R China 3.Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China 4.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China 5.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, 16 Lincui Rd, Beijing 100101, Peoples R China |
| 推荐引用方式 GB/T 7714 | Huang, Xiao,Sun, Yuan,Wu, Anshi,et al. Prevalence and clinical profile of abnormal glucose in first-episode and drug-naive patients with major depressive disorder with comorbid abnormal thyroid function: a large-scale cross-sectional study[J]. BMC PSYCHIATRY,2023,23(1):9. |
| APA | Huang, Xiao,Sun, Yuan,Wu, Anshi,&Zhang, Xiang-Yang.(2023).Prevalence and clinical profile of abnormal glucose in first-episode and drug-naive patients with major depressive disorder with comorbid abnormal thyroid function: a large-scale cross-sectional study.BMC PSYCHIATRY,23(1),9. |
| MLA | Huang, Xiao,et al."Prevalence and clinical profile of abnormal glucose in first-episode and drug-naive patients with major depressive disorder with comorbid abnormal thyroid function: a large-scale cross-sectional study".BMC PSYCHIATRY 23.1(2023):9. |
入库方式： OAI收割
来源：心理研究所
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