A metabolome-wide case-control study of social anxiety disorder in patients with schizophrenia
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 10
Abstract
[Objective] To explore the metabolic markers of social anxiety disorder in schizophrenia patients with social anxiety disorder through metabolomic sequencing analysis. [Methods] From December 2022 to December 2023, a case-control study was carried out in the Neuropsychiatric Prevention and Control Hospital of Fuzhou Second General Hospital. One hundred sixty patients with schizophrenia were included in the study. The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-Ⅳ) and Liebowitz social anxiety scale (LSAS) scores were used to classify subjects as patients with social anxiety disorder (n=64) and controls without social anxiety disorder (n=96). Peripheral blood samples were collected for non-targeted metabolomic sequencing, and the metabolites with statistical differences were analyzed by receiver operating characteristic (ROC) curve to find metabolic markers that may affect social anxiety disorder in schizophrenia patients. [Results] There were significant differences in 12 metabolites between the two groups (P<0.05). In ROC curve analysis, the top 3 metabolites with area under curve (AUC) values were 3-O-trans-coumaryl-alphetolic acid (AUC=0.637), 3-mercaptopropionic acid (AUC=0.602) and nona-2-acylcarnitine (AUC=0.600). [Conclusion] In this study, the potential diagnostic metabolic markers of 3-O-trans-coumaryl-alphitoic acid, 3-mercaptopropionic acid, nonyl-2-acylcarnitine as diagnostic metabolic markers can effectively distinguish patients with schizophrenia social anxiety disorder from patients with schizophrenia without social anxiety disorder.
Authors and Affiliations
Yishan WU, Yuanyuan FANG, Ling WANG, Zhaonan ZENG, Fuhao. ZHENG
Preliminary study on remote treatment of relapse in alcohol dependent patients by the alcoholics anonymous
[Objective] To explore the impact of alcoholics anonymous (AA) online video conferences on relapse among alcohol dependent patients. [Method] Alcohol dependent patients who were hospitalized and discharged from the Menta...
Efficacy analysis of endoscopic endonasal and craniotomy surgery in the treatment of craniopharyngioma Based on QST Classification
[Objective] This study aims to explore the efficacy and complication rates of the transcranial approach (TCA) and extended endoscopic endonasal approach (EEEA) for the treatment of craniopharyngiomas based on the QST cla...
Optimizing multi-domain hematologic biomarkers and clinical features for the differential diagnosis of unipolar depression and bipolar depression
[Objective] This study aims to build a differential diagnosis model for unipolar and bipolar depression based on clinical features and blood indicators. [Methods] According to inclusion and exclusion criteria, participan...
A case report of COVID-19-associated acute necrotizing encephalopathy
This article reports one case of adult COVID-19-associated acute necrotizing encephalopathy (ANEC) .The patient developed disturbance of consciousness and seizure on the 12th day after SARS-CoV-2 infection. Imaging showe...
Advance in research on EEG technology in non-suicidal self-injurious behaviour and suicidal ideation in depression
Non-suicidal self-injury behavior and suicidal ideation are important risk factors for suicide attempts in patients with depression. At present, studies have found that there are obvious differences in electroencephalogr...