Evidence map›Paper›PMID 27788194›Full record

ArticlePloS one2016

The Relationship between Symptom Severity and Low Vitamin D Levels in Patients with Schizophrenia.

Süheyla Doğan Bulut, Serdar Bulut, Dicle Görkem Atalan, Tonguç Berkol, Eda Gürçay, Türker Türker, Çiğdem Aydemir

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Anti-Inflammatory Diets and Schizophrenia.Clinical nutrition research · 2020
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. [All-rounder vitamin D?]Der Nervenarzt · 2017
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Süheyla Doğan BulutPsychiatry Department, Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Ankara, Turkey.
Serdar BulutPsychiatry Department, Yenimahalle Teaching and Research Hospital, Yenimahalle, Ankara,Turkey.
Dicle Görkem AtalanPsychiatry Department, Erenköy Teaching and Research Hospital for Neurological and Psychiatric Disorders, İstanbul, Turkey.
Tonguç BerkolPsychiatry Department, Bakırköy Mazhar Osman Teaching and Research Hospital for Neurological and Psychiatric Disorders, İstanbul, Turkey.
Eda GürçayPhysical Medicine and Rehabilitation Department, Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Ankara,Turkey.
Türker TürkerPublic Health Department, Gülhane Military Medical School, Ankara, Turkey.
Çiğdem AydemirPsychiatry Department, Numune Teaching and Research Hospital, Ankara, Turkey.
Bakırköy Psychiatric Hospital · TRAnkara Numune Eğitim ve Araştırma Hastanesi · TRTurkish Armed Forces · TRYenişehir Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, the relationship between schizophrenia and environmental factors has come into prominence. This study investigated the relationship between vitamin D levels and the positive and negative symptoms of schizophrenia by comparing vitamin D levels between patients with schizophrenia and a healthy control group.

methodsThe study included 80 patients diagnosed with schizophrenia and 74 age- and sex-matched controls. The Scale for the Assessment of Negative Symptoms (SANS) and the Scale for the Assessment of Positive Symptoms (SAPS) were used to evaluate symptom severity. The 25-hydroxyvitamin D (25OHD) levels of all subjects both patients and healthy controls were analyzed in relation to measurements of symptom severity.

resultsThere were no significant differences between the groups in terms of age, sex, or physical activity. Their mean 25OHD levels were also similar (23.46±13.98ng/mL for the patient group and 23.69±9.61ng/mL for the control group). But when patients with schizophrenia were grouped based on their vitamin D levels, the results indicated a statistically significant differences between their vitamin D levels and their total SANS, affective flattening, and total SAPS, bizarre behavior and positive formal thought disorder scores (p = 0.019, p = 0.004, p = 0.015, p = 0.009 and p = 0.019, respectively). There is a negative correlation between 25OHD levels and SANS total points (r = -0.232, p = 0.038); a negative correlation for attention points (r = -0.227, p = 0.044) and negative correlation with positive formal thoughts (r = -0.257, p = 0.021).

conclusionThe results of this study show a relationship between lower levels of vitamin D and the occurrence of positive and negative symptoms, along with increased severity of symptoms at lower levels of vitamin D, suggesting that treatment for schizophrenia should include assessment of patients' vitamin D levels. We recommend that patients with schizophrenia should be assessed with regard to their vitamin D levels.

Indexed as

AdolescentAdultAgedAged, 80 and overCase-Control StudiesFemaleHumansLife StyleMaleMiddle AgedObesitySchizophreniaSmokingVitamin DYoung AdultVitamin D

Identifiers

PMID27788194
PMCPMC5082915
OpenAlexW2543723477

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.