Evidence map›Paper›PMID 40933156›Full record

ArticleWorld journal of psychiatry2025

Disease duration-stratified associations of thyroid hormone levels with psychopathology in hospitalized patients with schizophrenia: A cross-sectional study.

Xiu-Ping Lei, De-Xin Liao, Guo-Ying Wu, Dan Shuai, Hong-Li Zhang, Bin-You Wang, Yi-Lin Wang

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Article in World journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Xiu-Ping LeiDepartment of Psychiatry, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China.
De-Xin LiaoDepartment of Psychiatry, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China.
Guo-Ying WuDepartment of Psychiatry, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China.
Dan ShuaiDepartment of Psychiatry, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China.
Hong-Li ZhangDepartment of Psychiatry, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China.
Bin-You WangZigong Institute of Brain Science, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China.
Yi-Lin WangZigong Institute of Brain Science, Zigong Mental Health Center, Zigong 643020, Sichuan Province, China. wangyilinzg0321@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuroendocrine dysfunction, especially involving the hypothalamic-pituitary-thyroid axis, plays a critical role in the onset and progression of schizophrenia. Alterations in thyroid stimulating hormone (TSH), triiodothyronine (T3), free T3 (FT3), thyroxine (T4), and free T4 have been implicated in this process. Although previous studies have established an association between thyroid function and psychiatric symptoms, how thyroid hormone levels vary with disease duration remains underexplored.

aimTo investigate duration stage-specific associations between thyroid hormones and psychotic symptoms among inpatients with stable schizophrenia.

methodsThis cross-sectional study was conducted at Zigong Mental Health Center, China, and included 237 hospitalized patients with stable schizophrenia. Participants were stratified into three groups based on disease duration: 0-10 years, 10.1-20 years, and over 20 years. Peripheral blood samples were collected to measure serum thyroid hormone levels. Psychotic symptoms were assessed using the Positive and Negative Syndrome Scale. Covariate-adjusted linear regression analyses were performed to assess the relationships between thyroid hormone levels and Positive and Negative Syndrome Scale sub-scale scores.

resultsThe relationship between thyroid hormones and psychotic symptoms varied by disease duration. In patients with a disease course of 0-10 years, T4 [β = -0.848; 95% confidence interval (CI): -1.564 to -0.133;

conclusionThe associations between thyroid hormones and psychotic symptoms vary according to the duration of schizophrenia (T4/FT3 early; TSH mid), enabling the development of stage-adapted models and management.

Indexed as

Disease durationPositive and Negative Syndrome ScaleSchizophreniaSymptomThyroid hormones

Identifiers

PMID40933156
PMCPMC12418022

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