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患有强迫症的儿童和青少年的维生素D水平

Vitamin D levels in children and adolescents with obsessive compulsive disorder.

作者信息

Yazici Kemal Utku, Percinel Yazici Ipek, Ustundag Bilal

机构信息

a Department of Child and Adolescent Psychiatry , Firat University Medical Faculty , Elazig , Turkey.

b Department of Biochemistry , Firat University Medical Faculty , Elazig , Turkey.

出版信息

Nord J Psychiatry. 2018 Apr;72(3):173-178. doi: 10.1080/08039488.2017.1406985. Epub 2017 Nov 23.

Abstract

BACKGROUND

Recent studies showed that vitamin D deficiency may lead to dysfunctional changes in the brain and may be associated with neuropsychiatric diseases.

AIMS

The present study aims to investigate vitamin D, calcium, phosphorus and alkaline phosphatase levels in children and adolescents diagnosed with obsessive-compulsive disorder (OCD) and compared them to healthy controls. Additionally, the correlation of OCD symptom severity with serum vitamin D level will be analyzed.

METHODS

A semi-structured interview form (K-SADS-PL) was used to diagnose OCD and other comorbidities in accordance with DSM-IV criteria. In addition, all participants were assessed with clinical interviews based on DSM-5 OCD diagnostic criteria. Children's Yale Brown Obsession Compulsion Scale (CY-BOCS) and Children's Depression Inventory were used in the clinical evaluation.

RESULTS

Vitamin D levels were lower in patients diagnosed with OCD (15.88 ± 6.96 ng/mL) when compared to healthy controls (18.21 ± 13.24 ng/mL), but the difference was not statistically significant (p = .234). Serum calcium, serum phosphate and serum alkaline phosphatase levels were not different between the groups. A negative correlation was found between serum 25OH-D3 levels and obsession scale scores in CY-BOCS.

CONCLUSIONS

To our knowledge this is the first study that evaluated vitamin D levels in OCD patients without comorbidity. The vitamin D levels of newly diagnosed OCD cases were lower but not statistically different than healthy controls. Furthermore, the study does also not support the presence of a significant association between serum vitamin D levels and OCD.

摘要

背景

近期研究表明,维生素D缺乏可能导致大脑功能异常变化,并可能与神经精神疾病有关。

目的

本研究旨在调查被诊断为强迫症(OCD)的儿童和青少年的维生素D、钙、磷和碱性磷酸酶水平,并将其与健康对照组进行比较。此外,还将分析强迫症症状严重程度与血清维生素D水平之间的相关性。

方法

采用半结构化访谈表(K-SADS-PL),根据DSM-IV标准诊断强迫症及其他共病。此外,所有参与者均根据DSM-5强迫症诊断标准进行临床访谈评估。临床评估中使用儿童耶鲁布朗强迫症量表(CY-BOCS)和儿童抑郁量表。

结果

与健康对照组(18.21±13.24 ng/mL)相比,被诊断为强迫症的患者维生素D水平较低(15.88±6.96 ng/mL),但差异无统计学意义(p = 0.234)。两组之间血清钙、血清磷和血清碱性磷酸酶水平无差异。在CY-BOCS中,血清25OH-D3水平与强迫观念量表得分之间存在负相关。

结论

据我们所知,这是第一项评估无共病强迫症患者维生素D水平的研究。新诊断的强迫症病例的维生素D水平较低,但与健康对照组相比无统计学差异。此外,该研究也不支持血清维生素D水平与强迫症之间存在显著关联。

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