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比较青少年精神分裂症、双相情感障碍、单相抑郁、品行障碍和多动障碍患者的促甲状腺激素水平。

Comparison of thyroid-stimulating hormone levels in adolescents with schizophrenia, bipolar disorder, unipolar depression, conduct disorders, and hyperkinetic disorders.

机构信息

Department of Affective and Psychotic Disorders, Medical University of Lodz, Czechosłowacka 8/10, Lodz, Poland.

Department of Adolescent Psychiatry, Medical University of Lodz, Czechosłowacka 8/10, Lodz, Poland.

出版信息

Medicine (Baltimore). 2021 Dec 10;100(49):e28160. doi: 10.1097/MD.0000000000028160.

Abstract

The aim of this study was to retrospectively compare values of thyroid-stimulating hormone (TSH) in adolescent patients diagnosed with schizophrenia, bipolar disorder, unipolar depression (UNI-DEP), conduct disorders (CD), and hyperkinetic disorders.The research involved 1122 patients (718 women, 64%); aged 12 to 18 hospitalized in the Department of Adolescent Psychiatry, Medical University of Lodz. We analyzed TSH levels in the whole study population and compared it between the above-mentioned subgroups of diagnoses.Mean serum TSH concentration in the studied population (n = 1122) was 2.06 μIU/mL. The values of percentiles were as follows: 2.5th - 0.53 μIU/mL, 10th - 0.89 μIU/mL, 25th - 1.31 μIU/mL, 50th - 1.9 μIU/mL, 75th - 2.6 μIU/mL, 90th - 3.43 μIU/mL, 97.5th - 4.72 μIU/mL. TSH values were negatively correlated with patients' age (P = .00001). Patients with bipolar depression had higher TSH levels than patients with CD (P = .002). Also, when male and female groups were examined separately we found that female patients with UNI-DEP and bipolar disorder had higher TSH levels than female patients with CD (P = .001; P = .001).Our results confirm that there may be a higher prevalence of thyroid dysfunctions in bipolar and UNI-DEP subgroups among adolescents and that it is worthy to consider some kind of interventions regarding thyroid function in depressed individuals.

摘要

本研究旨在回顾性比较诊断为精神分裂症、双相情感障碍、单相抑郁(UNI-DEP)、品行障碍(CD)和多动障碍的青少年患者的促甲状腺激素(TSH)值。研究涉及 1122 名患者(718 名女性,64%),年龄在 12 至 18 岁,在罗兹医科大学青少年精神病学部住院。我们分析了整个研究人群的 TSH 水平,并比较了上述诊断亚组之间的 TSH 水平。研究人群(n=1122)的平均血清 TSH 浓度为 2.06μIU/mL。百分位数的值如下:2.5%为 0.53μIU/mL,10%为 0.89μIU/mL,25%为 1.31μIU/mL,50%为 1.9μIU/mL,75%为 2.6μIU/mL,90%为 3.43μIU/mL,97.5%为 4.72μIU/mL。TSH 值与患者年龄呈负相关(P=0.00001)。双相抑郁患者的 TSH 水平高于 CD 患者(P=0.002)。此外,当分别检查男性和女性组时,我们发现患有 UNI-DEP 和双相情感障碍的女性患者的 TSH 水平高于患有 CD 的女性患者(P=0.001;P=0.001)。我们的结果证实,在青少年中,双相和 UNI-DEP 亚组中甲状腺功能障碍的患病率可能更高,值得考虑对抑郁个体的甲状腺功能进行某种干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7475/8663859/411b8ceb0ef8/medi-100-e28160-g001.jpg

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