Relationship between Serum Inflammatory Marker and Psychotic Symptoms in Inpatients with Schizophrenia or Schizoaffective Disorder

조현병 및 조현정동장애 입원환자에서 혈청 염증표지자와 정신병적 증상과의 관련성

  • Kim, Kye Hwan (Department of Psychiatry, Gongju National Hospital) ;
  • Lee, Kounseok (Department of Psychiatry, Gongju National Hospital) ;
  • Kim, Su Jin (Neuropsychiatry Research Laboratory, Gongju National Hospital) ;
  • Lee, Eun Kyu (Department of Psychiatry, Gongju National Hospital) ;
  • Song, Yul-Mai (Neuropsychiatry Research Laboratory, Gongju National Hospital) ;
  • Park, Jin Young (Department of Psychiatry, Yonsei University College of Medicine)
  • 김계환 (국립공주병원 정신건강의학과) ;
  • 이건석 (국립공주병원 정신건강의학과) ;
  • 김수진 (국립공주병원 뇌기능연구소) ;
  • 이은규 (국립공주병원 정신건강의학과) ;
  • 송열매 (국립공주병원 뇌기능연구소) ;
  • 박진영 (연세대학교 의과대학 정신과학교실)
  • Received : 2012.06.27
  • Accepted : 2012.08.14
  • Published : 2012.11.30

Abstract

Objectives Despite the growing research interest in the role of immunological markers in schizophrenia, a few studies, with conflicting results, have focused on the association between high sensitivity C-reactive protein (hs-CRP) levels and clinical characteristics in schizophrenia. The aim of the present study was to examine the association of serum hs-CRP with psychopathology in schizophrenia. Methods Fifty-five inpatients with schizophrenia or schizoaffective disorder were enrolled. Serum levels of hs-CRP were measured, and each patient was assessed with the Korean version of the Positive and Negative Syndrome Scale (PANSS). Results In correlation analysis of hs-CRP with PANSS subscales, positive subscale score has significant positive correlation (r = 0.271, p = 0.046). In independent t-test analysis, subjects with hs-CRP > 0.3 mg/dL (elevated CRP group, n = 43) had significantly higher PANSS positive subscale score (t = -3.273, df = 24.107, p = 0.003) than those with hs-CRP ${\leq}$ 0.3 mg/dL (normal CRP group, n = 12). Conclusions Elevated serum levels of high sensitivity C-reactive protein in schizophrenia are associated with the severity of psychotic symptoms.

Keywords

References

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