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Published on: August 19, 2018
Psychiatric symptoms in adults with phenylketonuria
Deborah A Bilder1, Barbara K Burton, Hilary Coon
1Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Utah School of Medicine, Salt Lake City, UT, USA. deborah.bilder@hsc.utah.edu
Background:
The objective of this study was to identify psychiatric symptom patterns reported by individuals with phenylketonuria (PKU) in the outpatient clinic setting.
Methods:
Brief Symptom Inventory (BSI) results, phenylalanine (phe) levels, and demographic information were collected through a retrospective chart review on 64 participants in the study, "A Diversified Approach for PKU Treatment" (ADAPT).
Results:
The number of BSI scores meeting clinical threshold was significantly elevated for all global indexes and 6 out of 7 symptom subscales in patients with PKU. Recent and mean phe levels were correlated with age at the time of screening (R(2)=0.10, R(2)=0.10, respectively; p<0.05). Psychoticism and the Positive Symptom Distress Index (PSDI) scores were associated with metabolic control.
Conclusions:
The results of this study demonstrate a positive correlation between phe levels and psychiatric symptom severity in individuals with PKU.
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