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Related Experiment Videos

High prevalence of thyroid function test abnormalities in chronic schizophrenia

S S Othman1, K Abdul Kadir, J Hassan

  • 1Department of Medicine, National University of Malaysia, Jalan Raja Muda, Kuala Lumpur.

The Australian and New Zealand Journal of Psychiatry
|December 1, 1994
PubMed
Summary

Chronic schizophrenia patients show increased thyroid antibodies and varied thyroid function abnormalities, suggesting potential hypothalamo-pituitary thyroid axis and peripheral regulation issues. Further research is needed to clarify these thyroid status findings.

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Area of Science:

  • Endocrinology
  • Psychiatry
  • Immunology

Background:

  • Chronic schizophrenia is a complex mental disorder with potential links to various physiological abnormalities.
  • Thyroid dysfunction is increasingly recognized as a potential comorbidity in psychiatric conditions.

Purpose of the Study:

  • To investigate the prevalence of thyroid antibodies and thyroid function test abnormalities in patients with chronic schizophrenia.
  • To compare thyroid antibody prevalence in schizophrenia patients with healthy blood donors.
  • To explore the relationship between thyroid status and thyroid hormone levels in this population.

Main Methods:

  • Assessed thyroid status in 249 chronic schizophrenia patients (136 males, 113 females).
  • Measured thyroid antibodies (TAb) and thyroid hormone levels (TSH, T4, FT4, FT3).

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  • Compared TAb prevalence with healthy control groups (152 females, 449 males).
  • Main Results:

    • Thyroid antibodies (TAb) were found in 20% of patients, significantly higher than in healthy controls (28% vs 13% in females, 14% vs 7% in males).
    • Thyroid function abnormalities were common: 60% normal, 5% elevated TSH, 17% low TSH among 183 patients with hormone measurements.
    • Thyroid hormones (T4, FT4, FT3) were lower in patients with abnormal TSH; 23% of patients with normal TSH had low T3.

    Conclusions:

    • A spectrum of thyroid function test abnormalities exists in chronic schizophrenia.
    • These abnormalities may involve central (hypothalamo-pituitary thyroid axis) and peripheral regulation.
    • The clinical significance of thyroid antibodies and biochemical abnormalities in chronic schizophrenia requires further investigation.