Treatments for weight gain in schizophrenia DOI
Igor Elman

Current Opinion in Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Фев. 13, 2025

Purpose of review Obesity and related metabolic disorders are extremely common in psychiatric patients, particularly those with schizophrenia. Elucidating this link's neurobiology may inform clinicians researchers rational therapeutic approaches necessary to optimize clinical outcomes. Recent findings Current literature highlights the pivotal role inflammation-oxidative stress-insulin resistance loop pathophysiology both neuropsychiatric disorders. The concept ‘diabetophrenia’ is put forward highlight overlapping neurobiological mechanisms underlying dysfunction schizophrenia symptoms. Innovative treatments, including combination xanomeline trospium incretin-based medicines, demonstrate encouraging potential addressing such complex health challenges. Summary nuanced dynamics chronic inflammation symptomatology underscore significance mental factors a cohesive fashion while considering unique psychosocial contexts, dietary preferences, lifestyle choices. A multidisciplinary strategy essential for incorporating counseling, interventions, behavioral therapies, pharmacotherapy into management ensuing enhanced collaboration among healthcare professionals render obsolete prevailing siloed conceptualizations disorders, opening new vistas generating synergistic insights mind-body systems leading improved quality life patients other conditions.

Язык: Английский

Mitochondrial respiratory activity and DNA damage in peripheral blood mononuclear cells in borderline personality disorder DOI Creative Commons
Alexander Behnke, Manuela Rappel, Laura Ramo‐Fernández

и другие.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Янв. 31, 2025

Abstract Alterations in the central and peripheral energy metabolism are increasingly recognized as key pathophysiological processes various psychiatric disorders. This case-control study investigates mitochondrial production oxidative DNA damage Borderline Personality Disorder (BPD). We compared respiration, density, blood mononuclear cells between women with acute BPD, remitted healthy controls ( n = 32, 15, 29), matched for age BMI. Acute BPD was characterized by reduced less efficient ATP to both (e.g., coupling efficiency: r x −0.36 −0.35, p adj ’s < .037). Decreased activity closely associated greater S −0.57, .001), although did not differ diagnostic groups. Our findings suggest promising sensitive biomarkers disorder severity clinical remission BPD.

Язык: Английский

Процитировано

0

Ketogenic metabolic therapy for schizoaffective disorder: a retrospective case series of psychotic symptom remission and mood recovery DOI Creative Commons
Nicole Laurent,

Erin L. Bellamy,

Katherine A. Tague

и другие.

Frontiers in Nutrition, Год журнала: 2025, Номер 12

Опубликована: Фев. 7, 2025

Schizoaffective disorder is a severe psychiatric condition characterized by mood disturbances and psychotic symptoms. Standard treatments, primarily pharmacological, often fail to control symptoms fully can lead significant metabolic side effects. Emerging evidence suggests that ketogenic therapy (KMT), also known as the diet, may offer powerful alternative conventional treatments for components resolve in patients with schizoaffective disorder. This case series investigates effects of KMT on two individuals diagnosed who pursued this due ineffectiveness treatments. Both presentations followed modified diet medical oversight. Symptom changes were assessed using validated tools, including Generalized Anxiety Disorder-7 (GAD-7), Depression Stress Scales (DASS-42), PTSD Checklist DSM-5 (PCL-5), Patient Health Questionnaire-9 (PHQ-9). experienced complete cessation improvements mood. Case 1, 17-year-old female, achieved full remission suicidal ideation, hallucinations, anxiety within 6 weeks, sustained at 24-week follow-up. 2, 32-year-old chronic months. Patients either deprescription or process time demonstrates disorder, leading functional recovery reported quality life extend beyond symptom standard care interventions.

Язык: Английский

Процитировано

0

Treatments for weight gain in schizophrenia DOI
Igor Elman

Current Opinion in Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Фев. 13, 2025

Purpose of review Obesity and related metabolic disorders are extremely common in psychiatric patients, particularly those with schizophrenia. Elucidating this link's neurobiology may inform clinicians researchers rational therapeutic approaches necessary to optimize clinical outcomes. Recent findings Current literature highlights the pivotal role inflammation-oxidative stress-insulin resistance loop pathophysiology both neuropsychiatric disorders. The concept ‘diabetophrenia’ is put forward highlight overlapping neurobiological mechanisms underlying dysfunction schizophrenia symptoms. Innovative treatments, including combination xanomeline trospium incretin-based medicines, demonstrate encouraging potential addressing such complex health challenges. Summary nuanced dynamics chronic inflammation symptomatology underscore significance mental factors a cohesive fashion while considering unique psychosocial contexts, dietary preferences, lifestyle choices. A multidisciplinary strategy essential for incorporating counseling, interventions, behavioral therapies, pharmacotherapy into management ensuing enhanced collaboration among healthcare professionals render obsolete prevailing siloed conceptualizations disorders, opening new vistas generating synergistic insights mind-body systems leading improved quality life patients other conditions.

Язык: Английский

Процитировано

0