Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia

Abstract Objectives To investigate the role of Brain derived neurotrophic factor (BDNF) in the psychotic symptoms in first‐episode patients with schizophrenia and whether BDNF levels were associated with the improvement of psychotic symptoms after risperidone treatment. Methods 89 schizophrenia pati...

Full description

Bibliographic Details
Main Authors: Tong Zhao, SuFang Tang, XiaoLei Gao, Juan Li, Ran Hao, HaiZhi Chen, GuangBiao Huang
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:International Journal of Methods in Psychiatric Research
Subjects:
Online Access:https://doi.org/10.1002/mpr.1982
_version_ 1797238942081220608
author Tong Zhao
SuFang Tang
XiaoLei Gao
Juan Li
Ran Hao
HaiZhi Chen
GuangBiao Huang
author_facet Tong Zhao
SuFang Tang
XiaoLei Gao
Juan Li
Ran Hao
HaiZhi Chen
GuangBiao Huang
author_sort Tong Zhao
collection DOAJ
description Abstract Objectives To investigate the role of Brain derived neurotrophic factor (BDNF) in the psychotic symptoms in first‐episode patients with schizophrenia and whether BDNF levels were associated with the improvement of psychotic symptoms after risperidone treatment. Methods 89 schizophrenia patients and 90 healthy controls were recruited, the schizophrenia patients were assigned into early response or early non‐response groups at 2 weeks based on improvement in the positive and negative symptoms scale (PANSS) total score. All patients were treated with risperidone for 2 weeks, their serum BDNF levels were compared at baseline and after 2 weeks treatment. Results We found that patients had lower BDNF levels, compared to controls at baseline. After 2 weeks of treatment of risperidone, BDNF levels were significantly increased and psychotic symptoms were decreased in early response group. Correlation analysis showed that the change of BDNF levels after treatment was correlated with the change of PANSS total score. Further regression analysis showed that the change in BDNF levels was an independent predictor for the improvement in psychotic symptoms. Conclusions Our findings reveal that the level of BDNF was lower in first‐episode schizophrenic patients, moreover, the changes in serum BDNF levels may have a predictive effect on the early improvement in psychotic symptoms in the first 2 weeks.
first_indexed 2024-04-24T17:43:39Z
format Article
id doaj.art-2981ff48bf1e4b5c8b0a3c9a7bf391c0
institution Directory Open Access Journal
issn 1049-8931
1557-0657
language English
last_indexed 2024-04-24T17:43:39Z
publishDate 2024-03-01
publisher Wiley
record_format Article
series International Journal of Methods in Psychiatric Research
spelling doaj.art-2981ff48bf1e4b5c8b0a3c9a7bf391c02024-03-27T15:10:42ZengWileyInternational Journal of Methods in Psychiatric Research1049-89311557-06572024-03-01331n/an/a10.1002/mpr.1982Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophreniaTong Zhao0SuFang Tang1XiaoLei Gao2Juan Li3Ran Hao4HaiZhi Chen5GuangBiao Huang6Department of Psychiatry QuZhou Third Municipal Hospital QuZhou ChinaDepartment of Psychiatry Huzhou Third Municipal Hospital The Affiliated Hospital of Huzhou University Huzhou ChinaSchool of Nursing Xinxiang Medical University Xinxiang Henan ChinaDepartment of Psychiatry The Second Affiliated Hospital of Xinxiang Medical University Xinxiang Henan ChinaThe First Affiliated Hospital of Xinxiang Medical University Xinxiang Henan ChinaDepartment of Psychiatry Huzhou Third Municipal Hospital The Affiliated Hospital of Huzhou University Huzhou ChinaDepartment of Psychiatry Huzhou Third Municipal Hospital The Affiliated Hospital of Huzhou University Huzhou ChinaAbstract Objectives To investigate the role of Brain derived neurotrophic factor (BDNF) in the psychotic symptoms in first‐episode patients with schizophrenia and whether BDNF levels were associated with the improvement of psychotic symptoms after risperidone treatment. Methods 89 schizophrenia patients and 90 healthy controls were recruited, the schizophrenia patients were assigned into early response or early non‐response groups at 2 weeks based on improvement in the positive and negative symptoms scale (PANSS) total score. All patients were treated with risperidone for 2 weeks, their serum BDNF levels were compared at baseline and after 2 weeks treatment. Results We found that patients had lower BDNF levels, compared to controls at baseline. After 2 weeks of treatment of risperidone, BDNF levels were significantly increased and psychotic symptoms were decreased in early response group. Correlation analysis showed that the change of BDNF levels after treatment was correlated with the change of PANSS total score. Further regression analysis showed that the change in BDNF levels was an independent predictor for the improvement in psychotic symptoms. Conclusions Our findings reveal that the level of BDNF was lower in first‐episode schizophrenic patients, moreover, the changes in serum BDNF levels may have a predictive effect on the early improvement in psychotic symptoms in the first 2 weeks.https://doi.org/10.1002/mpr.1982antipsychotic drugsbrain‐derived neurotrophic factorpsychotic symptomsrisperidoneschizophrenia
spellingShingle Tong Zhao
SuFang Tang
XiaoLei Gao
Juan Li
Ran Hao
HaiZhi Chen
GuangBiao Huang
Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia
International Journal of Methods in Psychiatric Research
antipsychotic drugs
brain‐derived neurotrophic factor
psychotic symptoms
risperidone
schizophrenia
title Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia
title_full Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia
title_fullStr Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia
title_full_unstemmed Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia
title_short Association of serum brain‐derived neurotrophic factor level and early response to antipsychotic drug in first‐episode patients with schizophrenia
title_sort association of serum brain derived neurotrophic factor level and early response to antipsychotic drug in first episode patients with schizophrenia
topic antipsychotic drugs
brain‐derived neurotrophic factor
psychotic symptoms
risperidone
schizophrenia
url https://doi.org/10.1002/mpr.1982
work_keys_str_mv AT tongzhao associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia
AT sufangtang associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia
AT xiaoleigao associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia
AT juanli associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia
AT ranhao associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia
AT haizhichen associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia
AT guangbiaohuang associationofserumbrainderivedneurotrophicfactorlevelandearlyresponsetoantipsychoticdruginfirstepisodepatientswithschizophrenia