The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach

Introduction:Depression is a common mental disorder worldwide. The pathology of depression may involve the dysregulation of neurotransmitters and immunity and produce genetic and environmental effects. Traditional Chinese Medicine (TCM) has been practiced for several thousand years and has a differe...

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Main Authors: Jiajia Ye, Yunying Yu, Raymond C. K. Chung, Xiaowen Lian, Xin Wang, Wai Ming Cheung, Hector W. H. Tsang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1159785/full
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author Jiajia Ye
Jiajia Ye
Yunying Yu
Raymond C. K. Chung
Xiaowen Lian
Xin Wang
Wai Ming Cheung
Hector W. H. Tsang
Hector W. H. Tsang
author_facet Jiajia Ye
Jiajia Ye
Yunying Yu
Raymond C. K. Chung
Xiaowen Lian
Xin Wang
Wai Ming Cheung
Hector W. H. Tsang
Hector W. H. Tsang
author_sort Jiajia Ye
collection DOAJ
description Introduction:Depression is a common mental disorder worldwide. The pathology of depression may involve the dysregulation of neurotransmitters and immunity and produce genetic and environmental effects. Traditional Chinese Medicine (TCM) has been practiced for several thousand years and has a different understanding of depression compared to Western medicine. However, this approach has not been widely accepted by scientific communities as TCM mainly focuses on clinical practice.Methods:In this study, we conducted a cross-sectional study among 100 participants in a rehabilitation hospital to analyze the plausible pathways linking TCM-based liver function and depression, which we hypothesized in a prior theoretical review.Results:A significant relationship between adrenocorticotropic hormone and TCM-based liver function was found (r = 0.211, p = 0.041). Cortisol was significantly associated with norepinephrine (r = 0.243, p = 0.015) and adrenocorticotropic hormone (r = 0.302, p < 0.001). A positive significant relationship was also found between norepinephrine and adrenocorticotropic hormone (r = 0.272, p < 0.001). There was no significant relationship between the ratio from low frequency to high frequency and TCM-based liver function (p = 0.690).Discussion:These results suggest that TCM-based liver function can be interpreted using the hypothalamic-pituitary-adrenal axis. This is a pioneering study to examine the mechanisms of depression in relation to liver function by integrating Eastern and Western medical approaches. The findings of this study are valuable for a deeper understanding of depression and public education.
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spelling doaj.art-3baf462ee7154a80965efd34298906722023-05-10T04:22:51ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-05-011410.3389/fpsyt.2023.11597851159785The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approachJiajia Ye0Jiajia Ye1Yunying Yu2Raymond C. K. Chung3Xiaowen Lian4Xin Wang5Wai Ming Cheung6Hector W. H. Tsang7Hector W. H. Tsang8Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaDepartment of Rehabilitation Assessments, Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaDepartment of Sleep Medicine, Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaDepartment of Rehabilitation Assessments, Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaDepartment of Clinical Laboratory, Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaFaculty of Education, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaResearch Centre for Chinese Medicine Inovation, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaIntroduction:Depression is a common mental disorder worldwide. The pathology of depression may involve the dysregulation of neurotransmitters and immunity and produce genetic and environmental effects. Traditional Chinese Medicine (TCM) has been practiced for several thousand years and has a different understanding of depression compared to Western medicine. However, this approach has not been widely accepted by scientific communities as TCM mainly focuses on clinical practice.Methods:In this study, we conducted a cross-sectional study among 100 participants in a rehabilitation hospital to analyze the plausible pathways linking TCM-based liver function and depression, which we hypothesized in a prior theoretical review.Results:A significant relationship between adrenocorticotropic hormone and TCM-based liver function was found (r = 0.211, p = 0.041). Cortisol was significantly associated with norepinephrine (r = 0.243, p = 0.015) and adrenocorticotropic hormone (r = 0.302, p < 0.001). A positive significant relationship was also found between norepinephrine and adrenocorticotropic hormone (r = 0.272, p < 0.001). There was no significant relationship between the ratio from low frequency to high frequency and TCM-based liver function (p = 0.690).Discussion:These results suggest that TCM-based liver function can be interpreted using the hypothalamic-pituitary-adrenal axis. This is a pioneering study to examine the mechanisms of depression in relation to liver function by integrating Eastern and Western medical approaches. The findings of this study are valuable for a deeper understanding of depression and public education.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1159785/fulltraditional Chinese medicine (TCM)depressionliver functioncortisolheart rate variability (HRV)the hypothalamic–pituitary–adrenal (HPA) axis
spellingShingle Jiajia Ye
Jiajia Ye
Yunying Yu
Raymond C. K. Chung
Xiaowen Lian
Xin Wang
Wai Ming Cheung
Hector W. H. Tsang
Hector W. H. Tsang
The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach
Frontiers in Psychiatry
traditional Chinese medicine (TCM)
depression
liver function
cortisol
heart rate variability (HRV)
the hypothalamic–pituitary–adrenal (HPA) axis
title The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach
title_full The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach
title_fullStr The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach
title_full_unstemmed The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach
title_short The relationship between liver function and neurophysiological factors in depressed individuals: a cross-sectional study using an integrated “East meets West” medicine approach
title_sort relationship between liver function and neurophysiological factors in depressed individuals a cross sectional study using an integrated east meets west medicine approach
topic traditional Chinese medicine (TCM)
depression
liver function
cortisol
heart rate variability (HRV)
the hypothalamic–pituitary–adrenal (HPA) axis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1159785/full
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