Publications by authors named "Ming-Chyi Huang"

Purpose: We aimed to evaluate the effects of folate and vitamin B12 on psychopathology in patients with schizophrenia and low serum folate levels.

Methods: Fifty-five schizophrenia patients with serum folate levels lower than 6 mg/L were randomized in a 2:1 ratio to supplementation with 5 mg of folate and 500 μg of vitamin B12 per day (the folate group, n = 36) or placebo (the placebo group, n = 19) for 24 weeks. We evaluated patients' symptomatology with the Positive and Negative Symptom Scale (PANSS) and cognitive functions with Cogstate.

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Delirium tremens (DT) is the most severe and life-threatening manifestation of alcohol withdrawal. Prompt identification and treatment are crucial in the clinical management of DT, but laboratory markers in this context are still lacking. Neurofilament light chain (NfL) has been proposed as a novel blood marker of neuroaxonal pathology.

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  • The study explored the impact of alcohol use disorder (AUD) on bone turnover and psychological symptoms by measuring two key bone markers, P1NP and CTX-1, in AUD patients before and after two weeks of alcohol withdrawal.
  • Results showed that AUD patients had higher baseline levels of CTX-1, but after withdrawal, there was a significant increase in bone formation markers (P1NP) and a decrease in markers of bone resorption, indicating a shift towards better bone health.
  • Improvements in psychological symptoms like cravings and depression were correlated with changes in bone turnover markers, suggesting a potential link between bone health and psychological well-being, known as the bone-brain axis.
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Ketamine has emerged as a prominent substance of misuse. Leptin, an adipocyte-derived polypeptide hormone, has been implicated in the development of addiction. Sex-specific changes in leptin levels have been demonstrated following acute ketamine administration; the persistence of long-term ketamine use on leptin levels is uncertain.

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  • Research investigates how methamphetamine use affects brain connectivity and its link to psychosis.
  • The study involved 54 men with meth use disorder, comparing those with and without psychosis to healthy controls.
  • Results showed altered brain network connections in those with meth-induced psychosis, highlighting differences in functional connectivity between various brain networks.
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  • Ketamine can cause serious mental problems, like psychosis, in people who use it a lot, similar to schizophrenia but usually not as bad.
  • In a study, researchers looked at the levels of a substance called neurofilament light chain (NFL) in people with ketamine dependence and compared them to those with schizophrenia and healthy people.
  • They found that people with the most severe ketamine-related psychosis had higher NFL levels, suggesting that ketamine affects the brain differently than schizophrenia does.
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Background: Evaluating the risk of relapse is a pivotal step in the treatment of patients with methamphetamine use disorder (MUD). The 30-item Stimulant Relapse Risk Scale (SRRS) was originally developed in Japan to meet the demand. This study examined the reliability, validity, and factor structure of the Chinese version of the SRRS for patients with MUD.

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Objective: The clinical manifestations of methamphetamine (METH)-associated psychosis (MAP) and acute paranoid schizophrenia (SCZ) are similar. This study aims to assess regional cerebral blood flow (rCBF) in individuals who use METH and in those with SCZ using the MRI arterial spin labeling (ASL) technique.

Methods: We prospectively recruited 68 participants and divided them into four groups: MAP (N = 15), SCZ (N = 13), METH users with no psychosis (MNP; N = 22), and normal healthy controls (CRL; N = 18).

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Alcohol use disorder (AUD) is recognized as a chronic relapsing disorder. Alcohol Relapse Risk Scale (ARRS), a multidimensionally self-rating scale, was developed initially by the Japanese to assess the risk of alcohol reuse. The study aimed to validate the reliability and factor structure of the Chinese version of the ARRS (C-ARRS) for patients with AUD.

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Background: Bipolar disorder (BD) is a severe mental disorder related to neurocognitive deficits. Exposure to childhood trauma is associated with worse cognitive performance. Different compositions of childhood trauma in BD and their impacts on cognition are rarely reported.

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Background: Cognitive impairment is a growing problem with increasing burden in global aging. Older adults with major depressive disorder (MDD) have higher risk of dementia. Neurofilament light chain (NfL) has been proven as a potential biomarker in neurodegenerative disease, including dementia.

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  • The Penn Alcohol Craving Scale (PACS) is a questionnaire used to measure alcohol craving, and the study aimed to create a Chinese version (PACS-C) while evaluating its effectiveness.
  • The study involved 160 Taiwanese patients and assessed the PACS-C's internal consistency, validity against other craving scales, and test-retest reliability.
  • Results showed that the PACS-C demonstrated strong reliability and valid correlations with other craving measures, making it a useful tool for assessing alcohol cravings in Taiwan.
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Methamphetamine use disorder (MUD) is a worldwide health concern. The hypothalamic orexin system regulates stress response and addictive behaviors. The genetic variation in the hypocretin receptor 2 (HCRTR2), rs2653349, is associated with substance use disorder.

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  • Clozapine is the main treatment for treatment-resistant schizophrenia (TRS), but only 40% of patients respond to it, leading to a subset known as clozapine-resistant patients.
  • A study involving 199 schizophrenia patients found that those responsive to clozapine had higher levels of the neuropeptide orexin-A compared to resistant and antipsychotic drug-free patients.
  • Results indicated that orexin-A levels significantly correlated with treatment response and cognitive functions like memory, suggesting further research on orexin-A’s role in enhancing clozapine therapy could be beneficial.
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Aim: Although studies in Western countries have investigated the quality of life (QoL) of heroin users, limited research on this topic has been conducted in Asia. The present study assessed QoL in patients with heroin dependence receiving medications to treat opioid use disorder.

Methods: We performed a cross-sectional study of patients with heroin dependence receiving methadone and buprenorphine treatment.

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Background: Our prior open trial showed the feasibility of a smartphone-based support system coupled with a Bluetooth breathalyzer (SoberDiary) in assisting recovery for patients with alcohol dependence (AD). In this 24-week follow-up study, we further explored the efficacy of supplementing SoberDiary to treatment as usual (TAU) over 12 weeks of intervention and whether the efficacy persisted in the post-intervention 12 weeks.

Methods: 51 patients who met the DSM-IV criteria of AD were randomly assigned to the technological intervention group (TI group, receiving technology intervention of SoberDiary plus TAU,  = 25) or those receiving only TAU (TAU group,  = 26).

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Clinical studies examining the effects of vitamin D on cognition have reported inconsistent results. To date, no comprehensive study has examined this effect on the basis of sample characteristics or intervention model-related factors. This systematic review and meta-analysis of randomized controlled trials investigated the effects of vitamin D supplementation on global cognitive function and specific cognitive domains.

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  • * A study involving 147 AD patients and 114 controls showed that elevated NFL levels corresponded with psychological symptoms like craving, depression, and anxiety, which improved after 1 and 2 weeks of detoxification.
  • * The ALDH2 rs671 genetic polymorphism relates to enzyme activity affecting neurotoxicity, with carriers of the variant showing higher NFL levels both at baseline and during detoxification.
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Background: Methamphetamine (METH) is a Schedule II illicit drug in Taiwan. A 12-month legal-medical joint intervention program has been developed for first-time METH offenders during deferred prosecution. Risk factors associated with METH relapse use among these individuals were unknown.

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We recently demonstrated that patients with ketamine dependence (KD) have increased serum levels of neurofilament light chain (NfL), a novel marker of active neuroaxonal pathology, with NfL levels being significantly higher in those KD patients comorbid with major depressive disorder (MDD). However, considering that NfL elevation has been associated with both ketamine-related brain pathology and MDD, we could not determine whether the observed elevation of NfL levels was driven by an interaction of KD with MDD or by MDD itself. Therefore, we compared serum NfL levels between 35 patients with MDD without ketamine use (MDD group), 23 with KD without MDD (KD without MDD group), 30 KD with MDD (KD with MDD group), and 86 healthy controls (HC group).

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Background: The 3 core domains of delirium (cognitive, higher level thinking, circadian) do not include the less common noncore psychotic symptoms. However, psychosis might inform about perturbations of neural circuitry, outcomes, or suggest tailored clinical management.

Objective: We assessed relationships between psychosis and other characteristics of delirium in patients without dementia or antipsychotics treatment.

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Microbiota-gut-brain axis signaling plays a pivotal role in mood disorders. The communication between the host and the gut microbiota may involve complex regulatory networks. Previous evidence showed that host-fecal microRNAs (miRNAs) interactions partly shaped gut microbiota composition.

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Background: Bipolar disorder is a chronic mental disorder related to cognitive deficits. Low serum vitamin D levels are significantly associated with compromised cognition in neuropsychiatric disorders. Although patients with bipolar disorder frequently exhibit hypovitaminosis D, the association between vitamin D and cognition in bipolar disorder, and their neuroaxonal integrity, is unclear.

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Background: Inflammation is a potential risk factor of mental disturbance. FKBP5 that encodes FK506-binding protein 51 (FKBP51), a negative cochaperone of glucocorticoid receptor (GR), is a stress-inducible gene and has been linked to psychiatric disorders. Yet, the role of FKBP51 in the inflammatory stress-associated mental disturbance remained unclear.

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