Publications by authors named "Po See Chen"

Previous cross-sectional studies have utilized scales to explore potential indications of the moderating effect of resilience on the relationship between stressful life events (SLEs) and mental health. However, there remains a notable dearth of psychometrically driven models in longitudinal resilience research, especially concerning the prognosis of individuals with affective disorders and/or anxiety. This study aimed to investigate whether baseline resilience capacity, measured by the Connor-Davidson Resilience Scale, could mitigate the impact of SLEs on depressive symptoms assessed using the Beck Depression Inventory-II among 66 outpatients with depression and/or anxiety disorders during a follow-up period ranging from 4-8 years.

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Executive dysfunction and dysregulated inflammation are found in patients with different psychiatric disorders. However, whether there are different associations between inflammatory markers and executive performance in patients with different psychiatric diagnoses is unknown. Our study aims were (1) to compare peripheral cytokine expression and executive function in patients with bipolar disorder (BD), substance use disorder (SUD), and schizophrenia (SCZ), and in healthy controls (HC) and (2) to explore the potential association between inflammatory cytokines and executive function in different patient groups and HC.

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  • - Cognitive difficulties in bipolar disorder (BD) may be linked to insulin resistance, which impacts metabolism and brain health; mitochondrial DNA (mtDNA) copy number is suggested as a potential marker for cognitive performance and treatment response.
  • - A study with 68 participants found that insulin resistance indirectly influences executive function through its effect on mtDNA copy number, with significant relationships identified in tasks measuring preservation errors and category completion on the Wisconsin card-sorting test (WCST).
  • - The findings indicate that lower mtDNA copy number, associated with higher insulin resistance, may lead to poorer cognitive functions in patients with euthymic BD; further research is needed to explore how improving metabolic health could enhance cognitive outcomes.
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Background: The insula has a significant impact on interoception and depression. This study aims to explore the role of the insula in mediating treatment responses to high-frequency repetitive transcranial magnetic stimulation (rTMS) targeting the left dorsolateral prefrontal cortex (DLPFC).

Methods: Twenty-five patients with either bipolar disorder (BD, n = 15) or major depressive disorder (MDD, n = 10) were recruited.

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social defects often accompanied with emotional comorbidities. Aberrations in synaptic function and plasticity are the core feature in the pathophysiology of ASD. Targeting soluble epoxide hydrolase (sEH) has been found to exert protection in a wide-range of pathological conditions.

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  • High-fat diet (HFD)-induced obesity leads to inflammation in the body and brain, specifically activating astrocytes and microglia, which could be linked to increased risks of psychiatric disorders like depression.
  • Research shows evidence of gliosis (cell overactivation) in brain regions such as the caudate putamen and anterior cingulate cortex of obese mice, suggesting potential neural damage associated with chronic obesity.
  • Key findings include increased levels of inflammatory markers and a loss of supportive brain cells, indicating that prolonged HFD consumption may disrupt brain health and contribute to stress-related mood disorders.
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Background: Bipolar disorder (BD) is hypothesized to be associated with accelerated biological aging. Telomere length (TL) is a biomarker of aging, and although TL decreases with each cell division, the rate of telomere shortening may be affected by inflammation. We aimed to investigate whether TL is decreased in BD patients and to determine the association between TL and inflammatory markers in such patients.

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Background: Persistent cognitive deficits and functional impairments are associated with bipolar disorder (BD), even during the euthymic phase. The dysfunction of default mode network (DMN) is critical for self-referential and emotional mental processes and is implicated in BD. The current study aims to explore the balance of excitatory and inhibitory neurotransmitters, i.

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  • - A study analyzed the relationship between physical function before chemotherapy and chemotherapy-induced peripheral neuropathy (CIPN) in pancreatic cancer patients, focusing on various physical tests and questionnaires.
  • - Results showed that slower times on the Timed Up and Go (TUG) test before treatment were linked to increased severity of CIPN symptoms after 6 months, particularly for sensory and autonomic issues.
  • - Additionally, a positive outcome on the Romberg test (standing balance test) was a significant predictor of more severe motor neuropathy after 6 months of chemotherapy.
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Background: Physical exercise is widely acknowledged for its health benefits, but its effectiveness in treating obesity remains contentious due to variability in response. Owing to the roles of glutamate in appetite regulation, food addiction, and impulsivity, this observational cohort-study evaluated medial prefrontal cortex (mPFC) glutamate as a predictor of variability in exercise response, specifically in terms of fat loss and muscle gain.

Methods: Healthy non-exercising adult men (n = 21) underwent an 8-week supervised exercise program.

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  • - The study examined the link between inflammation, specifically pro-inflammatory cytokines like TNF-α, and emotion recognition in euthymic bipolar disorder (BD) patients and healthy controls (HCs) to see how inflammation affects social cognition.
  • - Researchers found that euthymic BD patients had elevated levels of TNF-α compared to HCs, and higher TNF-α correlated with poorer accuracy in recognizing sadness among those patients.
  • - The results suggest that chronic inflammation may negatively impact sadness recognition in euthymic BD patients, highlighting a potential vulnerability to depression tied to elevated TNF-α levels in this group.
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  • Transcranial direct current stimulation (tDCS) may help improve cognitive abilities in Alzheimer's disease (AD) patients by enhancing long-term synaptic plasticity.* -
  • A study involving 30 mild AD patients found that active tDCS significantly improved scores on various neuropsychological tests compared to a sham treatment, indicating cognitive benefits.* -
  • The results support the potential of tDCS as a therapeutic option for AD, but further research with larger sample sizes is necessary to confirm these findings.*
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Background: Daily life tracking has proven to be of great help in the assessment of patients with bipolar disorder. Although there are many smartphone apps for tracking bipolar disorder, most of them lack academic verification, privacy policy and long-term maintenance.

Methods: Our developed app, MoodSensing, aims to collect users' digital phenotyping for assessment of bipolar disorder.

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  • The study explores the relationship between minor physical anomalies (MPAs) and schizophrenia, using machine learning to predict schizophrenia risk based on MPA measurements in 470 patients and 354 healthy controls.
  • The Random Forest model demonstrated the best predictive accuracy for schizophrenia, identifying key MPAs like skull height and mouth width that indicate a higher risk for the disorder.
  • Additionally, the research uncovered significant two-item interactions among various MPAs contributing to the risk of schizophrenia, with weaker interactions found among three items.
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Objective: : The relationship between adverse childhood experiences and methamphetamine use disorder (MUD) has been shown in previous studies; nevertheless, the underlying neural mechanisms remain elusive. Childhood trauma is associated with aberrant functional connectivity (FC) within the default-mode network (DMN). Furthermore, within the DMN, FC may contribute to impaired self-awareness in addiction, while cross-network FC is critical for relapse.

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The aim of this study was to examine psychiatric resource utilization, medical costs and clinical outcomes for patients with schizophrenia who received either first-generation or second-generation long-acting injectable (LAI) antipsychotics. A retrospective cohort study was conducted using data from Taiwan's National Health Insurance Research Database (NHIRD). Patients who began either first-generation or second-generation LAI treatment between 2015 and 2017 were enrolled and followed for three years.

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Background: Despite extensive literature documenting emotion-related social-cognitive deficits in euthymic patients with bipolar disorder (BD), the factors contributing to these deficits have not been definitively established. To address this gap, the present study aimed to examine the association between peripheral insulin resistance (IR) and emotion-related social-cognitive abilities in BD patients and controls.

Method: Sixty-five BD patients and 38 non-psychiatric controls were recruited, and their social cognitive ability and IR were measured using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and the homeostasis model assessment of insulin resistance (HOMA-IR), respectively.

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  • The study investigated the link between visuomotor coordination and social cognition in euthymic bipolar disorder (BD) patients, hypothesizing a positive correlation due to shared neurobiological factors.
  • Results showed that euBD patients had deficits in nonverbal emotion recognition and visuomotor skills compared to healthy controls, with a noteworthy correlation between the two abilities.
  • Ultimately, striatal dopamine transporter availability was found to be a key predictor of emotion recognition accuracy, highlighting the role of dopaminergic dysfunction in the relationship between social cognition and visuomotor coordination in euBD.
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Objective: Previous studies have shown that certain severe mental illnesses (SMIs) increase the risk of dementia, but those that increase the risk to a greater degree in comparison with other SMIs are unknown. Furthermore, physical illnesses may alter the risk of developing dementia, but these cannot be well-controlled.

Methods: Using the Taiwan National Health Insurance Research Database, patients with schizophrenia, bipolar disorder and major depressive disorder (MDD) were recruited.

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Aims: Epidemiological evidence suggests that comorbidity of obesity and depression is extremely common and continues to grow in prevalence. However, the mechanisms connecting these two conditions are unknown. In this study, we explored how treatment with K channel blocker glibenclamide (GB) or the well-known metabolic regulator FGF21 impact male mice with high-fat diet (HFD)-induced obesity and depressive-like behaviors.

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Background: Alcohol use disorder (AUD) is a highly prevalent comorbid disorder in patients with bipolar disorder (BD). Both BD and AUD were found to be associated with inflammation and cognitive deficits, but few study has been done on BD comorbid with AUD (BD+AUD). We aimed to investigate the impacts of comorbid AUD and BD on cognitive function, inflammatory and neurotrophic markers.

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