Publications by authors named "Shih Jen Tsai"

Aim: Autistic traits exhibit neurodiversity with varying behaviors across developmental stages. Brain complexity theory, illustrating the dynamics of neural activity, may elucidate the evolution of autistic traits over time. Our study explored the patterns of brain complexity in autistic individuals from childhood to adulthood.

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Background: Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by frequent pauses or shallow breathing during sleep. Polysomnography, the gold standard for OSA assessment, is time consuming and labor intensive, thus limiting diagnostic efficiency.

Objective: This study aims to develop 2 sequential machine learning models to efficiently screen and differentiate OSA.

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Background: This study aimed to assess the association between the risk of colorectal cancer (CRC) and exposure to mood stabilizers, antidepressants, and antipsychotics in patients with affective disorders.

Methods: This nested case-control study used data from the National Health Insurance Database of Taiwan collected between 2001 and 2011. All participants in this study had affective disorders.

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Background: Past research has highlighted that bipolar I disorder is associated with significant changes in brain structure and function. Notably, the manifestation and progression of bipolar I disorder have been known to differ between males and females. However, the relationship between sex-related differences and bipolar I disorder diagnosis affecting these changes was not fully understood.

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Objective: The current study used a retrospective study design to investigate the association between age of onset of severe mental disorders in offspring and the likelihood of diagnoses of parental mental disorder.

Method: We enrolled 212,333 people with severe mental disorder, including schizophrenia, bipolar disorder (BD), or major depressive disorder (MDD) and 2,123,329 controls matched for age, sex, and demographics from the National Health Insurance Database of Taiwan. Poisson regression models were used to examine the likelihood of diagnoses of five mental disorders in their parents compared to the parents of the controls (reported as odds ratio (OR) with 95% confidence interval), including schizophrenia, BD, MDD, alcohol use disorder (AUD), and substance use disorder (SUD).

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  • The study investigates the risk of developing Parkinson's disease (PD) in patients with bipolar disorder (BD) and major depression, using data from Taiwan’s National Health Insurance Research Database.
  • Results indicate that both BD and major depression patients have a higher risk of developing PD than controls, with BD patients having a significantly greater risk (51% higher than those with major depression).
  • The research suggests a complex relationship between psychotropic medication and the risk of neurodegenerative diseases, emphasizing the need for further studies to improve treatment strategies for patients with BD.
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  • HPV infection in mothers may increase the risk of attention deficit hyperactivity disorder (ADHD) in their children, according to a study analyzing data from the Taiwan National Health Insurance Research Database.
  • The study compared 7,762 children of mothers with HPV infection to 31,048 children of mothers without it and found a significant higher likelihood of ADHD in the HPV group.
  • No increased risk for autism spectrum disorder (ASD) was noted, emphasizing the need for awareness and preventive measures regarding HPV during pregnancy.
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Thalamocortical connectivity is associated with cognitive and affective processing. The role of thalamocortical connectivity in the pathomechanism of treatment-resistant depression (TRD) remains unclear. This study included 48 patients with TRD and 48 healthy individuals.

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Aim: Evidence suggests an association between maternal hypothyroidism and risk of attention-deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) in offspring. We examined the risk of ASD and ADHD in individuals with congenital hypothyroidism (CHT).

Methods: A nationwide population-based cohort study enrolled a total of 1260 children younger than 12 years with a confirmed diagnosis of CHT and no prior diagnosis of any neurodevelopmental disorders, selected from the National Health Insurance Research Database of Taiwan between 1998 to 2013.

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  • - The study evaluated how well an AI chatbot (ChatPDF) could create abstracts from 30 academic psychiatric articles, comparing its output with that of human-written abstracts from 10 additional psychiatric papers.
  • - The results showed low similarity and plagiarism rates in the AI-generated abstracts, but the quality varied: structured abstracts performed similarly to originals, while unstructured ones scored lower, and overall, inaccuracies were found in 30% of the AI conclusions.
  • - Experts noted that while AI models like ChatPDF have potential for summarizing psychiatric information, caution is needed due to accuracy concerns in the final outputs.
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Objectives: Previous studies have demonstrated poor oral hygiene in children with attention deficit hyperactivity disorder (ADHD). However, the association between ADHD and periodontitis is still unclear.

Methods: In all, 16,211 adolescents with ADHD and 162,110 age- and sex-matched controls participated in the study between 2001 and 2011.

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The mean diagnosis age of autism was about 5 years in Taiwan. Whether the delayed diagnosis of autism (≥ 6 years) was associated with parental severe mental disorders remained unknown. The parents of 22,859 autistic individuals and 228,590 age- and sex-matched nonautistic individuals were assessed for the presence of severe mental disorders (schizophrenia, bipolar disorder, major depressive disorder, alcohol use disorder, and substance use disorder).

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  • - The study explored the link between various types of cancers and the risk of developing dementia, focusing on cancer survivors compared to a control group.
  • - Researchers analyzed data from over 32,000 cancer patients and found that these survivors had a significantly increased risk of developing Alzheimer's disease, unspecified dementia, and other forms of dementia, especially those with digestive and genitourinary cancers.
  • - The findings suggest that certain cancers increase the likelihood of dementia, indicating a need for further research into the mechanisms behind this association.
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Studies have reported inconsistent results regarding associations between parental depression and offspring neurodevelopmental disorders, such as developmental delay and autism spectrum disorder (ASD). In all, 7,593 children who were born between 1996 and 2010 in Taiwan and had at least one parent with major depressive disorder and 75,930 birth-year- and sex-matched children of parents without major depressive disorder were followed from 1996 or time of birth to the end of 2011. Intergroup differences in neurodevelopmental conditions-including ASD, attention-deficit hyperactivity disorder (ADHD), tic disorder, developmental delay, and intellectual disability (ID)-were assessed.

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  • The mental health of child and adolescent survivors of intensive care units (ICUs) is a growing area of study, with limited research on how different critical illnesses impact specific psychiatric disorders.
  • A study analyzed data from 8,704 ICU survivors compared to 87,040 matched controls, focusing on five major psychiatric disorders (schizophrenia, bipolar disorder, major depressive disorder, OCD, and PTSD) from 1996 to 2013.
  • Findings revealed ICU survivors had significantly higher risks for developing these psychiatric disorders, highlighting the need for tailored prevention strategies for this at-risk group.
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