Association of oxidative stress, metacognition, and psychopathology in patients with schizophrenia: a case-control study - Scorecard - MDSpire

Association of oxidative stress, metacognition, and psychopathology in patients with schizophrenia: a case-control study

  • By

  • Xiaojuan Hu

  • Jun Cheng

  • Shoucui Xia

  • Lili Ma

  • Yang Zhang

  • Li Zhang

  • Xiaojing Meng

  • Xulai Zhang

  • Dongmei Wang

  • Aiguo Zhang

  • July 1, 2026

  • 0 min

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Clinical Scorecard: Exploring the Links Between Oxidative Stress, Metacognitive Function, and Psychopathological Symptoms in Schizophrenia: A Case-Control Analysis

At a Glance

CategoryDetail
ConditionSchizophrenia
Key MechanismsOxidative stress abnormalities and metacognitive deficits
Target PopulationPatients with schizophrenia aged 18-60 years
Care SettingInpatient psychiatric hospital

Key Highlights

  • Patients with schizophrenia exhibited significantly lower metacognitive scores compared to healthy controls.
  • Oxidative stress markers (SOD, CAT, GPX) were lower, while MDA was higher in patients.
  • Significant correlations were found between oxidative stress markers and both metacognitive and psychopathological scores.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of schizophrenia according to DSM-5 criteria.

Management

  • Consideration of oxidative stress markers in the assessment of schizophrenia.

Monitoring & Follow-up

  • Regular assessment of metacognitive function and oxidative stress levels in patients.

Risks

  • Increased oxidative stress may correlate with worse metacognitive function and more severe psychopathology.

Patient & Prescribing Data

89 patients diagnosed with schizophrenia

Oxidative stress abnormalities may influence treatment outcomes and cognitive function.

Clinical Best Practices

  • Incorporate assessment of oxidative stress in the clinical evaluation of schizophrenia.
  • Monitor metacognitive abilities to improve treatment adherence and functional outcomes.

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