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        Methamphetamine Use Disorder and Inflammation: A Case-Control Study

        Nilifer Gürbüzer,Mustafa Can Güler,ibrahim Hakkı Tör 대한신경정신의학회 2024 PSYCHIATRY INVESTIGATION Vol.21 No.5

        Objective : Methamphetamine use disorder (MUD) is a global health condition that impairs a person’s health which may result in mor-bidity and mortality. Inflammation is a crucial process playing a vital role in MUD. For this reason, it is necessary to examine biochemi-cal parameters for follow-up and treatment alternatives. Methods : We aimed to reveal the relationship between inflammatory response and MUD by evaluating peripheral hemogram parame-ters, leukocyte count, subtypes, and their ratios to each other, systemic immune inflammation index (SII), monocyte/high-density lipo-protein (HDL) ratio, and human C-reactive protein (CRP) in adult men with MUD. We included 76 adult male participants in the pa-tient group and 70 adult male participants in the control group. We calculated the neutrophil/lymphocyte rate (NLR), monocyte/lymphocyte rate (MLR), platelet/lymphocyte rate (PLR), and basophil/lymphocyte rate (BLR). In addition, we obtained the SII and the monocyte/HDL rate. Results : The patients’ leukocyte (p<0.001), platelet (p<0.001), plateletcrit (PCT) (p=0.002), neutrophil (p<0.001), monocyte (p=0.002), CRP (p<0.001), NLR (p=0.001), PLR (p=0.004), MLR (p=0.009), SII (p<0.001) and monocyte/HDL ratio (p<0.001) were higher than the control group. We observed a significant and positive relationship between the daily methamphetamine intake, and methamphetamine use duration (p=0.002), PCT (p=0.044), neutrophil (p=0.021), NLR (p=0.001), PLR (p=0.004), MLR (p=0.029), and SII (p<0.001). Daily methamphetamine intake had a significant and positive effect on SII. A one-unit increase in daily methamphetamine intake elevated SII by 165.53 units. Conclusion : The results confirm the presence of peripheral subclinical inflammation and systemic immune inflammation in adult men with MUD.

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