Taste dysfunction as a predictor of depression in schizophrenia: A systematic review and meta-analysis

PLoS One. 2024 Mar 22;19(3):e0300935. doi: 10.1371/journal.pone.0300935. eCollection 2024.

Abstract

Objective: This study aims to investigate the relationship between taste dysfunction and depression among patients with schizophrenia, to achieve early detection of depression in clinical practice.

Methods: Following PRISMA guidance, a comprehensive literature search was conducted globally, covering papers published from 1961 to June 2023. A total of 17 manuscripts were selected through meta-analysis and sensitivity analysis after examining available materials from seven databases to determine the correlation between depression and taste dysfunction.

Results: The comparison of the 17 selected manuscripts revealed that individuals with gustatory dysfunction may be more likely to experience depressive symptoms (SMD, 0.51, 95% CI, 0.08 to 0.93, p = 0.02). Depression is associated with taste dysfunction in certain aspects, as indicated by the pleasantness ratings of sucrose solutions (SMD, -0.53, 95% confidence interval [CI] -1.11 to 0.05, p = 0.08), gustatory identification ability (SMD, 0.96, 95% CI, 0.03 to 1.89, p = 0.04), and the perception threshold of sweet taste (MD, 0.80, 95% CI, 0.79 to 0.81, p < 0.00001).

Conclusions: Due to variations in the methods, designs, and selection criteria employed in the included studies, it is necessary to establish a feasible framework. Future research using detailed and targeted approaches can provide clearer and more unified conclusions on the relationship between taste dysfunction and depression. Moreover, further high-quality research is needed to obtain clearer conclusions and explore the potential of taste dysfunction as an effective tool for early screening of depression.

Trial registration: This review has been registered in the PROSPERO on April 2022 with the identifier CRD42023400172.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Depression* / diagnosis
  • Depression* / prevention & control
  • Humans
  • Schizophrenia* / complications
  • Schizophrenia* / diagnosis
  • Sensation
  • Sucrose
  • Taste Disorders

Substances

  • Sucrose

Grants and funding

This research was supported by State Administration of Traditional Chinese Medicine of the People's Republic of China Funding Project: Pei Lin's National Prestigious Chinese Physicians Inheritance Studio(State TCM Human Education Letter [2022] No. 75), provided computer and related software for this work, and Lin Pei is the recipient of the funding awards. He is responsible for writing – review & editing work. Hebei Province Graduate Innovation Funding Project (grant No. XCXZZBS2023011), provided training funding for the meta-analysis, and Jia Liu is the recipient of the funding awards. She is responsible for formal analysis, writing – original draft work. Hebei Provincial Administration of Traditional Chinese Medicine Funding Project (grant No. 2022113), and Jia Liu is the recipient of the funding awards, provided databases search costs Hebei Provincial Administration of Traditional Chinese Medicine Funding Project (grant No. 2022112), Xin Ping is the recipient of the funding awards and provided language polishing costs. He is responsible for software operation work.