ObjectiveThe impact of schizophrenia on vital diseases, such as chronic kidney disease (CKD), has not as yet been verified. This study aims to establish whether there is an association between schizophrenia and CKD.DesignA nationwide matched cohort study.SettingTaiwan's National Health Insurance Research Database.ParticipantsA total of 2338 patients with schizophrenia, and 7014 controls without schizophrenia (1:3), matched cohort for sex, age group, geography, urbanisation and monthly income, between 1 January 2003 and 31 December 2007, based on the International Classifications of Disease Ninth Edition (ICD-9), Clinical Modification codes.Primary and secondary outcome measuresAfter making adjustments for confounding risk factors, a Cox proportional hazards model was used to compare the risk of developing CKD during a 3-year follow-up period from the index date.ResultsOf the 2338-subject case cohort, 163 (6.97%) developed a CKD, as did 365 (5.20%) of the 7014 control participants. Cox proportional hazards regression analysis revealed that patients with schizophrenia were more likely to develop CKD (HR=1.36, 95% CI 1.13 to 1.63; p<0.001). After adjusting for gender, age group, hypertension, diabetes mellitus, hyperlipidaemia, heart disease and non-steroid anti-inflammatory drugs (NSAIDs) usage, the HR for patients with schizophrenia was 1.25 (95% CI 1.04 to 1.50; p<0.05). Neither typical nor atypical antipsychotics was associated an increased risk of CKD in patients with schizophrenia.ConclusionsThe findings from this population-based retrospective cohort study suggest that schizophrenia is associated with a 25% increase in the risk of developing CKD within only a 3-year follow-up period.

In two ERP experiments, we examined whether active inhibition is involved in intentional forgetting. Both experiments consisted of a nondirected-forgetting (nDF) and a directed-forgetting (DF) block. Participants were sequentially presented with a prime, an R/F (remember/forget) cue, and a target. Participants made lexical decisions to both the primes and targets (Experiment 1) or only to the targets (Experiment 2). They were also instructed to remember or to forget the primes in response to the R/F cues in the DF block but to ignore these cues in the nDF block. The N400 semantic priming effect was observed when comparing the ERPs elicited by semantically unrelated and related targets in the DF block. In comparison to the nDF block, the N400 effect was greatly reduced for targets preceded by F cues in the DF block. These findings suggest that semantic processing is reduced by the instruction to forget and active inhibition is involved in intentional forgetting.

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