Table 2.
Outcome Feature Sets | n | Groups | SMD | 95% CI | z | p | Q | df | p | I2 (%) | τ2 | Τ |
---|---|---|---|---|---|---|---|---|---|---|---|---|
TRP | 29 | Overall | −0.517 | −0.735; −0.299 | −4.650 | <0.0001 | 226.434 | 28 | <0.0001 | 87.634 | 0.282 | 0.531 |
TRP/CAAs # | 7 | Melancholia | −0.617 | −0.957; −0.277 | −3.557 | <0.0001 | 10.435 | 6 | 0.107 | 42.500 | 0.086 | 0.293 |
CAAs # | 5 | Overall | −0.304 | −0.674; 0.066 | −1.612 | 0.107 | 6.676 | 4 | 0.154 | 40.086 | 0.070 | 0.264 |
KYN/TRP * | 17 | Overall | −0.032 | −0.193; 0.003 | −1.896 | 0.058 | 107.82 | 16 | <0.0001 | 85.161 | 0.170 | 0.614 |
3 | Melancholia | −0.095 | −0.193; 0.003 | −1.896 | 0.058 | 0.714 | 2 | 0.700 | 0.000 | 0.000 | 0.000 | |
4 | Psychotic | 0.224 | 0.012; 0.436 | 2.068 | 0.039 | 3 | 3 | 0.392 | 0.000 | 0.000 | 0.000 | |
10 | Suicidal | 0.112 | −0.119; 0.055 | −0.720 | 0.471 | 93.734 | 9 | <0.0001 | 90.398 | 0.377 | 0.614 | |
KYN | 17 | Overall | −0.114 | −0.352; 0.152 | −0.935 | 0.350 | 126.513 | 16 | <0.0001 | 87.353 | 0.203 | 0.450 |
KA/KYN * | 14 | Overall | −0.035 | −0.117; 0.048 | −0.824 | 0.410 | 26.181 | 13 | 0.016 | 50.346 | 0.028 | 0.167 |
2 | Melancholia | 0.049 | −0.050; 0.148 | 0.969 | 0.333 | 0.402 | 1 | 0.526 | 0.000 | 0.000 | 0.000 | |
5 | Psychotic | −0.201 | −0.416; 0.013 | −1.838 | 0.066 | 0.912 | 4 | 0.923 | 0.000 | 0.000 | 0.000 | |
7 | Suicidal | −0.231 | −0.432; −0.030 | −2.256 | 0.024 | 13.104 | 6 | 0.041 | 54.213 | 0.039 | 0.198 | |
(KYN + 3HK + 3HA + XA + QA + PA) | 26 | Overall | 0.048 | −0.189; 0.284 | 0.396 | 0.692 | 209.842 | 25 | <0.0001 | 89.086 | 0.295 | 0.543 |
KA | 13 | Overall | −0.260 | −0.487; −0.034 | −2.258 | 0.024 | 67.574 | 12 | <0.0001 | 82.242 | 0.125 | 0.354 |
AA | 3 | Overall | −0.248 | −0.485; −0.011 | −2.055 | 0.040 | 2.115 | 2 | 0.347 | 5.432 | 0.003 | 0.051 |
QA | 14 | Overall | 0.358 | 0.015; 0.701 | 2.044 | 0.041 | 134.272 | 13 | <0.0001 | 90.318 | 0.343 | 0.585 |
* Significant difference between melancholia, psychotic feature and suicidal behavior. # The effect size was pooled from only melancholia. TRP: tryptophan. KYN: kynurenine. KA: kynurenic acid. 3HK: 3-Hydroxykynurenine. 3HA: 3-Hydroxyanthranilic acid. XA: xanthurenic acid. QA: quinolinic acid. PA: picolinic acid. AA: anthranilic acid. CAAs: competing amino acids (valine + phenylalanine + tyrosine + leucine + isoleucine).