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Table 4 Main characteristics of the included cross-sectional studies reporting the prevalence of protozoan parasitic infections among patients with mental disorders

From: A systematic review and meta-analysis of protozoan parasite infections among patients with mental health disorders: an overlooked phenomenon

Study No

Author

Year

Study Years

Subjects type

Mental disorder

Continent

Diagnostic method

F/M

Mean age

Sample size

Infected

Species of parasites

1

Gatti et al.

2000

–

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Europe

Direct smear & ELISA & Culture

–

44.0

550

70

Entamoeba histolytica/Entamoeba dispar &

Entamoeba coli &

Endolimax nana &

Blastocystis hominis &

Giardia lamblia

2

Mahyar et al.

2000

–

Non Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation

–

–

258

98

Entamoeba histolytica & Giardia lamblia &

Idomoeba butschlii & Entamoeba coli

3

Thomas et al.

2004

1998–1999

Non Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Europe

ELISA

–

–

370

166

Toxoplasma gondii

4

Cheng et al.

2005

–

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Asia

Direct smear & Sedimentation

–

41.0

464

10

Entamoeba histolytica & Entamoeba coli

5

Gharavi et al.

2005

 

Hospitalized

Neurodevelopmental Disorders

Asia

IFA

–

–

353

49

Toxoplasma gondii

6

Rivera et al.

2006

 

Non Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & PCR

–

–

113

80

Giardia lamblia & Entamoeba histolytica & Entamoeba coli &

Endolimax nana &

Blastocystis hominis

7

Dickerson et al.

2007

–

Non Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

North America

Solid-phase immunoassay

–

40.5

358

58

Toxoplasma gondii

8

Sharif et al.

2007

2004–2005

Hospitalized

Neurodevelopmental Disorders

Asia

IFA

175/161

–

336

140/125

Toxoplasma gondii

9

Hazrati Tappeh et al.

2010

–

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation

–

–

225

39

Entamoeba histolytica/Entamoeba dispar

10

Sharif et al.

2010

2008

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation

–

25.48

362

77

Entamoeba histolytica & Giardia lamblia &

Blastocystis hominis & Entamoeba coli & Endolimax nana

11

Chandrasena et al.

2010

2009

Non Hospitalized

Bipolar and Related Disorder

Asia

Direct smear

–

50

145

3

Entamoeba coli

12

Pearce et al.

2012

1988–1994

Non Hospitalized

Depressive Disorder

North America

IFA & Sabin-Feldman dye test

–

-

7774

1211

Toxoplasma gondii

13

Shokri et al.

2012

 

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation& Stain

–

22.8

133

30

Giardia lamblia & Blastocystis hominis & Entamoeba coli & chilomastix mesnil

14

Khalili et al.

2013

2010

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Asia

Direct smear & Sedimentation& Stain

–

41.2

65

31

Giardia lamblia & Blastocystis hominis & Entamoeba coli & Cryptosporidium spp &

Idomoeba butschlii &

Endolimax nana & Cystoisospora belli

15

Anvari et al.

2015

–

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation& Stain

–

–

129

55

Blastocystis hominis & Entamoeba coli & Endolimax nana & chilomastix mesnil & Idomoeba butschlii & Giardia lamblia

16

Duffy et al.

2015

2011–2013

Non Hospitalized

Depressive Disorder

North America

ELISA

–

47.0

70

8

Toxoplasma gondii

17

Ahmadi et al.

2015

2013–2014

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Culture & Stain

–

–

341

67

Idomoeba butschlii & Entamoeba coli & chilomastix mesnil

18

Ezatpour et al.

2015

2012–2013

Hospitalized

Neurodevelopmental Disorders

Asia

ELISA

64/94

–

158

18/30

Toxoplasma gondii

19

Fond et al.

2015

2019–2011

Hospitalized & Non-Hospitalized

Schizophrenia Spectrum, Other Psychotic Disorders, Bipolar and Related Disorder

Europe

ELISA

–

–

266

162

Toxoplasma gondii

20

Shehata et al.

2015

2012–2013

Non Hospitalized

Neurodevelopmental Disorders

Africa

Direct smear & Sedimentation& Stain

78/122

–

200

30/57

Giardia lamblia & Blastocystis hominis & Entamoeba histolytica & Entamoeba coli Cyclospora cayetanensis & Dientamoeba fragilis

21

Saeidinia et al.

2016

2013

Non-Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation & Culture

–

25.69

173

41

Entamoeba coli & Endolimax nana & Giardia lamblia & Blastocystis hominis

22

Soleymani et al.

2016

2014

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Willis

–

35.0

97

4

Blastocystis hominis & Entamoeba coli

23

Sugden et al.

2016

1972–1973

Non-Hospitalized

Depressive Disorder, Schizophrenia Spectrum, Other Psychotic Disorders

Oceania

EIA

–

38.0

472

43

Toxoplasma gondii

24

Shehata et al.

2016

2014–2015

Non-Hospitalized

Neurodevelopmental Disorders

Africa

ELISA

74/114

16.84

188

52/73

 

25

Freitas et al.

2017

–

Hospitalized

Neurocognitive Disorders

South America

Ritchie's modified method & Lutz

–

–

156

13

Blastocystis hominis & Entamoeba coli & Entamoeba histolytica/Entamoeba dispar & Giardia lamblia & Endolimax nana

26

Massa et al.

2017

–

Non-Hospitalized

Depressive Disorder, Trauma, Stressor Related Disorder, Schizophrenia Spectrum and Other Psychotic Disorders

North America

ELISA

–

–

717

97

Toxoplasma gondii

27

Nyundo et al.

2017

–

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Africa

Direct smear & Sedimentation

–

32.7

363

3

Entamoeba histolytica/Entamoeba dispar

28

Olariu et al.

2017

2011–2012

Non-Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Europe

ELISA

–

–

214

117

Toxoplasma gondii

29

Fond et al.

2018

–

Non-Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Europe

ELISA

–

–

289

75

Toxoplasma gondii

30

Jafari Modrek et al

2018

2016

Non-Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Asia

ELISA & PCR

–

–

118

41

Toxoplasma gondii

31

Mohammadi-Meskin et al.

2019

2016–2017

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation& Stain

–

25.9

126

79

Blastocystis hominis & Entamoeba coli & Idomoeba butschlii & Giardia lamblia

32

Eze et al.

2019

2017

Hospitalized & Non-Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Africa

Direct smear & Sedimentation

109/94

42.5

203

10/11

Giardia lamblia & Entamoeba histolytica/Entamoeba dispar

33

Otu-Bassey et al.

2019

2016

Hospitalized

Neurodevelopmental Disorders

Africa

Direct smear & Sedimentation

 

38.02

126

36

Giardia lamblia & Entamoeba histolytica/Entamoeba dispar

34

Galvan-Ramirez

2021

2019

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

South America

ELISA

12/15

38.3

27

14

Toxoplasma gondii

35

Matini et al.

2021

2017

Non-Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation& Stain

–

–

318

87

Dientamoeba fragilis & Blastocystis hominis & Entamoeba coli & Idomoeba butschlii & Giardia lamblia

36

Agmas et al.

2021

2020

Non-Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Africa

Direct smear & Sedimentation& Stain

–

34.2

432

63

Giardia lamblia & Entamoeba histolytica/Entamoeba dispar

37

Pakmehr et al.

2022

2021

Hospitalized

Neurodevelopmental Disorders

Asia

Direct smear & Sedimentation& Stain

64/55

27.6

119

15/16

Giardia lamblia & Blastocystis hominis & Entamoeba coli & Idomoeba butschlii & Endolimax nana

38

Liu et al.

2022

2015–2020

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Asia

ELISA

–

–

3101

101

Toxoplasma gondii

39

Mohammed et al.

2022

2021–2022

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Asia

ELISA

31/70

40.52

101

40

Toxoplasma gondii

40

Teimouri et al.

2022

2021

Hospitalized

Schizophrenia Spectrum and Other Psychotic Disorders

Asia

ELISA

135/183

35.91

318

80

Toxoplasma gondii

  1. ELISA Enzyme-Linked Immunosorbent Assay, IFA Immunofluorescence assay, SFDT Sabin-Feldman Dye Test, EIA Enzyme Immunoassay