Effects of Clozapine on Psychiatric Symptoms, Cognition, and Functional Outcome in Schizophrenia

This study focused on the symptomatic and cognitive effects of the atypical antipsychotic clozapine in chronic hospitalized schizophrenia patients. Further, it explored how these effects might be related to discharge, an important functional outcome. Patients were assessed at baseline and at regular...

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Published inThe journal of neuropsychiatry and clinical neurosciences Vol. 11; no. 4; pp. 481 - 489
Main Authors Manschreck, Theo C, Redmond, Deborah A, Candela, Steven F, Maher, Brendan A
Format Journal Article
LanguageEnglish
Published United States American Psychiatric Publishing 1999
Subjects
Adolescent
Adult
Aged
Antipsychotic Agents - pharmacology
Antipsychotic Agents - therapeutic use
Brief Psychiatric Rating Scale
Chronic Disease
Clozapine - pharmacology
Clozapine - therapeutic use
Cognition - drug effects
Dose-Response Relationship, Drug
Female
Hospitalization
Hospitals, Psychiatric
Humans
Male
Middle Aged
Neuropsychological Tests
Psychomotor Performance - drug effects
Schizophrenia - drug therapy
Schizophrenia - rehabilitation
Schizophrenic Psychology
Treatment Outcome
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Summary:This study focused on the symptomatic and cognitive effects of the atypical antipsychotic clozapine in chronic hospitalized schizophrenia patients. Further, it explored how these effects might be related to discharge, an important functional outcome. Patients were assessed at baseline and at regular intervals with clinical instruments and a cognitive battery. Clozapine treatment produced symptomatic and cognitive improvements, positive changes that appeared to occur independently of one another. Baseline cognitive performance, as well as cognitive change with treatment, predicted discharge. Further investigation of the effects of clozapine and other atypical antipsychotics on cognition and functional outcome is warranted.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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ISSN:0895-0172
1545-7222
DOI:10.1176/jnp.11.4.481