Cognitive function and depression in symptom resolution in schizophrenia patients treated with an atypical antipsychotic.

Abstract:

OBJECTIVE:To investigate which cognitive and affective features contribute most to responder/non-responder group separation during a switching trial with atypical antipsychotic. DESIGN:A prospective open trial with an atypical antipsychotic (olanzapine). PATIENTS:One hundred and thirty-four patients meeting diagnostic criteria for schizophrenia, schizophreniform or schizoaffective disorder began an 8-week open-label olanzapine treatment at a dose of 5 mg/day which was increased to 10 mg/day after one week. INTERVENTIONS:Olanzapine during 8 weeks. Patients were considered as responders if their BPRS score decreased of at least 20% (n = 96) and non-responders if it did not (n = 38). Neuropsychological assessments were carried out at baseline, at four and at eight weeks. RESULTS:Neurocognitive measures were analyzed for discriminate factors between responder and non-responder groups. A regression analysis was applied to explain the effects of depression on each cognitive variable. Depression was found to be a weak discriminant factor, however this finding could not firmly establish that depression is a potential factor in explaining deficits and improvements in cognition.

journal_name

Brain Cogn

journal_title

Brain and cognition

authors

Stip E,Mancini-Marïe A

doi

10.1016/j.bandc.2004.02.066

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

463-5

issue

3

eissn

0278-2626

issn

1090-2147

pii

S0278262604000867

journal_volume

55

pub_type

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