Remission in schizophrenia: applying recent consensus criteria to refine the concept.

Abstract:

:Although the concept of remission has been widely accepted and utilized in depression and anxiety disorders, there has been much less emphasis on defining remission in schizophrenia. Recently, an expert consensus definition of remission in schizophrenia was proposed along specific operational criteria for the attainment of remission focusing on the three core dimensions of psychopathology identified within schizophrenia: psychoticism, disorganization and negative symptoms. To date, the criteria have been applied retrospectively to several clinical studies, and these have demonstrated that the proposed definition of remission correlates significantly with established measures of symptom severity, functioning and quality of life, and appears achievable for a significant proportion of patients receiving at least 3 months of pharmacotherapy. In this article we extend the notion of remission to include an examination of the possible association of several modifiable and unmodifiable factors and co-morbidities on remission status. We also propose an investigation into the likelihood of different patient populations in achieving remission as well as assessing the impact of remission on health care costs and family burden. Since cognitive dysfunction and negative symptoms may be strongly correlated with a lower likelihood of achieving remission, we recommend retrospective and/or prospective studies to determine the relationship between neurocognitive status and the predominance of negative symptoms at treatment start and the probability of achieving remission. Taken together, these studies should help identify key predictors of remission, further define the remitted state, reduce therapeutic pessimism, raise treatment expectations and chart a strategy for further research in this important area.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Lasser RA,Nasrallah H,Helldin L,Peuskens J,Kane J,Docherty J,Tronco AT

doi

10.1016/j.schres.2007.05.003

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

223-31

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(07)00201-0

journal_volume

96

pub_type

杂志文章
  • Prolactin concentrations in newly diagnosed, antipsychotic-naïve patients with nonaffective psychosis.

    abstract:BACKGROUND:Previous studies have found increased prolactin concentrations in antipsychotic-naïve patients with schizophrenia. However, the roles of other hormones, and of potentially confounding variables such as gender and smoking, have not been considered. METHODS:Blood from newly diagnosed, antipsychotic-naïve pati...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2011.07.025

    authors: Garcia-Rizo C,Fernandez-Egea E,Oliveira C,Justicia A,Parellada E,Bernardo M,Kirkpatrick B

    更新日期:2012-01-01 00:00:00

  • A comparative study of sertraline versus imipramine in postpsychotic depressive disorder of schizophrenia.

    abstract::The objective of this study was to compare the efficacy and reliability of sertraline versus imipramine in the treatment of postpsychotic depressive disorder of schizophrenia. The diagnosis was based on DSM-IV research criteria. The Sympson-Angus Scale and SANS were performed in order to discriminate between depressiv...

    journal_title:Schizophrenia research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0920-9964(98)00054-1

    authors: Kirli S,Caliskan M

    更新日期:1998-09-07 00:00:00

  • Neuromagnetic auditory response and its relation to cortical thickness in ultra-high-risk for psychosis.

    abstract:BACKGROUND:Higher cognitive dysfunction, lower perceptual disturbance and its relation to the structures that implicate such processes have been considered as key features in patients with schizophrenia. However, little is known about the relationship between perceptual processing and structural deficits in ultra-high-...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2012.06.014

    authors: Shin KS,Jung WH,Kim JS,Jang JH,Hwang JY,Chung CK,Kwon JS

    更新日期:2012-09-01 00:00:00

  • Challenging the need for sustained blockade of dopamine D₂ receptor estimated from antipsychotic plasma levels in the maintenance treatment of schizophrenia: A single-blind, randomized, controlled study.

    abstract:OBJECTIVE:Blockade of dopamine D₂ receptors with antipsychotics above 65% is associated with optimal chance of clinical response although recent data suggest a lower threshold for the maintenance treatment of schizophrenia. The objective of this study was to prospectively examine whether such continuous high blockade w...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.schres.2015.03.025

    authors: Tsuboi T,Suzuki T,Bies RR,Remington G,Pollock BG,Mimura M,Uchida H

    更新日期:2015-05-01 00:00:00

  • Autoimmune diseases, gastrointestinal disorders and the microbiome in schizophrenia: more than a gut feeling.

    abstract::Autoimmunity, gastrointestinal (GI) disorders and schizophrenia have been associated with one another for a long time. This paper reviews these connections and provides a context by which multiple risk factors for schizophrenia may be related. Epidemiological studies strongly link schizophrenia with autoimmune disorde...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审

    doi:10.1016/j.schres.2014.06.027

    authors: Severance EG,Yolken RH,Eaton WW

    更新日期:2016-09-01 00:00:00

  • The Brief Assessment of Cognition in Schizophrenia: reliability, sensitivity, and comparison with a standard neurocognitive battery.

    abstract::Studies of neurocognitive function in patients with schizophrenia use widely variable assessment techniques. Clinical trials assessing the cognitive enhancing effect of new medications have used neurocognitive assessment batteries that differed in content, length and administration procedures. The Brief Assessment of ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2003.09.011

    authors: Keefe RS,Goldberg TE,Harvey PD,Gold JM,Poe MP,Coughenour L

    更新日期:2004-06-01 00:00:00

  • Decreased synaptic and mitochondrial density in the postmortem anterior cingulate cortex in schizophrenia.

    abstract::Schizophrenia (SZ) is a mental illness characterized by psychosis, negative symptoms, and cognitive deficits. The anterior cingulate cortex (ACC), a structurally and functionally diverse region, is one of several brain regions that is abnormal in SZ. The present study compared synaptic organization and mitochondrial n...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2015.07.016

    authors: Roberts RC,Barksdale KA,Roche JK,Lahti AC

    更新日期:2015-10-01 00:00:00

  • Persons with schizophrenia migrate towards urban areas due to the development of their disorder or its prodromata.

    abstract:BACKGROUND:Many studies have identified urban-rural differences in the occurrence of schizophrenia. Though unknown, the underlying causes responsible for these differences have been hypothesized to include urban-rural differences in toxic exposures, diet, infections, stress, or an artifact due to selective migration. F...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2015.08.028

    authors: Pedersen CB

    更新日期:2015-10-01 00:00:00

  • Workshop on defining the significance of progressive brain change in schizophrenia: December 12, 2008 American College of Neuropsychopharmacology (ACNP) all-day satellite, Scottsdale, Arizona. The rapporteurs' report.

    abstract::In 1990 a satellite session of the American College of Neuropsychopharmacology (ACNP) Annual Meeting was held that focused on the question of whether progressive changes in brain structure occur in schizophrenia and this session raised considerable controversy. Eighteen years later, on December 12, 2008, after much da...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2009.04.025

    authors: Borgwardt SJ,Dickey C,Hulshoff Pol H,Whitford TJ,DeLisi LE

    更新日期:2009-07-01 00:00:00

  • Prefrontal cortex volume deficit in schizophrenia: a new look using 3T MRI with manual parcellation.

    abstract::In this study we use high resolution Magnetic Resonance imaging (MRI) and apply rigorous manual tracing criteria in order to assess volumetrically the prefrontal cortex (PFC) in schizophrenia. Previous MRI studies suggested PFC is included in neural systems necessary for emotional processing and cognition, and regiona...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2013.10.026

    authors: Ohtani T,Levitt JJ,Nestor PG,Kawashima T,Asami T,Shenton ME,Niznikiewicz M,McCarley RW

    更新日期:2014-01-01 00:00:00

  • On the use of the Positive and Negative Syndrome Scale in randomized clinical trials.

    abstract::In the last 25 years, the Positive and Negative Syndrome Scale (PANSS) has been largely used to assess schizophrenia symptom intensity, but little information is available on how this scale was generally applied when evaluating the efficacy of schizophrenia therapies in randomized clinical trials. In the attempt to ad...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审

    doi:10.1016/j.schres.2015.04.006

    authors: Nicotra E,Casu G,Piras S,Marchese G

    更新日期:2015-07-01 00:00:00

  • Potential stigma associated with inclusion of the psychosis risk syndrome in the DSM-V: an empirical question.

    abstract::While the "clinical high-risk state" for psychosis has demonstrated good reliability and fair predictive validity for psychotic disorders, over 50% of identified subjects do not progress to psychosis. Despite the benefits that early detection and treatment might offer, debate concerning the official inclusion of a "ps...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2010.03.012

    authors: Yang LH,Wonpat-Borja AJ,Opler MG,Corcoran CM

    更新日期:2010-07-01 00:00:00

  • Memory for temporal order in patients with schizophrenia.

    abstract::There is some evidence that memory for temporal order is a process that may be impaired independently of other forms of memory. For example, patients with Korsakoff's syndrome have been shown to have poorer temporal-order memory than other amnesic patients, despite item memory being equivalent. Patients with schizophr...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/s0920-9964(00)00014-1

    authors: Elvevåg B,Egan MF,Goldberg TE

    更新日期:2000-12-15 00:00:00

  • Omega-3 fatty acid supplementation may prevent loss of gray matter thickness in the left parieto-occipital cortex in first episode schizophrenia: A secondary outcome analysis of the OFFER randomized controlled study.

    abstract::The aim of the study was to assess changes in cortical thickness related to the use of n-3 polyunsaturated fatty acids (PUFA) as add-on therapy in patients with first episode schizophrenia. A double-blind randomized controlled study was conducted using a 26-week intervention composed of concentrated fish oil containin...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.schres.2017.10.013

    authors: Pawełczyk T,Piątkowska-Janko E,Bogorodzki P,Gębski P,Grancow-Grabka M,Trafalska E,Żurner N,Pawełczyk A

    更新日期:2018-05-01 00:00:00

  • Factors associated with violence among Japanese patients with schizophrenia prior to psychiatric emergency hospitalization: a case-controlled study.

    abstract:BACKGROUND:Numerous studies have examined a wide range of risk factors associated with violence among patients with schizophrenia. However, risk factors linked to different socio-cultural backgrounds remain unclear. OBJECTIVE:The objectives were to investigate factors associated with violence among Japanese patients w...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2014.10.016

    authors: Imai A,Hayashi N,Shiina A,Sakikawa N,Igarashi Y

    更新日期:2014-12-01 00:00:00

  • Histamine metabolites in cerebrospinal fluid of patients with chronic schizophrenia: their relationships to levels of other aminergic transmitters and ratings of symptoms.

    abstract::Levels of the histamine metabolites, tele-methylhistamine (t-MH) and tele-methylimidazoleacetic acid (t-MIAA), and metabolites of other aminergic transmitters and of norepinephrine were measured in cerebrospinal fluid of 36 inpatients with chronic schizophrenia and eight controls. The mean t-MH level from controls was...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/0920-9964(94)00034-6

    authors: Prell GD,Green JP,Kaufmann CA,Khandelwal JK,Morrishow AM,Kirch DG,Linnoila M,Wyatt RJ

    更新日期:1995-01-01 00:00:00

  • Differential proteome and phosphoproteome may impact cell signaling in the corpus callosum of schizophrenia patients.

    abstract::Schizophrenia is a multifactorial disease in both clinical and molecular terms. Thus, depicting the molecular aspects of the disease will contribute to the understanding of its biochemical mechanisms and consequently may lead to the development of new treatment strategies. The protein phosphorylation/dephosphorylation...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2016.03.022

    authors: Saia-Cereda VM,Cassoli JS,Schmitt A,Falkai P,Martins-de-Souza D

    更新日期:2016-11-01 00:00:00

  • An overview of medical risk factors for childhood psychosis: Implications for research and treatment.

    abstract:OBJECTIVE:Psychotic disorders in childhood and early adolescence often progress to chronic schizophrenia, but in many cases there are diagnosable medical and genetic causes or risk factors. We reviewed our clinical experience and the relevant literature to identify these factors and to define their clinical features, a...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审

    doi:10.1016/j.schres.2017.05.011

    authors: Giannitelli M,Consoli A,Raffin M,Jardri R,Levinson DF,Cohen D,Laurent-Levinson C

    更新日期:2018-02-01 00:00:00

  • Increased interleukin-2 serum levels were associated with psychopathological symptoms and cognitive deficits in treatment-resistant schizophrenia.

    abstract::Accumulating evidence showed that interleukin-2 (IL-2) may be involved in the pathophysiology of schizophrenia. Increased IL-2 levels have been found in the serum of schizophrenia patients with mixed results. In the present study, we assessed serum IL-2 levels in a large group of 160 schizophrenia patients compared to...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2015.10.038

    authors: Tan Y,Li Y,Tan S,Wang Z,Yang FD,Cao B,Zunta-Soares GB,Soares JC,Zhang XY

    更新日期:2015-12-01 00:00:00

  • Reduced auditory P300 amplitude, medial temporal volume reduction and psychopathology in schizophrenia.

    abstract::Twenty-five schizophrenic patients diagnosed by DSM-III-R underwent event-related potentials and magnetic resonance imaging scans. Latency and amplitude of P300 waveform were measured using an auditory odd-ball paradigm. Anterior and posterior volumes of the superior temporal gyrus and medial temporal structure were m...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/s0920-9964(97)00055-8

    authors: Kawasaki Y,Maeda Y,Higashima M,Nagasawa T,Koshino Y,Suzuki M,Ide Y

    更新日期:1997-08-29 00:00:00

  • Predictors of psychosis breakthrough during 24 months of long-acting antipsychotic maintenance treatment in first episode schizophrenia.

    abstract:BACKGROUND:Some patients develop breakthrough psychotic symptoms on antipsychotic maintenance medication (BAMM), despite receiving therapeutic antipsychotic doses to which they previously responded. METHODS:We examined the occurrence of BAMM in previously minimally treated first-episode patients with schizophrenia-spe...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2019.11.025

    authors: Emsley R,Asmal L,Rubio JM,Correll CU,Kane JM

    更新日期:2020-11-01 00:00:00

  • International clinical trials with applicability to mentally impaired individuals: the conundrum of third world sites.

    abstract::Research on the effectiveness of treatment programs in early stages of severe mental illness raise significant ethical questions when conducted in industrialized countries that have adequate protections for the human subjects of biomedical and behavioral research. Before embarking on similar trials in developing count...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/s0920-9964(01)00244-4

    authors: Macklin R

    更新日期:2001-08-01 00:00:00

  • Psychiatric drugs impact mitochondrial function in brain and other tissues.

    abstract::Mitochondria have been linked to the etiology of schizophrenia (SZ). However, studies of mitochondria in SZ might be confounded by the effects of pharmacological treatment with antipsychotic drugs (APDs) and other common medications. This review summarizes findings on relevant mitochondria mechanisms underlying SZ, an...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2019.09.007

    authors: Chan ST,McCarthy MJ,Vawter MP

    更新日期:2020-03-01 00:00:00

  • Does social cognition training augment response to computer-assisted cognitive remediation for schizophrenia?

    abstract:OBJECTIVES:Cognitive remediation therapy (CRT) has shown significant improvement in cognition in schizophrenia. However, effect sizes of CRT have been reported to be modest raising the issue how to augment the effects of CRT on neurocognition and social cognition. Our aim was to examine whether the addition of computer...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.schres.2018.06.012

    authors: Lindenmayer JP,Khan A,McGurk SR,Kulsa MKC,Ljuri I,Ozog V,Fregenti S,Capodilupo G,Buccellato K,Thanju A,Goldring A,Parak M,Parker B

    更新日期:2018-11-01 00:00:00

  • Attitudes towards neuroleptic treatment: reliability and validity of the attitudes towards neuroleptic treatment (ANT) questionnaire.

    abstract::Non-compliance problems may rise to 50% among patients undergoing neuroleptic treatment. There are no direct measures available to predict compliance, if previous non-compliance is not taken into account. Attitudes towards neuroleptic treatment and insight into psychotic symptoms may vary during the course of the trea...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/s0920-9964(99)00204-2

    authors: Kampman O,Lehtinen K,Lassila V,Leinonen E,Poutanen O,Koivisto A

    更新日期:2000-10-27 00:00:00

  • Associations of suicidality with cognitive ability and cognitive insight in outpatients with Schizophrenia.

    abstract:BACKGROUND:Previous literature suggests that better cognitive ability and insight are associated with greater lifetime risk of suicide attempts in schizophrenia, counter to the direction of association in the general population. However, the conjoint association between distinct cognitive domains, insight, and suicidal...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2017.06.013

    authors: Villa J,Choi J,Kangas JL,Kaufmann CN,Harvey PD,Depp CA

    更新日期:2018-02-01 00:00:00

  • Testing a modification of cognitive adaptation training: streamlining the model for broader implementation.

    abstract::Cognitive adaptation training (CAT) is a home-based, manualized treatment that utilizes environmental supports to improve target behaviors and functional outcomes in persons with schizophrenia. Although clinical trials have shown CAT to be effective across functional, clinical, and treatment adherence domains, when th...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.schres.2014.03.026

    authors: Kidd SA,Herman Y,Barbic S,Ganguli R,George TP,Hassan S,McKenzie K,Maples N,Velligan D

    更新日期:2014-06-01 00:00:00

  • Natural killer cell activity in schizophrenia and schizoaffective disorder: a pilot study.

    abstract::Natural killer cell activity was prospectively studied in 15 patients with chronic schizophrenia and in seven patients with schizoaffective disorder, depressed type. These patients were compared to individually matched normal controls. No mean differences in natural killer cell activity between the patient groups and ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/0920-9964(92)90028-4

    authors: McDaniel JS,Jewart RD,Eccard MB,Pollard WE,Caudle J,Stipetic M,Risby ED,Lewine R,Risch SC

    更新日期:1992-12-01 00:00:00

  • Evaluation of noncompliance in schizophrenia patients using electronic monitoring (MEMS) and its relationship to sociodemographic, clinical and psychopathological variables.

    abstract:BACKGROUND:Noncompliance is common in patients with schizophrenia and can have serious consequences; therefore research of the variables associated with noncompliance is a priority. Although the MEMS device is regarded as the "reference standard" for evaluating compliance, it has been used in very few published studies...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2008.09.007

    authors: Acosta FJ,Bosch E,Sarmiento G,Juanes N,Caballero-Hidalgo A,Mayans T

    更新日期:2009-02-01 00:00:00

  • Auditory sensory gating, hippocampal volume, and catecholamine metabolism in schizophrenics and their siblings.

    abstract::Schizophrenia may result from the concerted action of several pathophysiological factors. This pilot study compared the distribution of measurements of three such putative factors in 11 schizophrenics and their siblings: a neurophysiological deficit in auditory sensory gating, diminished hippocampal volume, and increa...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/0920-9964(94)90067-1

    authors: Waldo MC,Cawthra E,Adler LE,Dubester S,Staunton M,Nagamoto H,Baker N,Madison A,Simon J,Scherzinger A

    更新日期:1994-05-01 00:00:00