Antipsychotic treatment patterns and hospitalizations among adults with schizophrenia.

Abstract:

OBJECTIVE(S):To characterize the longitudinal patterns of antipsychotic treatment and to investigate the relationship between antipsychotic treatment patterns and acute hospitalizations among adults with schizophrenia. We hypothesized that continuous antipsychotic treatment would be associated with fewer hospitalizations and shorter lengths of stay. METHOD:Seven years of retrospective Maryland Medicaid administrative data were used to examine inpatient medical encounters and outpatient psychotropic treatment in community-based settings from 1993 through 2000. The sample consisted of 1727 adults continuously enrolled in the Maryland Medicaid program from July 1992 through June 1994, and diagnosed with schizophrenia. The main outcome measures were a) any schizophrenia hospitalization; b) number of schizophrenia hospitalizations; and c) inpatient days associated with a primary diagnosis of schizophrenia. RESULTS:The average duration of antipsychotic use was six months in any single year and four and one-half years across the entire study period. Compared to individuals with a more continuous pattern of antipsychotic treatment, individuals with moderate or light use had odds of hospitalization for schizophrenia that were 52 or 72% greater (95%CI: 30-75% greater, 49-100% greater respectively). Light users of antipsychotics have an average length of stay per hospitalization that is approximately 20% longer than the average for continuous users (95%CI: 2-39% longer). CONCLUSIONS:Findings emphasize the benefit of continuous antipsychotic treatment for individuals with schizophrenia.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

dosReis S,Johnson E,Steinwachs D,Rohde C,Skinner EA,Fahey M,Lehman AF

doi

10.1016/j.schres.2007.12.475

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

304-11

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(08)00033-9

journal_volume

101

pub_type

杂志文章
  • Family burden predicts functional outcome in the early course of schizophrenia beyond psychiatric symptoms and baseline functioning.

    abstract::The goal of this study was to determine if family burden experienced by the families of individuals with a recent-onset of schizophrenia is associated with whether the individual is able to work or attend school during the first year of treatment. Forty-one participants with a recent first episode of schizophrenia and...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2018.06.068

    authors: DeTore NR,Ventura J,Subotnik KL,Nuechterlein KH

    更新日期:2018-12-01 00:00:00

  • Risperidone versus haloperidol for perception of emotion in treatment-resistant schizophrenia: preliminary findings.

    abstract::Currently, little is known about the pharmacological effects of the new generation of antipsychotic medications on perception of emotion in schizophrenia. The present study was designed to compare the effects of risperidone versus haloperidol on the ability to perceive emotion in 20 treatment-resistant schizophrenia p...

    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)00026-7

    authors: Kee KS,Kern RS,Marshall BD Jr,Green MF

    更新日期:1998-05-25 00:00:00

  • The nuts and bolts of Cognitive Remediation: Exploring how different training components relate to cognitive and functional gains.

    abstract:BACKGROUND:Cognitive Remediation (CR) is an evidence based treatment targeting cognitive and functional difficulties in people with psychosis. Despite the large number of effectiveness studies, only limited evidence exists for the active ingredients of this therapy. This study begins to fill this gap by exploring the r...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.schres.2017.09.012

    authors: Cella M,Wykes T

    更新日期:2019-01-01 00:00:00

  • Protein expression of targets of the FMRP regulon is altered in brains of subjects with schizophrenia and mood disorders.

    abstract::Fragile X mental retardation protein (FMRP) is an RNA binding protein with 842 target mRNAs in mammalian brain. Silencing of the fragile X mental retardation 1 (FMR1) gene leads to loss of expression of FMRP and upregulated metabotropic glutamate receptor 5 (mGluR5) signaling resulting in the multiple physical and cog...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2015.04.012

    authors: Folsom TD,Thuras PD,Fatemi SH

    更新日期:2015-07-01 00:00:00

  • A meta-analysis of cognitive change with haloperidol in clinical trials of atypical antipsychotics: dose effects and comparison to practice effects.

    abstract::Prospective, double-blind, randomized trials comparing atypical antipsychotic drugs (APDs) to typical APDs, such as haloperidol, indicate that atypical APDs provide a modest benefit to cognitive function in schizophrenia. However, the validity of this inference has been contested by suggestions that the cognitive impr...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.schres.2006.08.021

    authors: Woodward ND,Purdon SE,Meltzer HY,Zald DH

    更新日期:2007-01-01 00:00:00

  • Empathy, schizophrenia and violence: a systematic review.

    abstract:BACKGROUND:A small but significant association between schizophrenia and violence is open to a number of explanations. Impaired empathy has been associated with schizophrenia, and with violence in the general population. Our aim was to conduct a systematic review of any research into relationships between schizophrenia...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审

    doi:10.1016/j.schres.2012.07.019

    authors: Bragado-Jimenez MD,Taylor PJ

    更新日期:2012-10-01 00:00:00

  • An Interleukin-1 beta (IL1B) haplotype linked with psychosis transition is associated with IL1B gene expression and brain structure.

    abstract::We investigated IL1B genetic variation previously associated with risk for transition to psychosis for its association with gene expression in human post-mortem dorsolateral prefrontal cortex (DLPFC) from 74 (37 schizophrenia, 37 control) individuals and brain structure in 92 (44 schizophrenia, 48 control) living indi...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2018.09.008

    authors: Mostaid MS,Dimitrakopoulos S,Wannan C,Cropley V,Weickert CS,Everall IP,Pantelis C,Bousman CA

    更新日期:2019-02-01 00:00:00

  • Ventral and dorsal visual pathways exhibit abnormalities of static and dynamic connectivities, respectively, in patients with schizophrenia.

    abstract::Previous studies suggest that schizophrenia-related visual perceptual abnormalities are primarily attributed to deficits of the dorsal rather than ventral visual pathway. In this study, we comparatively explored changes in dorsal and ventral networks in schizophrenia patients in both static and dynamic functional conn...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2018.12.005

    authors: Deng Y,Liu K,Cheng D,Zhang J,Chen H,Chen B,Li Y,Wang W,Kong Y,Wen G

    更新日期:2019-04-01 00:00:00

  • Antipsychotic treatment in the maintenance phase of schizophrenia: An updated systematic review of the guidelines and algorithms.

    abstract:BACKGROUND:We updated our previous systematic review regarding clinical guidelines and algorithms on antipsychotic treatment in the maintenance phase of schizophrenia (doi: 10.1016/j.schres.2011.11.021) to incorporate and synthesize more recent findings to guide clinical practice. METHODS:We conducted a systematic lit...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2019.09.013

    authors: Shimomura Y,Kikuchi Y,Suzuki T,Uchida H,Mimura M,Takeuchi H

    更新日期:2020-01-01 00:00:00

  • Effect of psychotropic drug treatment on sterol metabolism.

    abstract::Cholesterol metabolism is vital for brain function. Previous work in cultured cells has shown that a number of psychotropic drugs inhibit the activity of 7-dehydrocholesterol reductase (DHCR7), an enzyme that catalyzes the final steps in cholesterol biosynthesis. This leads to the accumulation of 7-dehydrocholesterol ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2017.02.001

    authors: Korade Ž,Liu W,Warren EB,Armstrong K,Porter NA,Konradi C

    更新日期:2017-09-01 00:00:00

  • Persistent negative symptoms after first episode schizophrenia: A 2-year follow-up study.

    abstract:BACKGROUND:The aim of this study is to determine the rate of persistent negative symptoms according to different criteria during two years of follow-up after first-episode schizophrenia. METHODS:The study sample consisted of 105 patients with first-episode schizophrenia who completed at least 12 months of follow-up pe...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2014.07.021

    authors: Üçok A,Ergül C

    更新日期:2014-09-01 00:00:00

  • Body weight and self-esteem in patients with schizophrenia evaluated with B-WISE.

    abstract:BACKGROUND:Metabolic abnormalities and weight gain are an important problem in patients with schizophrenia. An instrument to evaluate body image and self-esteem related to weight has recently been developed (B-WISE). The first objective was to evaluate whether the findings of the original validation study could be conf...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2006.07.025

    authors: De Hert M,Peuskens B,van Winkel R,Kalnicka D,Hanssens L,Van Eyck D,Wyckaert S,Peuskens J

    更新日期:2006-12-01 00:00:00

  • A cross-study meta-analysis and three-dimensional comparison of cell counting in the anterior cingulate cortex of schizophrenic and bipolar brain.

    abstract::Using a two-dimensional cell counting approach, a 1991 study in the anterior cingulate cortex (ACCx) detected a reduction in the density of nonpyramidal neurons in layers II-VI of schizophrenic subjects. Schizophrenics without superimposed mood disturbances showed a 16% decrease in layer II, while schizoaffectives sho...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.schres.2004.08.018

    authors: Todtenkopf MS,Vincent SL,Benes FM

    更新日期:2005-02-01 00:00:00

  • Decomposing P300 into correlates of genetic risk and current symptoms in schizophrenia: An inter-trial variability analysis.

    abstract:BACKGROUND:The P300 event-related potential (ERP) component, which reflects cognitive processing, is a candidate biomarker for schizophrenia. However, the role of P300 in the pathophysiology of schizophrenia remains unclear because averaged P300 amplitudes reflect both genetic predisposition and current clinical status...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2017.04.001

    authors: Kim M,Lee TH,Kim JH,Hong H,Lee TY,Lee Y,Salisbury DF,Kwon JS

    更新日期:2018-02-01 00:00:00

  • Five-year clinical course and outcome of schizophrenia in Ethiopia.

    abstract:BACKGROUND:Findings from the WHO sponsored multicenter studies done a few decades ago, which reported favorable outcome of schizophrenia in developing countries both in 2 and 5 year follow-up studies, dominated the world view until recently. Emerging evidence from Low and Middle Income countries (LAMIC) started to chal...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.schres.2011.10.021

    authors: Teferra S,Shibre T,Fekadu A,Medhin G,Wakwoya A,Alem A,Jacobsson L

    更新日期:2012-04-01 00:00:00

  • Persistent cannabis use among young adults with early psychosis receiving coordinated specialty care in the United States.

    abstract::Persistent cannabis use among young adults with first episode psychosis (FEP), even those receiving early intervention services, has been associated with poor outcomes. In the United States (US), Coordinated Specialty Care (CSC) has been shown to be more effective at reducing symptoms, improving quality of life and in...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2020.05.035

    authors: Marino L,Scodes J,Richkin T,Alves-Bradford JM,Nossel I,Wall M,Dixon L

    更新日期:2020-08-01 00:00:00

  • Red blood cell membrane dynamics in schizophrenia. I. Membrane fluidity.

    abstract::Using the fluorescent probe DPH (1,6-diphenyl-1,3,5-hexatriene), steady-state anisotropy (rs) values were determined in red blood cell (RBC) ghost membranes of schizophrenic patients before (n = 26) and after (n = 16) haloperidol withdrawal, and age- and sex-matched normal controls (n = 22). Patients on haloperidol we...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/0920-9964(94)90014-0

    authors: Yao JK,van Kammen DP

    更新日期:1994-02-01 00:00:00

  • Insight and white matter fractional anisotropy in first-episode schizophrenia.

    abstract::Impaired insight is a hallmark feature of schizophrenia. Structural studies implicate predominantly prefrontal, cingulate, cuneus/precuneus, and inferior temporal brain regions. The cortical midline structures (CMS) are also implicated in functional studies primarily through self-reflective processing tasks. However, ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2016.11.005

    authors: Asmal L,du Plessis S,Vink M,Fouche JP,Chiliza B,Emsley R

    更新日期:2017-05-01 00:00:00

  • Association of religion with delusions and hallucinations in the context of schizophrenia: implications for engagement and adherence.

    abstract:OBJECTIVE:The relationship of religion and schizophrenia is widely acknowledged, but often minimized by practitioners and under investigated by researchers. In striving to help fill this gap, this paper focuses on examining four aims: 1) how research has investigated the association between religiosity and schizophreni...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审

    doi:10.1016/j.schres.2010.11.005

    authors: Gearing RE,Alonzo D,Smolak A,McHugh K,Harmon S,Baldwin S

    更新日期:2011-03-01 00:00:00

  • Switch and maintenance of task set in schizophrenia.

    abstract::Task set maintenance and switching deficits are robust in schizophrenia. However, little is known about how these constructs are related to one another. The development of an improved understanding of set switching and maintenance deficits in schizophrenia requires that these constructs be explicated in terms of eleme...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2006.01.022

    authors: Kieffaber PD,Kappenman ES,Bodkins M,Shekhar A,O'Donnell BF,Hetrick WP

    更新日期:2006-06-01 00:00:00

  • Diminished modulation of motor cortical reactivity during context-based action observation in schizophrenia.

    abstract:BACKGROUND:Deficient mirror neuron system (MNS)-activity is associated with social cognition deficits in schizophrenia. However, it is not known how socio-emotional contexts modulate the MNS-response. In a Transcranial Magnetic Stimulation (TMS)-experiment, we aimed to compare putative MNS-responses to action observati...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2018.07.043

    authors: Bagewadi VI,Mehta UM,Naik SS,Govindaraj R,Varambally S,Arumugham SS,Naveen Kumar C,Thirthalli J

    更新日期:2019-02-01 00:00:00

  • Dose equivalents for second generation long-acting injectable antipsychotics: The minimum effective dose method.

    abstract:BACKGROUND:The concept of dose equivalence of depot medication is important for many scientific and clinical purposes. METHODS:A systematic literature search on four second-generation antipsychotics available as long-acting injectable drugs and haloperidol was conducted. We used the minimum effective dose method which...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审

    doi:10.1016/j.schres.2017.07.033

    authors: Rothe PH,Heres S,Leucht S

    更新日期:2018-03-01 00:00:00

  • Clinical and neuropsychological correlates of the P300 in schizophrenia.

    abstract::We investigated the relationship between the P300, neuropsychological test performance and symptomatology in recent-onset schizophrenic patients (n = 45) to gain insight into underlying mechanisms of abnormal P300 in schizophrenia. The P300 was recorded in two sessions with an intermission of five minutes, at the midl...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/s0920-9964(01)00184-0

    authors: Nieman DH,Koelman JH,Linszen DH,Bour LJ,Dingemans PM,Ongerboer de Visser BW

    更新日期:2002-05-01 00:00:00

  • Delay discounting and affective priming in individuals with negative schizotypy.

    abstract::Previous studies have demonstrated that patients with schizophrenia and individuals with schizotypy experience decreased anticipatory pleasure. However, it is unclear whether this decrease is contributed by altered reward processing at the proximal or distal future. In order to investigate the preference for receiving...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2018.12.040

    authors: Cai XL,Weigl M,Liu BH,Cheung EFC,Ding JH,Chan RCK

    更新日期:2019-08-01 00:00:00

  • Pronounced prefronto-temporal cortical thinning in schizophrenia: Neuroanatomical correlate of suicidal behavior?

    abstract::Schizophrenia is characterized by increased mortality for which suicidality is the decisive factor. An analysis of cortical thickness and folding to further elucidate neuroanatomical correlates of suicidality in schizophrenia has not yet been performed. We searched for relevant brain regions with such differences betw...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2016.08.010

    authors: Besteher B,Wagner G,Koch K,Schachtzabel C,Reichenbach JR,Schlösser R,Sauer H,Schultz CC

    更新日期:2016-10-01 00:00:00

  • Failure to replicate the association between NRG1 and schizophrenia using Japanese large sample.

    abstract::Systematic linkage disequilibrium (LD) mapping of 8p12-21 in the Icelandic population identified neuregulin 1 (NRG1) as a prime candidate gene for schizophrenia. However, results of replication studies have been inconsistent, and no large sample analyses have been reported. Therefore, we designed this study with the a...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2008.01.010

    authors: Ikeda M,Takahashi N,Saito S,Aleksic B,Watanabe Y,Nunokawa A,Yamanouchi Y,Kitajima T,Kinoshita Y,Kishi T,Kawashima K,Hashimoto R,Ujike H,Inada T,Someya T,Takeda M,Ozaki N,Iwata N

    更新日期:2008-04-01 00:00:00

  • The association between schizophrenia and the immune system: Review of the evidence from unbiased 'omic-studies'.

    abstract::A role for immune processes in the pathogenesis of schizophrenia has been suggested by genetic and epidemiological studies, as well as cross-sectional studies on blood and brain samples. However, results are heterogeneous, which is likely caused by low samples sizes, insufficient control of confounders that influence ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2019.05.028

    authors: van Mierlo HC,Schot A,Boks MPM,de Witte LD

    更新日期:2020-03-01 00:00:00

  • Neural correlates of reality filtering in schizophrenia spectrum disorder.

    abstract:BACKGROUND:A false sense of reality is a characteristic of schizophrenia spectrum disorders (SSD). Reality confusion may also emanate from posterior orbitofrontal cortex (OFC) lesions, as evident in confabulations that patients act upon and disorientation. This confusion can be measured by repeated runs of a continuous...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2018.07.036

    authors: Thézé R,Manuel AL,Pedrazzini E,Chantraine F,Patru MC,Nahum L,Guggisberg AG,Schnider A

    更新日期:2019-02-01 00:00:00

  • Meta-analysis of glucose tolerance, insulin, and insulin resistance in antipsychotic-naïve patients with nonaffective psychosis.

    abstract:BACKGROUND:Some studies have suggested that antipsychotic-naïve patients with nonaffective psychosis (NAP) have glucose intolerance. AIMS:To conduct a systematic review and meta-analysis of fasting glucose (FG), two hour values in the oral glucose tolerance test (2HG), fasting insulin concentration (INS), and insulin ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.schres.2016.09.026

    authors: Greenhalgh AM,Gonzalez-Blanco L,Garcia-Rizo C,Fernandez-Egea E,Miller B,Arroyo MB,Kirkpatrick B

    更新日期:2017-01-01 00:00:00

  • Characteristics of youth with reported family history of psychosis spectrum symptoms in the Philadelphia Neurodevelopmental Cohort.

    abstract::Little is known about the impact of family history of psychosis on youth from community samples. To fill this gap, we compared youth with a first-degree relative with psychosis spectrum symptoms (i.e. family history of psychosis spectrum symptoms, FHPS) to youth without FHPS in a cross-sectional analysis of the Philad...

    journal_title:Schizophrenia research

    pub_type: 杂志文章

    doi:10.1016/j.schres.2019.12.021

    authors: Taylor JH,Asabere N,Calkins ME,Moore TM,Tang SX,Xavier RM,Merikangas AK,Wolf DH,Almasy L,Gur RC,Gur RE

    更新日期:2020-02-01 00:00:00