Abstract:
BACKGROUND:Little is known about the effects of antipsychotic medications on gray matter (GM) in schizophrenia. Although clozapine remains the most effective antipsychotic medication in treatment-refractory cases, it is unknown whether it has a differential effect on GM development. METHODS:In an exploratory analysis, we used automated cortical thickness measurements and prospectively scanned childhood-onset schizophrenia (COS) patients who were maintained on one medication. Two atypical antipsychotic medications, clozapine (n=12, 37 scans) and olanzapine (n=12, 33 scans) were compared with respect to effects on cortical development, in contrast to GM trajectories of matched controls. RESULTS:There were no significant differences in the trajectories of cortical thickness between the two treatment groups with the exception of a small circumscribed area in the right prefrontal cortex, where the olanzapine group showed thicker cortex. As expected, both groups showed thinner GM compared to matched controls. CONCLUSIONS:Although these analyses do not rule out effects of antipsychotic medications on GM development in schizophrenia, they show no differential effect between clozapine and olanzapine on GM trajectory.
journal_name
Schizophr Resjournal_title
Schizophrenia researchauthors
Mattai A,Chavez A,Greenstein D,Clasen L,Bakalar J,Stidd R,Rapoport J,Gogtay Ndoi
10.1016/j.schres.2009.10.018subject
Has Abstractpub_date
2010-01-01 00:00:00pages
44-8issue
1eissn
0920-9964issn
1573-2509pii
S0920-9964(09)00540-4journal_volume
116pub_type
杂志文章abstract::Schizophrenia is an illness characterized by positive symptoms, negative symptoms, and cognitive impairments. Cognitive impairments occur before the onset of psychosis and could reflect glutamatergic dysregulation. Thus, identifying associations between genetic variations in genes coding for glutamatergic receptors an...
journal_title:Schizophrenia research
pub_type: 杂志文章
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更新日期:2020-07-02 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,多中心研究
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更新日期:2002-08-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2007.08.027
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pub_type: 杂志文章
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更新日期:2021-01-08 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2006.02.020
更新日期:2006-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2008.05.020
更新日期:2008-09-01 00:00:00
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更新日期:2017-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0920-9964(96)00065-5
更新日期:1996-11-15 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2009.05.014
更新日期:2009-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2017.08.035
更新日期:2018-05-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2004.02.019
更新日期:2004-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2012.01.029
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,meta分析,评审
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:1994-02-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.schres.2007.12.468
更新日期:2008-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2013.10.019
更新日期:2013-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:1996-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1993-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2016.02.006
更新日期:2016-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2012.10.003
更新日期:2012-12-01 00:00:00