Abstract:
INTRODUCTION:Aripiprazole has been associated with a low prevalence of metabolic side effects as compared to other second generation antipsychotic (SGA) medications mostly in patients with long standing illness. The purpose of the present study was to assess specifically the effectiveness and safety of aripiprazole as a first choice for antipsychotic therapy for young patients presenting with a previously untreated first episode of a psychotic disorder (FEP). METHODS:Seventy-three patients presenting with a FEP and with minimal prior exposure to antipsychotic medications were recruited to be part of an open label naturalistic outcome study using aripiprazole as the first choice of antipsychotic medication. Data on positive, negative and total symptom severity including general psychopathological symptoms, level of functioning and metabolic indices were collected prospectively over a one-year period. RESULTS:As compared to baseline, patients treated with aripiprazole (mean dose 9.6mg) improved significantly on measures of positive (p<0.001), negative (p<0.001) and total severity-general psychopathology symptoms (p<0.001) and level of functioning (p<0.001). Seventy two percent of the participants achieved positive symptom remission and 50% achieved total remission (positive and negative) at one year of follow up. Unlike reports on patients with longer standing illness, significant weight gain (p<0.001) was observed, with 44% of participants experiencing >7% increase in body weight. CONCLUSION:FEP patients starting treatment with aripiprazole improved on symptoms and social and occupational functioning. Aripiprazole was well tolerated except for a significant weight gain.
journal_name
Schizophr Resjournal_title
Schizophrenia researchauthors
Malla A,Mustafa S,Rho A,Abadi S,Lepage M,Joober Rdoi
10.1016/j.schres.2016.04.036subject
Has Abstractpub_date
2016-07-01 00:00:00pages
120-125issue
1-3eissn
0920-9964issn
1573-2509pii
S0920-9964(16)30185-2journal_volume
174pub_type
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journal_title:Schizophrenia research
pub_type: 临床试验,杂志文章
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journal_title:Schizophrenia research
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,评审
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doi:10.1016/j.schres.2010.05.011
更新日期:2011-04-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章,多中心研究
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-05-01 00:00:00
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doi:10.1016/j.schres.2011.06.028
更新日期:2011-11-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章,多中心研究
doi:10.1016/s0920-9964(03)00018-5
更新日期:2003-11-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2013.04.016
更新日期:2013-07-01 00:00:00
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doi:10.1016/j.schres.2020.12.014
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.2014.08.017
更新日期:2014-11-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章,meta分析
doi:10.1016/j.schres.2014.07.014
更新日期:2014-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2005.09.007
更新日期:2006-01-31 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2010.07.003
更新日期:2011-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1993-06-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2007.09.021
更新日期:2008-03-01 00:00:00
abstract::Psychotic-like experiences (PLEs) are part of a continuum of psychosis. Previous longitudinal studies highlighted a relationship between peripheral inflammation during childhood and onset of PLEs in adulthood. In this study, we tested if this association is mediated by internalising and externalising symptoms experien...
journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2020.11.009
更新日期:2020-12-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2009.06.011
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.2004.02.019
更新日期:2004-12-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2006.04.013
更新日期:2006-10-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/s0920-9964(02)00528-5
更新日期:2004-01-01 00:00:00